L L Leape

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. ncbi Medication safety in the ambulatory chemotherapy setting
    Tejal K Gandhi
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02120, USA
    Cancer 104:2477-83. 2005
  2. ncbi Reducing adverse drug events: lessons from a breakthrough series collaborative
    L L Leape
    Harvard School of Public Health, Boston, MA 02115, USA
    Jt Comm J Qual Improv 26:321-31. 2000
  3. ncbi Assessing the level of healthcare information technology adoption in the United States: a snapshot
    Eric G Poon
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    BMC Med Inform Decis Mak 6:1. 2006
  4. ncbi Transforming healthcare: a safety imperative
    L Leape
    Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
    Qual Saf Health Care 18:424-8. 2009
  5. ncbi Five years after To Err Is Human: what have we learned?
    Lucian L Leape
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02215, USA
    JAMA 293:2384-90. 2005
  6. ncbi Ethical issues in patient safety
    Lucian L Leape
    Harvard School of Public Health, Department of Health Policy and Management, Boston, MA 02215, USA
    Thorac Surg Clin 15:493-501. 2005
  7. ncbi Problem doctors: is there a system-level solution?
    Lucian L Leape
    Harvard School of Public Health and Harvard Medical School, Boston, Massachusetts 02215, USA
    Ann Intern Med 144:107-15. 2006
  8. ncbi Full disclosure and apology--an idea whose time has come
    Lucian L Leape
    Harvard University, USA
    Physician Exec 32:16-8. 2006
  9. ncbi Developing and implementing new safe practices: voluntary adoption through statewide collaboratives
    L L Leape
    Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    Qual Saf Health Care 15:289-95. 2006
  10. ncbi Adherence to practice guidelines: the role of specialty society guidelines
    Lucian L Leape
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    Am Heart J 145:19-26. 2003

Detail Information

Publications36

  1. ncbi Medication safety in the ambulatory chemotherapy setting
    Tejal K Gandhi
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02120, USA
    Cancer 104:2477-83. 2005
    ..Little is known concerning the safety of the outpatient chemotherapy process. In the current study, the authors sought to identify medication error and potential adverse drug event (ADE) rates in the outpatient chemotherapy setting...
  2. ncbi Reducing adverse drug events: lessons from a breakthrough series collaborative
    L L Leape
    Harvard School of Public Health, Boston, MA 02115, USA
    Jt Comm J Qual Improv 26:321-31. 2000
    ....
  3. ncbi Assessing the level of healthcare information technology adoption in the United States: a snapshot
    Eric G Poon
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    BMC Med Inform Decis Mak 6:1. 2006
    ..Comprehensive knowledge about the level of healthcare information technology (HIT) adoption in the United States remains limited. We therefore performed a baseline assessment to address this knowledge gap...
  4. ncbi Transforming healthcare: a safety imperative
    L Leape
    Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
    Qual Saf Health Care 18:424-8. 2009
    ..In future roundtable sessions, the Institute will further elaborate on the meaning of each concept, identify the challenges to implementation, and issue recommendations for policy makers, organizations, and healthcare professionals...
  5. ncbi Five years after To Err Is Human: what have we learned?
    Lucian L Leape
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02215, USA
    JAMA 293:2384-90. 2005
    ..The Agency for Healthcare Research and Quality should bring together all stakeholders, including payers, to agree on a set of explicit and ambitious goals for patient safety to be reached by 2010...
  6. ncbi Ethical issues in patient safety
    Lucian L Leape
    Harvard School of Public Health, Department of Health Policy and Management, Boston, MA 02215, USA
    Thorac Surg Clin 15:493-501. 2005
    ..This is an immense challenge. It is not easy to "first, do no harm." But only we as a profession can meet this challenge. No one else can do it; we must...
  7. ncbi Problem doctors: is there a system-level solution?
    Lucian L Leape
    Harvard School of Public Health and Harvard Medical School, Boston, Massachusetts 02215, USA
    Ann Intern Med 144:107-15. 2006
    ....
