« Previous
Next »
International Journal of Medical Informatics
Volume 77, Issue 3
, Pages 169-175
, March 2008
The nature and occurrence of registration errors in the emergency department
References
- . Profiles in patient safety: medication errors in the emergency department. Acad. Emerg. Med. 2004;11(3):289–299
- . Clinical decision making: an emergency medicine perspective. Acad. Emerg. Med. 1999;6(9):947–952
- Towards a hybrid method to categorize interruptions and activities in healthcare. Int. J. Med. Inform. 2007;76:812–820
- H. Kaplan, Transfusion “Slip”, AHRQ: Morbidity and Mortality Rounds on the Web, 2004, Date Accessed: June 5, 2006, URL: http://webmm.ahrq.gov/case.aspx?caseID=50&searchStr=Transfusion+%22Slip%22.
- In: Kohn LT, Corrigan JM, Donaldson MS editor. To Err is Human: Building a Safer Health System. Washington, DC: National Academies Press; 2000;
- . Interruptive communication patterns in the intensive care unit ward round. Int. J. Med. Inform. 2005;74:791–796
- . The need for organizational change in patient safety initiatives. Int. J. Med. Inform. 2006;75(12):809–817
- . Categorizing the unintended sociotechnical consequences of computerized provider order entry. Int. J. Med. Inform. 2007;76S(1):S21–S27
- . Technology, governance and patient safety: systems issues in technology and patient safety. Int. J. Med. Inform. 2007;76S(1):S35–S47
- . The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. Int. J. Med. Inform. 2007;76:801–811
- . Human Error. Cambridge, England: Cambridge University Press; 1990;
- . Cognitive analysis of physicians and nurses cooperation in the medication ordering and administration process. Int. J. Med. Inform. 2007;76S(1):S65–S77
- . A cognitive taxonomy of medical errors. J. Biomed. Inform. 2004;37(June (3)):193–204
- D.D. Woods, R.I. Cook, From counting failures to anticipating risks: possible futures for patient safety, in: L.A. Zipperer, S. Cushman, National Patient Safety Foundation (U.S.) (Eds.), Lessons in Patient Safety, National Patient Safety Foundation, Chicago, IL, 2001, p. xiv, 134.
- . Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int. J. Qual. Health Care. 2004;16(2):125–132
- . The collaborative health care team: the role of individual and group expertise. Teach. Learn. Med. 2000;12(3):117–132
- . Decisions about critical events in device-related scenarios as a function of expertise. J. Biomed. Inform. 2005;38(3):200–212
- . Reducing the frequency of errors in medicine using information technology. J. Am. Med. Inform. Assoc. 2001;8(4):299–308
- . The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. Int. J. Med. Inform. 2007;76:836–842
- National Patient Safety Goals for 2006: Joint Commission on Accreditation of Healthcare Organizations, 2006, URL: http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/06_npsgs.htm.
- National Patient Safety Goals: Joint Commission on Accreditation of Healthcare Organizations Web site, 2004, URL: http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/2004_npsgs.htm?
- . Applying airline safety practices to medication administration. Medsurg. Nurs. 2003;12:77–93
- The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N. Engl. J. Med. 1991;324(6):377–384
- National Patient Safety Goals: Joint Commission on Accreditation of Healthcare Organizations Web site, 2005, URL: http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/05_npsgs.htm.
- . Voluntary anonymous reporting of medical errors for neonatal intensive care. Pediatrics. 2004;113:1609–1618
- . Wristband identification error reporting in 712 hospitals, A College of American Pathologists’ Q-Probes study of quality issues in transfusion practice. Arch. Pathol. Lab. Med. 1993;117:573–577
- M. Rosenthal, Check the Wristband, AHRQ: Morbidity and Mortality Rounds on the Web, 2003, Date Accessed: June 5 2006, URL: http://www.webmm.ahrq.gov/case.aspx?caseID=22&searchStr=misidentification#ref2.
- . Nurses’ perceptions: when is it a medication error?. J. Nurs. Adm. 1999;29:33–38
- . How a cockpit remembers its speed. Cognit. Sci. 1995;19:265–288
- . Cognitive Artifacts. In: Carroll JM editors. Designing Interaction: Psychology at the Human-Computer Interface. New York: Cambridge University Press; 1991;
- . A distributed representation approach to group problem solving. J. Am. Soc. Inform. Sci. 1998;49(9):801–809
- . Representations in distributed cognitive tasks. Cog. Sci. 1994;18(1):87–122
- . Distributed cognition in the psychiatric emergency department: a cognitive blueprint of collaboration in context. Artif. Intell. Med. 2006;37(2):73–83
- . Cognition in the Wild. Cambridge, MA: MIT Press; 1995;
- . The Acquisition of Medical Expertise in Complex Dynamic Medical Environments. The Road To Excellence: The Acquisition Of Expert Performance In The Arts And Sciences Sports And Games. Hillsdale, NJ: Lawrence Erlbaum Publishers; 1996;pp. 127–165
- . Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 2nd ed.. Thousand Oaks, CA, USA: Sage Publications, Inc.; 1998;
- . Quality vs. quantity, IOM report: hospitals must cut back workload and hours of nurses to maintain patient safety. Mod. Healthc. 2003;33:8–11
- T. Pape, Workaround Error, AHRQ: Morbidity and Mortality Rounds on the Web, 2006, Date Accessed: June 5, 2006, URL: http://www.webmm.ahrq.gov/case.aspx?caseID=118&searchStr=workaround.
- K. Shojania, Patient Mix-Up, AHRQ: Morbidity and Mortality Rounds on the Web, 2003, Date Accessed: June 15, 2006, URL: http://www.webmm.ahrq.gov/case.aspx?caseID=1&searchStr=patient+mix-up.
- . Interaction design theory. Int. J. Med. Inform. 2003;69:205–222
- . The wrong patient. Ann. Intern. Med. 2002;136:826–833
- . Cognitive and usability engineering methods for the evaluation of clinical information systems. J. Biomed. Inform. 2004;37(1):56–76
PII: S1386-5056(07)00094-9
doi: 10.1016/j.ijmedinf.2007.04.011
© 2007 Elsevier Ireland Ltd. All rights reserved.
« Previous
Next »
International Journal of Medical Informatics
Volume 77, Issue 3
, Pages 169-175
, March 2008
