Patient Safety Home :: Resources :: News Tracker :: Archives 1999-2001
RESOURCES: PATIENT SAFETY NEWS TRACKER ARCHIVES 1999-2001

Also see NPSF Bibliography 2001 

• Medication Safety Issue Briefs 2001 (Hospital and Health Networks)
  • Finding and using Resources (PDF)
  • Crucial Role of Therapeutic Guidelines (PDF)
  • Using a System-wide Approach (PDF)
  • Asking Consumers for Help (PDF)
  • Using Automation to Reduce Errors (PDF)
  • Creating a Culture of Safety (PDF)
• Hospital and Health networks: Who's Rating You? December cover story There's a Quality debate going on and you may not like the direction it's taking. The longer you stay on the sidelines, the greater the risk you'll let others define quality for you and your patients.
• CEO/Supplier Dialogue on Patient Safety December issue Leaders and vendors candidly explore new opportunities for industry standards, work-force training, and patient-focused care.
• The National Health Care Purchasing Institute: Advancing Patient Safety: The Leapfrog Group December Newsletter
• Group Practice Journal: Successful patient safety initiatives: driven from within December 2001
• HHS Press Release: HHS IN 2001: A YEAR OF ACHIEVEMENTS December 31, 2001 
• Philadelphia Daily News: Insurance crisis threatens Pa. health care December 31, 2001 Rate hikes, canceled policies sideline physicians
• Philadelphia Inquirer: Hospitals' units avert shutdown December 31, 2001 Doctors were able to obtain the malpractice insurance needed for trauma center and emergency room work.
• San Francisco Business Times: Perfect prescription: Handhelds help doctors give best treatment December 31, 2001
• Sun Sentinel (South Florida): Medical error reports to be short on details December 30, 2001
• HHS APPOINTS 27 TO ADVISORY COMMITTEE ON REGULATORY REFORM- Secretary Thompson Launches Broad Effort To Reduce Burdens, Promote Quality Care; Panel Will Seek Input From Those Most Affected by HHS Regulations December 26, 2001
• Journal of Medical Internet Research: Review of Internet Health Information Quality Initiatives December 26, 2001
• JAMA: Hospital Collaborative Creates Tools to Help Reduce Medication Errors December 26, 2001
• U.S. Food and Drug Administration Performance Plan 2002 Strategies Reduce Adverse Events Related to Medical Products December 21, 2001 
• UK Audit Commission: A Spoonful of Sugar  (download full report PDF) December 18, 2001 
  • NY Times: More Deaths in England, Due to Error, Report Says December 20, 2001
• AHRQ: Refinement of the Healthcare Cost and Utilization Project Quality Indicators December 20, 2001
• Premier to require bar coding for hospital pharmaceutical products offered under its group purchasing contracts December 20, 2001
• AMA: New approach uses CME to reduce medical errors December 19, 2001 To make continuing medical education more relevant, an increasing number of activities are being designed to directly improve patient care.
• HealthLeaders: QUALITY Counting On Consumers December issue 
• Pharmacy Week: JCAHO & the Working Pharmacist December 16, 2001 
• Pennsylvania Dept of health:  Physician General Offers Tips For Outpatient Surgery Center Patients December 14, 2001 
• JAMA:Potentially Inappropriate Medication Use in the Community-Dwelling Elderly Findings From the 1996 Medical Expenditure Panel Survey   December 12, 2001 
• JAMA:Preventable Deaths From Medical Errors  December 12, 2001 
• Washington Post: Building an Electronic Network of Care Group Seeks to Cut Medical Errors by Sharing Information While Guarding Privacy December 12, 2001 
  • Patient Safety Institute
  • AHA News: Launch of Patient Safety Institute includes health data network plans
• ISMP Medication Safety Alert: Maybe Santa's on to something- He checks his list twice, shouldn't we? December 12, 2001 
• FDA's Center for Drug Evaluation and Research Drug Products Associated with Medication Errors
  • Dispensing Errors Associated with Lamictal (lamotrigine) Tablets
  • Medication Errors Associated with Taxotere and Taxol   
  • Medication Errors Associated with Flomax and Volmax
  • Medication Errors Associated with Zantac and Zyrtec
  • Medication Errors Associated with Levothyroxine Products
  • Misuse of Liquid Phosphate Laxatives Used for Bowel Preps
• NY Times: The Wrong Foot, and Other Tales of Surgical Error December 11, 2001 
• Drug Topics: New system offers last defense against IV errors December 10, 2001
• Western Journal of Medicine: A heartbreaking story that misses the point December 6, 2001 
• Joint Commission Issues Alert: Simple Steps by Patients, Health Care Practitioners Can Prevent Surgical Mistakes recommended reading December 6, 2001 
  • Washington Post: Surgical Calamities on Rise, Group Says Reports of Doctors Operating on Wrong Body Part -- or Patient -- Have Increased  December 6, 2001
• Leapfrog Group New Guide for Hospitals on Computerized Physician Order Entery (CPOE) Gives Hospitals Much Needed Resource (click to view reports) December 6, 2001
• WHO:  Quality of care: patient safety Report by the Secretariat December 5 , 2001
• AHA: Association launches Web site with quality award information, criteria: Quest For Quality December 5, 2001
• "Changing the way we operate": 2001 Report of the National Confidential Enquiry into Perioperative Deaths National Confidential Enquiry into Perioperative Deaths December 3, 2001
