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International Journal of Family Medicine
Volume 2012 (2012), Article ID 374639, 6 pages
Effects of Self-Empowered Teams on Rates of Adverse Drug Events in Primary Care
1Department of Family Medicine, State University of New York at Buffalo, Buffalo, NY 14203, USA
2UB Patient Safety Research Center, State University of New York at Buffalo, Buffalo, NY 14203, USA
3School of Management, State University of New York at Buffalo, Buffalo, NY 14215, USA
Received 3 August 2011; Revised 3 November 2011; Accepted 6 December 2011
Academic Editor: Benjamin Miller
Copyright © 2012 Ranjit Singh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
- P. Aspden and Institute of Medicine (U.S.). Committee on Identifying and Preventing Medication Errors, Preventing Medication Errors, National Academies Press, Washington, DC, USA, 2007.
- M. Cohen, Medicare Reform: Laying the Groundwork for a Prescription Drug Benefit, ISMP, Washington, DC, USA, 2001.
- R. R. Aparasu and S. E. Fliginger, “Inappropriate medication prescribing for the elderly by office-based physicians,” Annals of Pharmacotherapy, vol. 31, no. 7-8, pp. 823–829, 1997.
- J. T. Hanlon, L. A. Shimp, and T. P. Semla, “Recent advances in geriatrics: drug-related problems in the elderly,” Annals of Pharmacotherapy, vol. 34, no. 3, pp. 360–365, 2000.
- J. H. Gurwitz, T. S. Field, L. R. Harrold et al., “Incidence and preventability of adverse drug events among older persons in the ambulatory setting,” Journal of the American Medical Association, vol. 289, no. 9, pp. 1107–1116, 2003.
- T. Hammons, N. F. Piland, S. D. Small, M. J. Hatlie, and H. R. Burstin, “Ambulatory patient safety: what we know and need to know,” Journal of Ambulatory Care Management, vol. 26, no. 1, pp. 63–82, 2003.
- S. N. Weingart, R. M. Wilson, R. W. Gibberd, and B. Harrison, “Epidemiology of medical error,” British Medical Journal, vol. 320, no. 7237, pp. 774–777, 2000.
- B. Starfield, “Is US health really the best in the world?” Journal of the American Medical Association, vol. 284, no. 4, pp. 483–485, 2000.
- L. T. Kohn, J. M. Corrigan, and M. S. Donaldson, To Err Is Human: Building A Safer Health System, Committee on Quality of Health Care in America. Institute of Medicine. National Academy Press, Washington, DC, USA, 2000.
- D. W. Bates, M. Cohen, L. L. Leape, J. M. Overhage, M. M. Shabot, and T. Sheridan, “Reducing the frequency of errors in medicine using information technology,” Journal of the American Medical Informatics Association, vol. 8, no. 4, pp. 299–308, 2001.
- G. Singh and A. Singh, “Session 4.5 Change Management Workshop,” Chaired by Lavenderos: Workshop Presentation: AHRQ Health IT Grantee and Contractor Meeting, 2011, http://healthit.ahrq.gov/portal/server.pt/gateway/PTARGS_0_0_1635_652_0_43/http%3B/wci-pubcontent/publish/communities/a_e/events/healthit_2010_grantee_and_contractor_meeting/materials/presentations/4_5_singh__ranjitfinal.pdf.
- R. Singh, T. Servoss, M. Kalsman, C. Fox, and G. Singh, “Estimating impacts on safety caused by the introduction of electronic medical records in primary care,” Informatics in Primary Care, vol. 12, no. 4, pp. 235–241, 2004.
- R. Singh, A. Singh, J. S. Taylor, T. C. Rosenthal, S. Singh, and G. Singh, “Building learning practices with self-empowered teams for improving patient safety,” Journal of Health Management, vol. 8, no. 1, pp. 91–118, 2006.
- R. Singh, A. Singh, T. J. Servoss, and G. Singh, “Prioritizing threats to patient safety in rural primary care,” Journal of Rural Health, vol. 23, no. 2, pp. 173–178, 2007.
