D W Bates

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. ncbi request reprint Computerized physician order entry and medication errors: finding a balance
    David W Bates
    Division of General Internal Medicine and Primary Care, Brigham and Women s Hospital, Partners HealthCare System, and Harvard Medical School, Boston, MA, USA
    J Biomed Inform 38:259-61. 2005
  2. ncbi request reprint Big data in health care: using analytics to identify and manage high-risk and high-cost patients
    David W Bates
    David W Bates is chief of the Division of General Medicine, Brigham and Women s Hospital, in Boston, Massachusetts
    Health Aff (Millwood) 33:1123-31. 2014
  3. pmc A qualitative study of health information technology in the Canadian public health system
    Kate Zinszer
    Clinical and Health Informatics Research Group, McGill University, 1140 Pine Avenue West, Montreal, QC H3A 1A3, Canada
    BMC Public Health 13:509. 2013
  4. pmc Criteria for assessing high-priority drug-drug interactions for clinical decision support in electronic health records
    Shobha Phansalkar
    Partners HealthCare Systems, Inc, Wellesley, MA 02481, USA
    BMC Med Inform Decis Mak 13:65. 2013
  5. pmc Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study
    Steven R Simon
    VA Boston Healthcare System, Boston, MA, USA
    BMC Med Inform Decis Mak 13:67. 2013
  6. ncbi request reprint Discussion of "Attitude of physicians towards automatic alerting in computerized physician order entry systems"
    D W Bates
    Centre for Patient Safety Research and Practice, Division of General Internal Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts 02120, USA
    Methods Inf Med 52:109-27. 2013
  7. pmc National patient safety initiatives: Moving beyond what is necessary
    Eyal Zimlichman
    Division of General Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Isr J Health Policy Res 1:20. 2012
  8. pmc The Internet as a vehicle to communicate health information during a public health emergency: a survey analysis involving the anthrax scare of 2001
    Anne F Kittler
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02129 1683, USA
    J Med Internet Res 6:e8. 2004
  9. pmc Severe sepsis: variation in resource and therapeutic modality use among academic centers
    D Tony Yu
    Brigham and Women s Hospital, Partners HealthCare System, Wellesley, Massachusetts, USA
    Crit Care 7:R24-34. 2003
  10. pmc 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

Detail Information

Publications182 found, 100 shown here

  1. ncbi request reprint Computerized physician order entry and medication errors: finding a balance
    David W Bates
    Division of General Internal Medicine and Primary Care, Brigham and Women s Hospital, Partners HealthCare System, and Harvard Medical School, Boston, MA, USA
    J Biomed Inform 38:259-61. 2005
  2. ncbi request reprint Big data in health care: using analytics to identify and manage high-risk and high-cost patients
    David W Bates
    David W Bates is chief of the Division of General Medicine, Brigham and Women s Hospital, in Boston, Massachusetts
    Health Aff (Millwood) 33:1123-31. 2014
    ..Our findings have policy implications for regulatory oversight, ways to address privacy concerns, and the support of research on analytics. ..
  3. pmc A qualitative study of health information technology in the Canadian public health system
    Kate Zinszer
    Clinical and Health Informatics Research Group, McGill University, 1140 Pine Avenue West, Montreal, QC H3A 1A3, Canada
    BMC Public Health 13:509. 2013
    ....
  4. pmc Criteria for assessing high-priority drug-drug interactions for clinical decision support in electronic health records
    Shobha Phansalkar
    Partners HealthCare Systems, Inc, Wellesley, MA 02481, USA
    BMC Med Inform Decis Mak 13:65. 2013
    ..The purpose of this study was to identify a set of criteria for assessing DDIs that should be used for the generation of clinical decision support (CDS) alerts in EHRs...
  5. pmc Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study
    Steven R Simon
    VA Boston Healthcare System, Boston, MA, USA
    BMC Med Inform Decis Mak 13:67. 2013
    ..The purpose of this study was to characterize the experiences of hospitals that have successfully implemented CPOE...
  6. ncbi request reprint Discussion of "Attitude of physicians towards automatic alerting in computerized physician order entry systems"
    D W Bates
    Centre for Patient Safety Research and Practice, Division of General Internal Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts 02120, USA
    Methods Inf Med 52:109-27. 2013
    ..An international group of experts have been invited by the editor of Methods to comment on this paper. Each of the invited commentaries forms one section of this paper...