• Health Forum Journal: CEO/Supplier Dialogue on Patient Safety: Leaders and vendors candidly explore new opportunities for industry standards, work-force training, and patient-focused care December/November issue
• Perspectives on Patient Safety December issue
• RWJ: New National Program Seeks Dramatic Improvements in Health Care Processes Winter 2001
• Health System Risk Review: Disclosure of Unanticipated Outcomes Winter 2001
• Journal of Law, Medicine & Ethics and The American Journal of Law & Medicine Winter 2001
• JHIM: Journal of Healthcare Information Management Common Medical Terminology Comes of Age, Part One: Standard Language Improves Healthcare Quality Fall 2001
• Modern Healthcare: Eye on Info: Clinical-care IT 7 articles November issue
• AHA: Contemporary Pediatrics: Protecting your patients from medical errors November issue
• AHA: Quality: The Key Issue for the Board November issue 
• Trustee Magazine: State Mandated Error Reporting November issue 
• Modern Healthcare:  A fast track to safety November 26, 2001
• Modern Healthcare R.I.: Hospitals' oversight falls short November 26, 2001
• Milwaukee Business Journal: GE Medical partnership to promote Six Sigma November 23, 2001
• The Guardian: death of Dr Evans November 23, 2001
• AHRQ: AHRQ'S New Prevention Quality Indicators Flag Potentially Avoidable Hospitalizations November 20, 2001
• AMA: Struggle goes on to improve patient safety, cut errors November 19, 2001
• Crusades, Body Counts, 673, and Patient Safety Richard Cook University of Chicago November 16, 2001
• American College of Surgeons: 87th Annual Clinical Congress November 16, 2001
  • Error Reduction in Laparoscopic Cholecystectomy and Multi-Step Surgery
  • Epidemiology of Errors in Surgery
  • Federal Regulatory Role in Patient Safety
• IMSP: Supervision often a weak link in error prevention November 14, 2001
• Modern Healthcare: Prescribing quality November 12, 2001
• Modern Healthcare: Focus on stroke care November 12, 2001
• British Medical Journal: Effect of a formal education programme on safety of transfusions November 10, 2001
• Memphis Business Journal: Methodist rewriting standards to improve safety, costs November 9, 2001
• JAMA: Letter to the Editor- Reducing Medication Errors November 7, 2001
• AMA: Patient safety initiative gains support, funding November 5, 2001
• The Register-Guard (Oregon) The Health Files / Tim Christie: Researchers review quality of health care November 12, 2001
• American Family Physician: Curbside Consultation Confronted by an Unexpected Laboratory Result  November 1, 2001
• JCOM- Medication Safety: One Organization’s Approach to the Challenge October issue 
• HealthLeaders: A Crisis in the Making? October issue 
• Journal of the American Geriatrics Society: Medical Mistakes and Older Patients: Admitting Errors and Improving Care October 2001
• The Institute of Medicine's Report on Medical Error: Implications for Pathology October 2001
• Archives of Pathology and Laboratory Medicine: Preventing Medical Errors in Point-of-Care Testing October 2001
• ISMP: To promote understanding, assume every patient has a health literacy problem October 31, 2001
• Boston Globe: Medical errors to be studied October 30, 2001
• Pittsburgh Post Gazette: Doing No Harm 5 Part series October 30, 2001
• UPenn Newsletter: $7 Million for Patient Safety Research and Practice October 23, 2001
• AMA: Malpractice or murder? Criminalization of medical errors is a troubling trend October 22, 2001
• Archives of Internal Medicine: Drug-Related Deaths in a Department of Internal Medicine
• Modern Healthcare: Quality offensive: Two efforts aimed at reducing errors October 22, 2001
• IMSP: Failure Mode and Effects Analysis can help guide error prevention efforts October 17, 2001
• Reuters: Initiative Set to Reduce Medical Errors in Ambulatory Settings October 17, 2001
• NY Times: Doctors With Sick Parents See a System's Flaws October 16, 2001
  • Journal of Family Practice: Physicians’ Personal Experiences of Their Fathers’ Health Care September 2001
• Spokesman Review: Battling medication errors October 13, 2001
• The Advertiser: The worst month to be unwell (Australia) October 11, 2001
• HHS Announces $50 Million Investment To Improve Patient Safety October 11, 2001
• U.S. and U.K. Sign Agreements To Collaborate On Health Care Quality And Fighting Bioterrorism October 10, 2001
• VA: Conference Report Effective Practices: Improve Patient Safety Summit 2001 recommended reading October 9, 2001
• Risk Management Foundation of the Harvard Medical Institutions: Effects of Health Literacy on Treatment Adherence October 4, 2001
• JAMA: Coprescribing and Codispensing of Cisapride and Contraindicated Drugs October 3, 2001
• ISMP: Systems thinking: Tap into staff creativity to unleash innovation October 3, 2001
• Debating Patients' Capacity to Decide October 2, 2001
• Retrospective Analysis of Mortalities Associated with Medication Errors October 1, 2001 
• American Journal of Health System Pharmacy: Retrospective analysis of mortalities associated with medication errors October 1, 2001
• The Permanente Journal: Medical Error Due to Profiling Fall 2001
• NPSF Newsletter Fall 2001 

• Anesthesia Patient Safety Foundation Fall Newsletter 2001

  • Patient Safety A Key ASA Meeting Theme
  • Closed Claims Project Shows Safety Evolution
  • Special Article: How Many Medical Error Deaths Are There Really?