- R. Singh, B. Naughton, D. R. Anderson, and G. Singh, “Building self-empowered teams for improving safety in post-operative pain management,” in Advances in Patient Safety: New Directions and Alternative Approaches, K. Henriksen, J. B. Battles, M. A. Keyes, and M. L. Grady, Eds., Performance and Tools. AHRQ Publication No. 08-0034-3, pp. 37–50, Agency for Healthcare Research and Quality, Rockville, Md, USA, 2008.
- B. F. Crabtree, R. R. McDaniel, P. A. Nutting, H. J. Lanham, J. Anna Looney, and W. L. Miller, “Closing the physician-staff divide: a step toward creating the medical home,” Family Practice Management, vol. 15, no. 4, pp. 20–24, 2008.
- P. Plsek, “Redesigning health care with insights from the science of complex adaptive systems. Appendix B in crossing the quality chasm: a new health system for the 21st Century,” National Academy Press, 2001.
- J. A. Shipengrover, “If it does not embrace chaos, can it be called a strategic plan?” CUPA Journal, vol. 47, pp. 1–6, 1996.
- W. L. Miller, B. F. Crabtree, R. McDaniel, and K. C. Stange, “Understanding change in primary care practice using complexity theory,” Journal of Family Practice, vol. 46, no. 5, pp. 369–376, 1998.
- K. C. Stange, “One size doesn't fit all. Multimethod research yields new insights into interventions to increase prevention in family practice,” The Journal of Family Practice, vol. 43, no. 4, pp. 358–360, 1996.
- R. R. McDaniel Jr., “Strategic leadership: a view from quantum and chaos theories,” Health Care Management Review, vol. 22, no. 1, pp. 21–37, 1997.
- M. A. Quinn, A. Wilcox, E. J. Orav, D. W. Bates, and S. R. Simon, “The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress,” Medical Care, vol. 47, no. 8, pp. 924–928, 2009.
- R. Singh, E. A. McLean-Plunckett, R. Kee et al., “Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care,” Quality and Safety in Health Care, vol. 18, no. 3, pp. 199–204, 2009.
- H. Jick, “Drugs—remarkably nontoxic,” New England Journal of Medicine, vol. 291, no. 16, pp. 824–828, 1974.
- R. K. Resar, J. D. Rozich, and D. Classen, “Methodology and rationale for the measurement of harm with trigger tools,” Quality and Safety in Health Care, vol. 12, no. 2, pp. ii39–ii45, 2003.
- J. D. Rozich, C. R. Haraden, and R. K. Resar, “Adverse drug event trigger tool: a practical methodology for measuring medication related harm,” Quality and Safety in Health Care, vol. 12, no. 3, pp. 194–200, 2003.
- D. C. Classen, S. L. Pestotnik, R. S. Evans, and J. P. Burke, “Computerized surveillance of adverse drug events in hospital patients,” Journal of the American Medical Association, vol. 266, no. 20, pp. 2847–2851, 1991.
- D. W. Bates, D. J. Cullen, N. Laird et al., “Incidence of adverse drug events and potential adverse drug events: implications for prevention,” Journal of the American Medical Association, vol. 274, no. 1, pp. 29–34, 1995.
- A. Matlow, V. Flintoft, E. Orrbine et al., “The development of the Canadian paediatric trigger tool for identifying potential adverse events,” Healthcare Quarterly, vol. 8, pp. 90–93, 2005.
- R. K. Resar, J. D. Rozich, T. Simmonds, and C. R. Haraden, “A trigger tool to identify adverse events in the intensive care unit,” Joint Commission Journal on Quality and Patient Safety, vol. 32, no. 10, pp. 585–590, 2006.
- F. A. Griffin and R. K. Resar, IHI Global Trigger Tool for Measuring Adverse Events, IHI Innovation Series white paper, Institute for Healthcare Improvement, Cambridge, Mass, USA, 2007.
- D. C. Classen, S. L. Pestotnik, R. S. Evans, J. F. Lloyd, and J. P. Burke, “Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality,” Journal of the American Medical Association, vol. 277, no. 4, pp. 301–306, 1997.