  7. pmc National patient safety initiatives: Moving beyond what is necessary
    Eyal Zimlichman
    Division of General Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Isr J Health Policy Res 1:20. 2012
    ..This is a commentary on http://www.ijhpr.org/content/1/1/19/..
  8. pmc The Internet as a vehicle to communicate health information during a public health emergency: a survey analysis involving the anthrax scare of 2001
    Anne F Kittler
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02129 1683, USA
    J Med Internet Res 6:e8. 2004
    ....
  9. pmc Severe sepsis: variation in resource and therapeutic modality use among academic centers
    D Tony Yu
    Brigham and Women s Hospital, Partners HealthCare System, Wellesley, Massachusetts, USA
    Crit Care 7:R24-34. 2003
    ..The objective of the present study was to assess intercenter variation in resource and therapeutic modality use in patients with severe sepsis...
  10. pmc 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...
  11. pmc Fluconazole for empiric antifungal therapy in cancer patients with fever and neutropenia
    Donghui T Yu
    Division of General Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
    BMC Infect Dis 6:173. 2006
    ..Our objective was to assess the frequency and resource utilization associated with treatment failure in cancer patients given empiric fluconazole antifungal therapy in routine inpatient care...
  12. pmc Determinants of racial/ethnic differences in blood pressure management among hypertensive patients
    LeRoi S Hicks
    Division of General Internal Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
    BMC Cardiovasc Disord 5:16. 2005
    ..However, to date there are few data available regarding the confounders of racial/ethnic disparities in the intensity of hypertension treatment...
  13. ncbi request reprint Clinical impact of drug-drug interactions with systemic azole antifungals
    David W Bates
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Drugs Today (Barc) 39:801-13. 2003
    ....
  14. ncbi request reprint Preventing medication errors: a summary
    David W Bates
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    Am J Health Syst Pharm 64:S3-9; quiz S24-6. 2007
    ..To summarize key recommendations and supporting evidence from the most recent Institute of Medicine (IOM) report, Preventing Medication Errors...
  15. doi request reprint Mountains in the clouds: patient safety research
    David W Bates
    Brigham and Women s Hospital, Boston, Massachusetts, USA
    Qual Saf Health Care 17:156-7. 2008
  16. ncbi request reprint Physicians and ambulatory electronic health records
    David W Bates
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Health Aff (Millwood) 24:1180-9. 2005
    ..The key initial policy changes will be those addressing financial incentives and interoperability...
  17. ncbi request reprint Unexpected hypoglycemia in a critically ill patient
    David W Bates
    Division of General Internal Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Ann Intern Med 137:110-6. 2002
    ..Finally, organizations need to strive for a "culture of safety" by providing opportunities to discuss errors and adverse events in constructive, supportive environments and by resisting pressure to find a scapegoat...
  18. ncbi request reprint Clinical use of bone densitometry: clinical applications
    David W Bates
    Department of Medicine, Brigham and Women s Hospital, and the Center for Applied Medical Information Systems Research, Partners HealthCare Systems, and Harvard Medical School, Boston, Mass 02115, USA
    JAMA 288:1898-900. 2002
    ..Clinicians need better approaches for identifying patients most likely to benefit from screening, systems that facilitate their application, and test results that are easy to interpret...
  19. pmc The quality case for information technology in healthcare
    David W Bates
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA
    BMC Med Inform Decis Mak 2:7. 2002
    ..As described in the Institute of Medicine's Crossing the Quality Chasm report, the quality of health care in the U.S. today leaves much to be desired...
  20. pmc A proposal for electronic medical records in U.S. primary care
    David W Bates
    Center for Applied Medical Information Systems, Partners HealthCare System, Harvard Medical School, Boston, Massachusetts, USA
    J Am Med Inform Assoc 10:1-10. 2003
    ..Nevertheless, barriers to adoption exist and must be overcome. Implementing specific policies can accelerate utilization of EMRs in the U.S...