  • Cardiac Arrests During Spinal Anesthesia
  • The ICU Corner: Safety Practices Target ICU Patients
  • "Operation a Success... But the Wrong Organ Was Removed"
  • Sedation by Non-Anesthesia Personnel Provokes Safety Concerns; Anesthesiologists Must Balance JCAHO Standards, Politics, & Safety
  • JCAHO Revises Standards to Help Reduce Medical Errors
• AHA Trustee: Six Sigma --Adapting GE's Lessons to Health Care September 2001
  • From Manufacturing to Medicine: Translating the Concept of Six Sigma into the Language of Health Care
  • Six Sigma in Action--Reducing Length of Stay for Medicare CHF Patients
• First Reports - Taking the ‘Pulse’ on Patient Safety: A Model For How Organizations Evolve September 2001 
• Forum: A Conversation with Lucian Leape, M.D. September 2001 
• BMJ: Monitoring the safety of over the counter drugs September 2001
• JCAHO Sentinel Events Alert: Medication errors related to potentially dangerous abbreviations September 2001
• AMA: Quality corps: Team effort can trim medical errors September 24, 2001
• AMA: Skills test moving forward; pilot studies prove effective September 24, 2001
• AMA: U. of Michigan suspends a top researcher September 24, 2001
• ISMP survey on perceptions of a nonpunitive culture produces some surprising results September 19, 2001 
• CNN: Getting to the Bottom of Deadly Medical Errors (tv transcript) September 16, 2001
• NEJM: A Computerized Reminder System to Increase the Use of Preventive Care for Hospitalized Patients September 27, 2001
• Better Home and Gardens: How to Avoid Medical Errors September 14, 2001
• The Economist: Truth or consequences Biomedical journals are agitating about the risks of corporate money corrupting peer review September 13, 2001
• RWJ: Pursuing Perfection: Real Progress in Health Care Quality September 11, 2001
• Modern Healthcare: What's a medical error again?: Study: Educate young doctors who may never have heard of IOM report September 10, 2001
  • JAMA: Formal Education About Medication Errors in Internal Medicine Clerkships September 5, 2001
• BMJ: Assessment of therapeutic safety in systematic reviews: literature review September 8, 2001
• BBC: Young people 'ignore medicine advice' September 6, 2001
• MSJAMA: Ethical Issues Involved in Disclosing Medical Errors September 5, 2001
• MSJAMA: Medical Students and Remediation of Error September 5, 2001 
• MSJAMA: Ethical Issues in Whistleblowing September 5, 2001 
• Conference Report Effective Practices: Improve Patient Safety Summit 2001 (VA QUiC) September 5-7, 2001 recommended reading 
• Drug Topics: Medication safety officer: A new breed of pharmacist September 3, 2001
• Business and Health: Top 11 patient safety practices September 1, 2001
• JBusiness and Health: JCAHO wants doctors to admit errors September 1, 2001
• NPSF Newsletter Summer 2001
• Forum: 8 Suggested Principles for Developing Education and Training to Improve Patient Safety Summer 2001
• Health Care Financing Review: Consumer Research on Messages to Prevent Medical Errors Summer 2001
• The Permanente Journal: A Collaborative Program for Assessing Outpatient Medication Safety: The KP Mid-Atlantic Region's Experience  Summer 2001
• Deloitte and Touche: Interview with Ken Kizer August 2001 
• JCAHO Sentinel Event Alert:  Preventing Needlestick and Sharps Injuries August 2001 
• Boston Business Journal: Risk management for hospitals moves onto the 'net August 31, 2001
• New England Journal of Medicine: Mortality among Patients Admitted to Hospitals on Weekends as Compared with Weekdays August 30, 2001 
• ASHRM: Perspectives on Medical Malpractice Market Conditions  August 27, 2001 
• ASHRM Letter Regarding NQF Serious Reportable Events in Patient Safety Document August 27, 2001 
• AMA: Accreditation extends to clinical trials, offices August 27, 2001 
• BMJ: Hand hygiene- Use alcohol hand rubs between patients: they reduce the transmission of infection August 25, 2001
• ‘Black box’ for ops, and safer drug prescribing to be investigated by local doctors August 24, 2001
• CDC's Seven Healthcare Safety Challenges  August 24, 2001
• CDC: Eliminating laboratory errors that cause patient illness and death August 24, 2001
  • MMWR: Public Health Dispatch: Adverse Events and Deaths Associated With Laboratory Errors at a Hospital
• ISMP: Survey on perceptions of a nonpunitive culture produces some surprising results August 22, 2001
• Medical Economics: What to say if you made a mistake August 20, 2001
• AMA: Number of deaths caused by medical errors under dispute August 20, 2001
• Buffalo Business First: Trying to ensure that mistakes don't happen August 20, 2001
• Duluth News Tribune: Replacing medical whys with guidelines August 19, 2001
• Milwaukee Journal Sentinel: Patient safety takes center stage August 14, 2001
• AHA News: People insights will improve safety systems August 13, 2001
• Modern Healthcare: JCAHO database role worries AHA August 12, 2001 