  8. ncbi Full disclosure and apology--an idea whose time has come
    Lucian L Leape
    Harvard University, USA
    Physician Exec 32:16-8. 2006
  9. ncbi Developing and implementing new safe practices: voluntary adoption through statewide collaboratives
    L L Leape
    Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    Qual Saf Health Care 15:289-95. 2006
    ..In a statewide initiative we developed a framework for (1) selecting two safe practices, (2) developing operational details of implementation, (3) enlisting hospitals to participate, and (4) facilitating implementation...
  10. ncbi Adherence to practice guidelines: the role of specialty society guidelines
    Lucian L Leape
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    Am Heart J 145:19-26. 2003
    ..We investigated whether physician adherence to guidelines for percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG) varied by source, development methods, or the extent of their evidence-base...
  11. ncbi When good doctors go bad: a systems problem
    Lucian L Leape
    Harvard Medical School, Boston, MA 02115, USA
    Ann Surg 244:649-52. 2006
  12. ncbi Scope of problem and history of patient safety
    Lucian L Leape
    Harvard School of Public Health, Boston, MA 02115, USA
    Obstet Gynecol Clin North Am 35:1-10, vii. 2008
    ..This article addresses the issue of patient safety, discussing its history, and organizations and practices that are helping to make it more of a reality in today's health care environment...
  13. ncbi What practices will most improve safety? Evidence-based medicine meets patient safety
    Lucian L Leape
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    JAMA 288:501-7. 2002
  14. ncbi Errors in medicine
    Lucian L Leape
    Harvard School of Public Health, Boston, MA 02115, United States
    Clin Chim Acta 404:2-5. 2009
    ..We move our models of care from reliance on independent, individual performance excellence to interdependent, collaborative, interprofessional teamwork; 6. Accountability is universal and reciprocal, not top-down...
  15. ncbi Rating recommendations for consumers about patient safety: sense, common sense, or nonsense?
    Saul N Weingart
    Center for Patient Safety, Dana Farber Cancer Institute, Boston, USA
    Jt Comm J Qual Patient Saf 35:206-15. 2009
    ..Although many organizations offer advice about the consumer's role in improving patient safety, little is known about these recommendations...
  16. ncbi Race and gender disparities in rates of cardiac revascularization: do they reflect appropriate use of procedures or problems in quality of care?
    Arnold M Epstein
    Division of General Medicine Section on Health Services and Policy Research, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Med Care 41:1240-55. 2003
    ..However, few studies have examined whether these differences reflect problems in quality of care...
  17. ncbi Patient-reported medication symptoms in primary care
    Saul N Weingart
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA
    Arch Intern Med 165:234-40. 2005
    ....
  18. ncbi Reducing the frequency of errors in medicine using information technology
    D W Bates
    Harvard Medical School, Boston, Massachusetts, USA
    J Am Med Inform Assoc 8:299-308. 2001
    ..Washington, DC: National Academy Press, 1999) described the magnitude of the problem, and the public interest in this issue, which was already large, has grown...
  19. ncbi Robert E. Gross Lecture. Making health care safe: are we up to it?
    Lucian L Leape
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    J Pediatr Surg 39:258-66. 2004
  20. ncbi Patient risk factors for adverse drug events in hospitalized patients. ADE Prevention Study Group
    D W Bates
    Department of Medicine, Brigham and Women s Hospital, Boston, Mass 02115, USA
    Arch Intern Med 159:2553-60. 1999
    ..Adverse drug events (ADEs) are common in hospitalized patients, but few empirical data are available regarding the strength of patient risk factors for ADEs...
  21. ncbi Preventable medical injuries in older patients
    J M Rothschild
    Division of General Medicine, Brigham and Women s Hospital, 75 Francis St, Boston, MA 02115, USA
    Arch Intern Med 160:2717-28. 2000
    ..The success of intervention varies by type of complications. For medications, various interventions have been successful, and fall prevention programs have been demonstrated to be effective in the nursing home and home...