  21. ncbi request reprint The future of health information technology in the patient-centered medical home
    David W Bates
    Division of General Internal Medicine at Brigham and Women s Hospital in Boston, Massachusetts, USA
    Health Aff (Millwood) 29:614-21. 2010
    ..To encourage this development, policy makers should include medical homes in emerging electronic health record regulations. Additionally, more research is needed to learn how these records can enhance team care...
  22. pmc Detecting adverse events using information technology
    David W Bates
    Division of General Medicine, Department of Medicine, Brigham and Women s Hospital, 75 Francis Street, Boston, MA 02115, USA
    J Am Med Inform Assoc 10:115-28. 2003
    ..Information technology techniques can detect some adverse events in a timely and cost-effective way, in some cases early enough to prevent patient harm...
  23. pmc Policy and the future of adverse event detection using information technology
    David W Bates
    Division of General Medicine, Department of Medicine, Brigham and Women s Hospital, 75 Francis Street, Boston, MA 02115, USA
    J Am Med Inform Assoc 10:226-8. 2003
  24. ncbi request reprint Using information technology to screen for adverse drug events
    David W Bates
    General Medicine Division, Brigham and Women s Hospital, Building A, Room 350, 75 Francis Street, Boston, MA 02114, USA
    Am J Health Syst Pharm 59:2317-9. 2002
  25. ncbi request reprint Variability in intravenous medication practices: implications for medication safety
    David W Bates
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, USA
    Jt Comm J Qual Patient Saf 31:203-10. 2005
    ..v.) drug administration, and alerts can be provided if dosages fall outside pre-established limits. High variation levelsare common in medical care but can increase safety risk if the variation is unnecessary...
  26. pmc Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality
    David W Bates
    Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    J Am Med Inform Assoc 10:523-30. 2003
    ..The goal of this report is to discuss these lessons learned in the interest of informing the efforts of others working to make the practice of evidence-based medicine a reality...
  27. ncbi request reprint Using information technology to improve surgical safety
    D W Bates
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, 75 Francis Street, Boston, Massachusetts 0211J, USA
    Br J Surg 91:939-40. 2004
  28. ncbi request reprint Improving safety with information technology
    David W Bates
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    N Engl J Med 348:2526-34. 2003
  29. ncbi request reprint The impact of the Internet on quality measurement
    D W Bates
    Division of General Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, USA
    Health Aff (Millwood) 19:104-14. 2000
    ..However, major barriers still stand in the way of public access to quality information on the Internet as well as of having that access actually improve patients' care...
  30. ncbi request reprint Mortality and costs of acute renal failure associated with amphotericin B therapy
    D W Bates
    Division of General Medicine, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
    Clin Infect Dis 32:686-93. 2001
    ..Although residual confounding exists despite adjustment, the increases in resource utilization that we found are large and the associated mortality is high when acute renal failure occurs following amphotericin B therapy...
  31. ncbi request reprint Correlates of acute renal failure in patients receiving parenteral amphotericin B
    D W Bates
    Division of General Medicine, and the Channing Laboratory, Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Kidney Int 60:1452-9. 2001
    ..This study identified correlates of ARF in amphotericin B therapy and used them to develop clinical prediction rules...
  32. ncbi request reprint Using information systems to improve practice
    D W Bates
    Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    Schweiz Med Wochenschr 129:1913-9. 1999
    ..These changes can help close the gap between knowledge and practice and promise to make the practice of evidence-based medicine a reality...
  33. pmc 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...
  34. pmc The impact of computerized physician order entry on medication error prevention
    D W Bates
    Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
    J Am Med Inform Assoc 6:313-21. 1999
    ..A small proportion do have the potential to cause injury, and some cause preventable adverse drug events...
  35. pmc Improving response to critical laboratory results with automation: results of a randomized controlled trial
    G J Kuperman
    Partners HealthCare System, Department of Information Systems, Chestnut Hill, Massachusetts 02467, USA
    J Am Med Inform Assoc 6:512-22. 1999
    ..To evaluate the effect of an automatic alerting system on the time until treatment is ordered for patients with critical laboratory results...
  36. ncbi request reprint 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
    ....
  37. ncbi request reprint Asking residents about adverse events in a computer dialogue: how accurate are they?
    D W Bates
    Department of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    Jt Comm J Qual Improv 24:197-202. 1998
    ..Although retrospective identification of adverse events is time-consuming, whether they are present and/or expected is often readily apparent to providers during the provision of care...