• Boston Globe: Resident in fatal case had expired credentials. Mistake eyed as factor in death at Children's Hospital August 12, 2001 
• BMJ: Improving patients' safety by gathering information--anonymous reporting has an important role August 11, 2001 
• ISMP: It's time for a new model of accountability August 8, 2001 
• JAMA: Hospitals Get Safety Improvement Task List August 8, 2001
• Drug Topics: Hospital leaders must advance JCAHO patient safety standards August 6, 2001
• Modern Healthcare: AHA announces new safety award August 6, 2001 
• Modern Healthcare: Accepting responsibility: Two hospitals admit central roles in recent deaths August 6, 2001 
• Safety and Quality Council's Second Report to the Australian Health Minister's Conference recommended reading August 2001 (pdf)
• AMA: Evidence-based safety practices touted by government August 6, 2001 
• Philadelphia Lab Error Story
  • Philadelphia Inquirer: Lab error blamed in pair of deaths August 16, 2001
  • Philadelphia Inquirer: Block by block in S. Phila., a hospital lab error struck August 12, 2001
  • Philadelphia Inquirer: Rules designed to catch blood-test error, state says August 8, 2001
  • Philadelphia Inquirer: Despite lab error, neighbors stand by St. Agnes  August 6, 2001
  • Philadelphia Inquirer: Hospital lab error a 'system failure' August 5, 2001
  • Philadelphia Inquirer: Lab error deaths may now total five August 3, 2001 
• Memphis Business Journal: Local hospitals make safety high priority August 3, 2001 
• Managed Care: A Conversation with Lucian Leape, M.D.- Moving Beyond A Punitive Mind-Set July issue 
• JCAHO Sentinel Event Alert: Medical Gas Mix-ups July 2001
• Business and Health: The quality thing  July 31, 2001 
• Business and Health: A look into the crystal ball July 31, 2001 
• Business and Health: Getting down to the numbers July 31, 2001 
• Health Plan Magazine: Business Takes on the Job of Improving Health Care July 31, 2001 
• Modern Healthcare: Keeping the emphasis on safety: IOM statistics on number of medical errors 'misleading', JAMA report says July 26, 2001 
• Seattle Times: Let's look at the cost before we Leapfrog July 26, 2001 
• JAMA: Estimating Hospital Deaths Due to Medical Errors recommended reading July 25, 2001
• ISMP: The supermarkets do it - so why can't we raise the "bar" in health care? July 25, 2001
• CBS News: Study says fewer deaths caused by medical errors July 24, 2001
• Healthcare Leaders: States Develop Patient Safety Initiatives July 2001
• HealthLeaders: Physicians The Weakest Link July 2001
• Robot Technology Improves VA Pharmacies July 2001
• Modern Healthcare: Study questions safety standards July 23, 2001
• Health Forum Journal: Reducing Health Care Risk July issue
• Health Forum Journal: Taking Account of Quality July issue
• Health Forum Journal: The Butler Did It: Pointing fingers won't help health care leaders reduce the numbers of errors they and their employees make July issue
• Journal of the Royal Society of Medicine: Exploring the Cause of Adverse Events in NHS hospital practice July 2001
• Milwaukee Sentinel: Hospital-based physicians reduce health costs July 23, 2001
• AMED News: State error legislation gets mixed reviews July 23, 2001
• AMED News: Standards require hospitals to report errors to patients July 23, 2001
• Boston Business Journal: Hospitals say they embrace new disclosure rules July 20, 2001
• East Bay Business Times: Error reporting system gets new scrutiny July 20, 2001
• AHRQ Releases New Evidence on Proven Patient Safety Practices recommended reading July 17, 2001
• WebMD: Patient Safety Needs Improvement July 17, 2001
• NPR: Report Suggest Ways to Reduce Error Real Audio July 17, 2001
• NY Times: Medicare Patients Who Tell of Poor Doctor Care Win Right to Learn of Findings July 17, 2001
• Modern Healthcare Special Report: Technology's Rip Van Winkles: Hospitals are waking up, slowly, to the need to embrace computers and automation recommended reading July 16, 2001
• Modern Healthcare: Where the money goes July 16, 2001
• Modern Healthcare: Raising awareness or ire?: Insurer's ad campaign targets medical errors, prompts provider indignation July 16, 2001
• Sacramento Bee: Hospitals seriously underreporting medical errors July 16, 2001
• BMJ:Bridging the quality chasm- To improve health care we need to understand the motivations of those who work in it  July 14, 2001 (pdf)
• Health Data Management July 2001 Issue
  • I.T. Shores Up Defenses Against Medication Errors
  • Case Study: Order Entry Gets Out of Hand 
• ASHP: Health Illiteracy Interferes With Care July 15, 2001
• JAMA: No-Fault Compensation for Medical Injuries- The Prospect for Error Prevention July 11, 2001
• JAMA: Principles, Pragmatism, and Medical Injury July 11, 2001
• ISMP: Patient safety is all about taking that extra step July 11, 2001
• ASHRM: Perspective on Disclosure of Unanticipated Outcome Information July 5, 2001 (pdf)
