An analysis of the causes of adverse events from the Quality in Australian Health Care Study
The Medical Journal of AustraliaPublished 1 May 1999
R. M. Wilson, Bernadette T Harrison, Robert Gibberd, John D. Hamilton
Citations394
SJR quartileQ1
SJR score1.51
SNIP1.48
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
To examine the causes of adverse events resulting from healthcare to assist in developing strategies to minimise preventable patient injury.
Abstract
The causes of AEs or errors leading to AEs can be characterised, and human error is a prominent cause. Our study emphasises the need for designing safer systems for care which protect the patient from the inevitability of human error. These systems should provide new policies and protocols and technological support to aid the cognitive activities of clinicians.
Keywords
Health Professions
New England Journal of MedicineIncidence of Adverse Events and Negligence in Hospitalized Patients
4,666 Citations1991Troyen A. Brennan, Lucian L. Leape +7 more
The incidence of adverse events, defined as injuries caused by medical management, and of the subgroup of such injuries that resulted from negligent or substandard care, in New York State in 1984 were estimated.
The Medical Journal of AustraliaThe Quality in Australian Health Care Study
2,397 Citations1995R. M. Wilson, W. B. Runciman +4 more
JAMAAdverse Drug Events in Hospitalized Patients<subtitle>Excess Length of Stay, Extra Costs, and Attributable Mortality</subtitle>
1,108 Citations1997David C. Classen
The attributable lengths of stay and costs of hospitalization for ADEs are substantial and an ADE is associated with a significantly prolonged length of stay, increased economic burden, and an almost 2-fold increased risk of death.
New England Journal of MedicineA Computer-Assisted Management Program for Antibiotics and Other Antiinfective Agents
1,062 Citations1998R. Scott Evans, Stanley L. Pestotnik +6 more
A computerized antiinfectives-management program linked to computer-based patient records that can assist physicians in the use of antiinfective agents and improve the quality of care and reduce costs is developed.
Journal of General Internal MedicineRelationship between medication errors and adverse drug events
987 Citations1995David W. Bates, Deborah L Boyle +3 more
The LancetAn alternative strategy for studying adverse events in medical care
529 Citations1997Lori B. Andrews, Carol Stocking +5 more
This study shows that there is a wide range of potential causes of adverse events that should be considered, and that careful attention must be paid to errors with interactive or administrative causes.
Journal of Evaluation in Clinical PracticeA systems analysis approach to medical error
305 Citations1997Lucian L. Leape
Significant improvements in error reduction will require major commitments by organizational leadership and the recognition that errors are evidence of deficiencies in systems, not deficiencies in people.