  22. ncbi Communicating critical test results: safe practice recommendations
    Doris Hanna
    Massachusetts Coalition for the Prevention of Medical Errors, Boston, USA
    Jt Comm J Qual Patient Saf 31:68-80. 2005
    ..Hospitals' team members tested changes and shared successful strategies that improved the reliability of communicating critical test results. An evaluation of the results of this collaborative is underway...
  23. ncbi Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991
    T A Brennan
    Division of General Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA
    Qual Saf Health Care 13:145-51; discussion 151-2. 2004
    ..0001), but no differences in the percentage due to negligence. CONCLUSIONS: There is a substantial amount of injury to patients from medical management, and many injuries are the result of substandard care...
  24. ncbi Racial differences in cardiac revascularization rates: does "overuse" explain higher rates among white patients?
    E C Schneider
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115
    Ann Intern Med 135:328-37. 2001
    ..Overuse of cardiac revascularization varied significantly by geographic region...
  25. ncbi Reporting of adverse events
    Lucian L Leape
    Harvard School of Public Health, Boston, USA
    N Engl J Med 347:1633-8. 2002
  26. ncbi Adverse drug events in ambulatory care
    Tejal K Gandhi
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    N Engl J Med 348:1556-64. 2003
    ..However, few data are available on adverse drug events among outpatients. We conducted a study to determine the rates, types, severity, and preventability of such events among outpatients and to identify preventive strategies...
  27. ncbi Outpatient prescribing errors and the impact of computerized prescribing
    Tejal K Gandhi
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Gen Intern Med 20:837-41. 2005
    ..Medication errors are common among inpatients and many are preventable with computerized prescribing. Relatively little is known about outpatient prescribing errors or the impact of computerized prescribing in this setting...
  28. ncbi Reconciling medications at admission: safe practice recommendations and implementation strategies
    Gina Rogers
    Massachusetts Coalition for the Prevention of Medical Errors, Burlington, USA
    Jt Comm J Qual Patient Saf 32:37-50. 2006
    ..Fifty hospitals collaborated in a patient safety initiative developed and implemented by the Massachusetts Coalition for the Prevention of Medical Errors and the Massachusetts Hospital Association...
  29. ncbi The godfather of patient safety sees progress. Interview by Mark Crane
    Lucian L Leape
    Med Econ 80:29-30, 33-4. 2003
  30. ncbi Reliability of clinical guideline development using mail-only versus in-person expert panels
    Donna L Washington
    VA Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
    Med Care 41:1374-81. 2003
    ..The RAND-UCLA Appropriateness Method is one commonly used method for collecting expert opinion. We tested whether a less expensive, mail-only process could substitute for the standard in-person process normally used...
  31. ncbi Doing better with critical test results
    David W Bates
    Jt Comm J Qual Patient Saf 31:66-7, 61. 2005
    ..Health care should achieve the goals that no critical test result is lost and that all such results are managed with a speed appropriate to their urgency...
  32. ncbi Errors are not diseases: they are symptoms of diseases
    Lucian L Leape
    Laryngoscope 114:1320-1. 2004
  33. ncbi Striving for perfection
    Lucian L Leape
    Clin Chem 48:1871-2. 2002
  34. ncbi Regionalization and the underuse of angiography in the Veterans Affairs Health Care System as compared with a fee-for-service system
    Laura A Petersen
    Houston Center for Quality of Care and Utilization Studies, Houston Veterans Affairs Medical Center, and the Section for Health Services Research, Baylor College of Medicine, Houston, TX 77030, USA
    N Engl J Med 348:2209-17. 2003
    ..Further work should focus on how regionalization policies could be improved with effective referral and triage processes...
  35. ncbi Is it defensible to use volume standards for purchasing care?
    Lucian L Leape
    Ann Surg 238:168-9. 2003
  36. ncbi An interview with Lucian Leape
    Lucian L Leape
    Jt Comm J Qual Saf 30:653-8. 2004