• San Francisco Chronicle: Rx for doctors with poor handwriting July 2, 2001
• Round Table Discussion-Law, Regulation & Ethics "To Err Is Human" DWT LLP
• JCAHO Media Kit: Hospitals Face New JCAHO Patient Safety Standards on July 1 recommended reading
• Eye on Info: In the Name of Patient Safety June 2001 recommended reading
• JCAHO Sentinel Event Alert: Exposure to Creutzfeldt-Jakob Disease June 2001
• ISMP: Insights into people will improve our safety systems June 28, 2001
• UK NHS: A Commitment to Quality, a Quest for Excellence June 27, 2001
• JAMA: A 40-Year-Old Woman Who Noticed a Medication Error June 27, 2001
• Modern Healthcare: Enforcing a new openness: JCAHO to hospitals: Let patients know when their care hasn't met standards June 25, 2001
• CNN/AP: Doctors prodded from pen, paper to PDA June 25, 2001
• NY Times Editorial: Will Patients' Rights Fix the Wrongs? June 24, 2001
• AP: A prescription for doctors' bad penmanship June 23, 2001
• Modern Physician: More providers tying executive incentives to quality June 22, 2001
• AMA: Patient safety: Inward look for a new field June 18, 2001
• American Association of Pediatrics: Principles of Patient Safety in Pediatrics June 2001
• Medication error or professional judgement? June 13, 2001 
• Medication Errors Council Revises and Expands Index for Categorizing Errors June 12, 2001 
• Department of Defense Patient Safety Program Patient Safety Reference Materials  June 11, 2001
• ASHP, Foundation Partner on 'Medication Safety Officer' Initiative  June 4, 2001
• NPSF Newsletter Spring 2001
• JCAHO Sentinel Event Alert: Look-alike, Sound-alike Drug Names May 2001
• ISMP: New official interpretation of JCAHO standard bans open access to pharmacy after hours May 30, 2001
• Annenberg Conference Summary conference occurred May 16, 2001 recommended reading
• Taking Control of Your Medicines Vol 1 No 1
• Healthleaders Roundtable: Reducing Medical Errors, Improving Patient Safety: Taking The Next Step June 2001 recommended reading
• CNN: AMA expected to take up resident work hours June 15, 2001  
• International Atomic Agency AEA's June 9, 2001
• British Medical Journals: Letters to the Editor (Medical Errors) June 9, 2001
• Washington Post: Reason to Hope on Health Care David Broder June 8, 2001
• BMJ bans "accidents" (editorial) June 2, 2001
• Modern Physician: Bill would allow confidential, anonymous disclosure of errors June 1, 2001 
• American Journal of Health-System Pharmacy: Sharing Responsibility for Patient Safety June 1, 2001
• AMA: Robert Wood Johnson Foundation program aims at cutting medical errors May 28, 2001
• Patient Safety: What is the Role for Congress? May 24, 2001
• JCAHO Sentinel Event Alert: Look-alike, sound-alike drug names May 2001
• Modern Healthcare: Minding hospitals' business: Purchasing coalition pushes hospitals to improve patient safety through process measures, but industry says standards are too expensive May 21, 2001
• Managed Care Organization Nonreporting to the National Practitioner Data Bank: A Signal for Broader Concern Office of Inspector General, DHHS, May 2001  
• Trustee Magazine: Patient Safety: It Starts With The Board May 2001 issue
• Patient Safety: A Call to Action: A Consensus Statement From the National Quality Forum (free Medscape registration required)
• Tommy G. Thompson Secretary Department Of Health And Human Services Statement Before The Senate Health, Education, Labor, And Pensions Committee May 24, 2001
• British Medical Journal: Medical errors and medical culture May 21, 2001 
• Atlanta Business Journal: Making hospitals safer May 18, 2001
• Outcome Tools: Interview with Ken Kizer
• Hospitals and Health Networks: The Leapfrog Effect May 2001 issue
• Healthcare Business: A Fresh Look at Problem Solving May 2001 issue
• Health Affairs: Improving Quality, Minimizing Error: Making It Happen May 2001 issue recommended reading
• RWJ: U.S. Health Care Providers Say Quality of Care is 'Unacceptable' May 8, 2001
• Reuters: Most Docs, Nurses Say They've Witnessed Mistakes-  May 8, 2001
  • Results from IHI (power point) recommended reading
  • IHI Press Release
• MSNBC: Health care in critical condition- (with MSNBC video clip) May 7, 2001 cites Health Affairs report
• CNN Special Report: U.S. nursing shortage 'going into crisis'-  May 7, 2001
• AMA: Push to improve patient safety slow-going May 7, 2001
• Modern Healthcare: Dose of safety: Senate bill would help facilities buy technology to reduce medication errors May 7, 2001
• United States Senate May 3, 2001
  • Special Committee on Aging
    • Craig Says Computerized Prescription Technology Saves Lives  
    • Hearing Testimony-- Technology and Prescription Drug Safety
    • Audio (real audio)
  • Senator Bob Graham's website: Graham, Snowe Legislation Would Reduce Medication Errors
    • S.824 A bill to establish an informatics grant program for hospitals and skilled nursing facilities.
