Background Iatrogenic injuries related to medications are common, costly, and clinically
significant. Computerized physician order entry (CPOE) and clinical decision support …

Methods Our analysis comes from three main sources: a literature search to identify incident
reporting systems and related research; a compilation of nomenclature and classification of …

Background Adverse events during hospitalization are a major cause of patient harm, as
documented in the 1991 Harvard Medical Practice Study. Patient safety has changed …

One of the key recommendations of the Institute of Medicine's (IOM) report, To Err is Human,
15 years ago was for greater attention to incident reporting in healthcare, analogous to the …

Pharmacist searched for the q24hr entry in the EHR by typing “q24h” Enter and Enter again,
which pulls up “Q24HP” and “Q24HR,” but because she hit Enter a second time, it is …

Identification and measurement of adverse medical events is central to patient safety,
forming a foundation for accountability, prioritizing problems to work on, generating ideas for …

Background In the 10 years since publication of the Institute of Medicine's report To Err Is
Human, extensive efforts have been undertaken to improve patient safety. The success of …

Recent studies of medical errors have estimated errors may account for as many as 251,000
deaths annually in the United States (US)., making medical errors the third leading cause of …

Objective To examine differences in the characteristics of adverse events between English
speaking patients and patients with limited English proficiency in US hospitals. Setting Six …

The success of incident reporting in improving safety, although obvious in aviation and other
high-risk industries, is yet to be seen in health-care systems. An incident reporting system …