May 29, 2005

Clinical Effectiveness of Safe Practices

Came across this over at Commonwealth today, interesting stuff.

Clinical Effectiveness of Safe Practices

InterventionResults
Physician computer order entry81% reduction of medication errorsa,b
Pharmacist rounding with team66% reduction of preventable adverse drug eventsc
78% reduction of preventable adverse drug eventsd
Rapid response teamsCardiac arrests decreased by 15%e
Team training in labor and delivery50% reduction in adverse outcomes in preterm deliveriesf
Reconciling medication practices upon hospital discharge90% reduction in medication errorsg
Ventilator bundle protocolVentilator-associated pneumonias decreased by 62%h
a D. W. Bates, J. M. Teich, J. Lee et al., "The Impact of Computerized Physician Order Entry on Medication Error Prevention," Journal of the American Medical Informatics Association 6 (July/August 1999): 13–21.
b D. W. Bates and A. A. Gawande, "Improving Safety with Information Technology," New England Journal of Medicine 348 (June 19, 2003): 2526–34.
c L. L. Leape, D. J. Cullen, M. D. Clapp et al, "Pharmacist Participation on Physician Rounds and Adverse Drug Events in the Intensive Care Unit," Journal of the American Medical Association 282 (July 21, 1999): 267–70.
d S. N. Kucukarslan, M. Peters, M. Mlynarek, D. A. Nafziger, "Pharmacists on Rounding Teams Reduce Preventable Adverse Drug Events in Hospital General Medicine Units," Archives of Internal Medicine 163 (September 22, 2003): 2014–18.
e L. Landro, "The Informed Patient: Hospitals Form 'SWAT' Teams to Avert Deaths," Wall Street Journal, December 1, 2004.
f B. Sachs, Beth Israel Deaconess Medical Center, written communication, October 2004.
g J. D. Rozich and R. K. Resar, "Medication Safety: One Organization's Approach to the Challenge," Journal of Clinical Outcomes Management 8 (October 2001): 27–34.
h J. Whittington, written communication, March 2005.

Source: L. L. Leape and D. M. Berwick, "Five Years After To Err Is Human: What Have We Learned?" Journal of the American Medical Association 293 (May 18, 2005): 2384–90.
Posted by Elyse at May 29, 2005 9:30 AM | TrackBack
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