• Modern Healthcare: Bill would create grants for automating drug orders  May 3, 2001
• ISMP: Please don't sleep through this wake-up call  May 2, 2001
• George Mason: Health Care Errors: Nursing’s Perspective May 2000
• Western Journal of Medicine: Reporting of medical errors time for a reality check Lucian L Leape, April 2001 issue, full article recommended reading
• Health Care Business: How Safe Is Outpatient Care? April 2001 issue
• IoM Report Calls For $1B Health Care 'Innovation' Fund April 2001
• Managed Health Care Executive: Physician profiling can help build a doctor-centered plan April 2001
• Managed Health Care Executive: To err is human-so keep patient records in an online central database April 2001
• JCAHO Sentinel Event Alert: Kernicterus Threatens Healthy Newborns April 2001
• AHRQ Press Release: Request for Applications on Patient Safety for Research Dissemination and Education Projects-April 25, 2001
• Washington Post: Study Looks at Children, Drug Errors-April 25, 2001
• Web MD: Medical errors hurt kids, too April 25, 2001
• MSNBC: Hospital errors common in kids - (with MSNBC video clip) April 24, 2001
• CNN: Medical errors common for hospitalized children- (CNN video clip) April 24, 2001
  • Your Health Transcript Special Focus: Your Children's Health
• ABC News: Fatal Medication Errors- April 24, 2001
• US Newswire: Secretary Thompson Announces HHS Patient Safety Task Force- April 23, 2001
• CNN: Medical errors common for hospitalized children April 23, 2001
• AP: Feds target medical mistakes- April 22, 2001
• Washington Post: Overdose Kills Girl at Children's Hospital- April 20, 2001
• Hospitals and Health Networks: Keeping Patients Safe: Cover Story April 2001
• Healthcare Financial Management: The Financial Manager's Role in Preventing Medical Errors April 2001
• Arizona Republic: Mesa Hospital Off 'Risk' List- April 20, 2001
• Building A Safer NHS For Patients (United Kingdom) April 18, 2001 recommended reading
• AHRQ- Reducing and Preventing Adverse Drug Events To Decrease Hospital Costs April 18, 2001 recommended reading
• ISMP: Lessons lost by the global pharmaceutical industry April 18, 2001
• CNN: Report: Computers could catch medication errors April 12, 2001
• NY Times: Nursing Shortage Is Raising Worries on Patients' Care- April 8, 2001
• NY Times: So, the Tumor is on the Left, Right?- April 1, 2001
  • Letter to the Editor Writing "NO"
• Modern Physician: Getting into the game: Employers want their chance to shape and improve the quality of care- April 1, 2001
• IOM: Envisioning the National Health Care Quality Report March 2001
• U.S. Medicine Interviews Jonathan Perlin March 2001
• Washington Post series on Residency Education and Patient Safety March 27, 2001
  • Limited Experience, High Expectations 
  • Sweatshop Conditions Can't Give Quality Care
  • A Day (and a Half) in the Life of an Intern
  • Interactive Discussion
  • Letters to the Editor
• Washington Post: Shady Grove's Top Rating Restored - March 23, 2001
• ABC: The Rise of the Robodruggist March 23, 2001
• St. Petersburg Times: Bill Would Help Doctors Report their Errors - March 22, 2001
• Medscape: Patient Safety: A Call to Action: A Consensus Statement From the National Quality Forum March 21, 2001
• JCAHO Sentinel Event Alert: Lessons Learned: Fires in the Home Care Setting March 20, 2001
• ABC: Simulators Could Curb Patient Deaths, But Can Med Schools Afford Them? March 19, 2001
• Washington Post: A New Prescription for Medical Errors- March 17, 2001
• Feds Look For Health Care Fix- Atlanta Business Journal March 16, 2001
• AMA: Physician quality improvement projects promote high quality care  March 1, 2001 
• Business and Health: Medical errors and malpractice suits as quality markers March 1, 2001
• NPSF Newsletter Winter 2001
• British Medical Journal March 2001: Medical Errors: a common problem- Issue devoted to medical errors.  Interesting perspective across the pond.
• VIPC&S Press Release, February 28, 2001- Patient Care Coalition To Hold Statewide Conference To Address Medical Errors | ABC News’ John Nance To Speak
• JCAHO Sentinel Event Alert: Mix-up Leads to a Medication Error February 27, 2001
• Philadelphia Inquirer: Regional effort aims to reduce drug errors: February 23, 2001
  • Delaware Valley Healthcare Council Regional Medication Safety Program for Hospitals
  • Philadelphia Inquirer Series on Medical Mistakes (the impetus?)
• NY Times: A Plan to Send Prescriptions Electronically February 23, 2001 
• Canadian Medical Journal: Disclosure of medical error February 20, 2001 
• Drug Topics: New JCAHO patient safety standards stress prevention February 19, 2001
• ABC: Bad Medicine One in Five Patients Who Died in Cleveland Hospital Were Misdiagnosed February 15, 2001
• AMA: FDA proposes a redesign of drug package inserts with patient safety in mind February 12, 2001
• Roanoke Times: Hospitals switch focus from punishment to prevention- February 11, 2001
• Contributions of Management to the Future of American Health Care February 9, 2001, William C. Richardson, Ph.D, CEO of Kellog Foundation
• JCAHO Sentinel Event Alert: Operative and Post-Operative Complications: Lessons for the Future February 4, 2000
• Journal of Pediatric Health Care: Health care delivery errors: Patient safety falls prey to politics January/February 2001
• BMJ:Not again! Preventing errors lies in redesignnot exhortation Don Berwick editorial February 2, 2001
• Florida Commission on Excellence in Health Care: A Report to the Governor and the Legislature February 1, 2001 
• National Health Policy Conference  February 1, 2001 
• Health Care Business: First Do No Harm Cover Story Jan/Feb 2001 recommended reading
• Collaboration to Improve Patient Safety: The First Domain of Quality January/February 2001
• Postgraduate Medicine: Human Error in Perspective January 2001 
• AHRQ Researches Health Care System January 2001
• VA Addresses System Challenges - Thomas L. Garthwaite, M.D. January 2001
• Mayo Proceedings: Communication Technology: Patient Safety and the Patient-Physician Relationship January 2001
• CNN: Some worry nursing shortage could put patients at risk January 12, 2001
• ABC: Preventing Medical Mistakes recommended reading January 1, 2001
• CNN: FDA proposal intended to reduce prescribing errors December 22, 2000
• ABC: Medical Mistakes Exposed December 13, 2000
• ABC: Honesty Is Best Policy December 12, 2000
• Kaiser Family Foundation: Survey Shows That Medical Errors and Malpractice Are Among Public's Top Measures of Health Care Quality December 11, 2000
  • Full Report
• ABC: Medical Errors Preventable  November 29, 2000
• Making Quality and Service Pay Part 2, The External Environment - November-December 2000 - Family Practice Management November December 2000
• Effective Clinical Practice November/December 2000 Special issue on medical errors. recommended reading
• JCAHO Sentinel Event Alert: Infusion Pumps:  Preventing Future Adverse Events November 30, 2000
• JAMA: Patient Safety: From Research to Practice November 8, 2000
• Medscape: Starting System Change at the Office Practice  November 6, 2000
• Jerusalem Post: When the Holes in the Swiss Cheese Line Up October 22, 2000
• Family Practice Management Making Quality and Service Pay Part 1, The Internal Environment October 2000
• USA Today: Medical Error series October 11, 2000
• ABC: Medical Mistakes Affect Many October 9, 2000
• CNN: Time to phase out handwritten prescriptions? October 4, 2000
• WebMD: System Changes Urged to Reduce Errors Sept. 29, 2000
• WebMD: No Easy Answers to Problem of Medical Errors  Sept. 28, 2000
• WebMD: Consumer Alert Medical Errors and Patient Safety September 12, 2000
• Web MD: Experts Seek to Understand Epidemic of Medical Errors September 11, 2000
• National Summit on Medical Errors and Patient Safety Research Personal Testimony of Marie Savard, M.D. September 11, 2000
• CNN: Nursing mistakes cause thousands of deaths, probe finds September 10, 2000
• Chicago Tribune: Nursing mistakes kill, injure thousands September 10-12, 2000
• Medscape: Setting a Research Agenda on Medical Errors September 9, 2000
• Health Care Financing Review: Preventing Medical Errors: Communicating a Role for Medicare Beneficiaries Fall 2001
• JAMA: Error Reduction in Health Care: A Systems Approach to Improving Patient Safety August 16, 2000
• JAMA: Proceedings of Enhancing Patient Safety and Reducing Errors in Health Care August 16, 2000
• US News and World Reports: Taking the Mistakes Out of Medicine July 17, 2000
• Roll Call: What action should be taken to combat deaths due to medical errors? Restore U.S. Confidence in Medicine Sen. Bill Frist July 17, 2000 
• Roll Call: Use Common Sense To Reduce Medical Errors Sen. Tom Harkin July 17, 2000 
• Western Journal of Medicine June 2000 issue devoted to medical error recommended reading
  • Let's talk about error
  • Accreditation's role in reducing medical errors
  • Medical error: the second victim
  • Epidemiology of medical error
  • Human error models and management
  • Anatomy of a medical accident
  • An honest mistake, within the standard of care, will not result in a finding of liability
• Archives of Internal Medicine: Disclosure and Prevention of Medical Errors [Special Article] July 24, 2000
• JCAHO Sentinel Event Alert: Fatal Falls: Lessons for the Future July 12, 2000 
• USP: Learning from Practitioner Experience: Impact on the Implementation and Revision of USP Standards July 8, 2000
• CNN: Physicians divided: Report of medical-error deaths on target or exaggerated? July 5, 2000
• Academic Medicine and Managed Care Forum June 28, 2000
• CNN: AMA votes to support tracking of medical errors June 15, 2000
• WebMD: VA, NASA Team Up to Reduce Medical Errors June 2, 2000
• CNN: Medical groups release new safety recommendations, questionnaires May 19, 2000
• CNN: Medical mistakes: A legal and ethical dilemma for doctors and patients May 1, 2000
• AHRQ: Reducing Errors in Health Care April 2000
• Commonwealth Fund: The Quality of American Health: Can We Do More?, President's Message Report on current state of the quality of care debate April 2000
• JCAHO Sentinel Event Alert: Making an Impact on Health Care April 21, 2000
• New England Journal of Medicine: The IOM Report on Medical Errors -- Could It Do Harm? April 13, 2000
• ABC: Medical Errors Overblown? April 12, 2000
• CDC MMWR: Monitoring Hospital-Acquired Infections to Promote Patient Safety -- United States, 1990-1999 March 3, 2000 
• eMD: Culture Clash on Medical Errors Spring 2000 issue
• American Journal of Law & Medicine: Toward A Workable Model of "No-Fault" Compensation for Medical Injury in the United States March 2000
• NY Times Doctor's World: Getting to the Core of Mistakes in Medicine February 29, 2000 recommended reading
• Committee on Health, Education, Labor, and Pensions: Medical Errors: Administration Response and Other Perspectives February 22, 2000
• PBS: Medical Mistakes February 22, 2000
• CNN: Clinton seeks to reduce medical errors, promote patient safety February 21, 2000
• Committee on Health, Education, Labor, and Pensions: Medical Errors: Federal and State Reforms February 16, 2000
• AHRQ: Testimony on Patient Safety and Medical Errors John M. Eisenberg, M.D., Director, AHRQ February 16, 2000
• AMA Testifies on IOM Report Before House Ways & Means Subcommittee on Health Testimony by Thomas R. Reardon, MD, on "Preventing Health System Errors." February 10, 2000

• GAO: Surveillance Systems for Adverse Events and Medical Errors February 9, 2000

• USP: "Medical Errors: Improving Quality of Care and Consumer Information"--Diane D. Cousins R.Ph. February 9, 2000

• Committee on Health, Education, Labor, and Pensions: Gene Therapy: Promoting Patient Safety February 2, 2000
• Committee on Health, Education, Labor, and Pensions: Medical Errors: Understanding Adverse Drug Events February 1, 2000
• ABC: Congress Hears of Medical Gaffes January 27, 2000
• Statement of Lucian Leape, M.D. Concerning Patient Safety and Medical Errors Before the Subcommittee on Labor, Health and Human Services, and Education January 25, 2000
• Business and Health: Washington wakes up to medical mistakes January 1, 2000
• WebMD: Medical Errors Report Hits Like 'Nuclear Explosion' December 28, 1999
• Salon: The culture of secrecy  Docs make mistakes, but proposed regulations to make them talk about it won't change that scary fact. December 2, 1999
• CNN: Medical errors kill tens of thousands annually, panel says Nov. 30, 1999
• PBS: Deadly Medicine November 30, 1999
• ABC: Handwritten Horror Story October 21, 1999
• ABC: Dangerous Prescriptions September 14, 1999
• Medication errors: Lessons in law January 19, 1998
• The Kaiser/Harvard health News Index January 2000
• JAMA: Promoting Patient Safety by Preventing Medical Error October 28, 1998 recommended reading
• Annals of Internal Medicine: Quality Comes Home November 15 1996 recommended reading