  38. ncbi request reprint Design and development of a computer-based clinical referral system for use within a physician hospital organization
    D F Sittig
    Partners HealthCare System, Boston, MA 02167, USA
    Stud Health Technol Inform 52:98-102. 1998
    ..Preliminary results indicate that the new computer-based process is faster...
  39. ncbi request reprint Patient safety and computerized medication ordering at Brigham and Women's Hospital
    G J Kuperman
    Department of Information Systems, Partners HealthCare System, Harvard Medical School, Boston, MA, USA
    Jt Comm J Qual Improv 27:509-21. 2001
    ..Computerized physician order entry (CPOE), one important way that technology can be used to improve the medication process, has been in place at Brigham and Women's Hospital (BWH; Boston) since 1993...
  40. ncbi request reprint Linking laboratory and pharmacy: opportunities for reducing errors and improving care
    Gordon D Schiff
    Department of Medicine, Cook County Hospital, Rush Medical College, Chicago, IL 60612, USA
    Arch Intern Med 163:893-900. 2003
    ..While many guidelines, admonitions, and rules exist regarding drugs and the laboratory, substantial new knowledge and evidence in this area are needed. Focusing on these unmet needs and accompanying logistical challenges is a priority...
  41. ncbi request reprint Patient-reported service quality on a medicine unit
    Saul N Weingart
    Center for Patient Safety, Dana Farber Cancer Institute, Boston, MA 02115, USA
    Int J Qual Health Care 18:95-101. 2006
    ..Most studies rely on retrospective consumer surveys rather then more intensive data collection methods, possibly underestimating the incidence of service quality incidents...
  42. ncbi request reprint A patient-controlled journal for an electronic medical record: issues and challenges
    Jonathan S Wald
    Clinical Informatics Research and Development, Information Systems, Partners HealthCare System, Wellesley, MA, USA
    Stud Health Technol Inform 107:1166-70. 2004
    ....
  43. pmc Improving acceptance of computerized prescribing alerts in ambulatory care
    Nidhi R Shah
    Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont Street, 3rd Floor, Boston, MA 02120, USA
    J Am Med Inform Assoc 13:5-11. 2006
    ..These data suggest that it is possible to design computerized prescribing decision support with high rates of alert recommendation acceptance by clinicians...
  44. pmc Productivity, quality, and patient satisfaction: comparison of part-time and full-time primary care physicians
    D G Fairchild
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    J Gen Intern Med 16:663-7. 2001
    ..Although few data are available, many believe that part-time primary care physicians (PCPs) are less productive and provide lower quality care than full-time PCPs. Some insurers exclude part-time PCPs from their provider networks...
  45. ncbi request reprint A computer-based outpatient clinical referral system
    D F Sittig
    Clinical Systems Research and Development, Partners HealthCare System, Boston, MA 02467, USA
    Int J Med Inform 55:149-58. 1999
    ..Preliminary results indicate that the new computer-based referral process is faster to use than conventional methods...
  46. ncbi request reprint Measuring and improving quality using information systems
    D W Bates
    Partners Information Systems, Boston, MA, USA
    Stud Health Technol Inform 52:814-8. 1998
    ..Such systems make feasible implementation of care improvement and cost reduction initiatives on a scale which could not previously be considered...
  47. ncbi request reprint Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients
    Elizabeth B Fortescue
    Department of Medicine, Quality Improvement, and Risk Management, Children s Hospital, Boston, Massachusetts, USA
    Pediatrics 111:722-9. 2003
    ..The objective of this study was to classify the major types of medication errors in pediatric inpatients and to determine which strategies might most effectively prevent them...
  48. pmc Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    J Am Med Inform Assoc 15:647-53. 2008
    ..Most monitors have been developed in large academic hospitals and are not readily usable in other settings. We assessed the ability of a commercial program to identify and prevent ADEs in a community hospital...
  49. pmc A randomized trial of electronic clinical reminders to improve quality of care for diabetes and coronary artery disease
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Harvard Medcal School, 1620 Tremont Street, Boston, MA 02120, USA
    J Am Med Inform Assoc 12:431-7. 2005
    ..The aim of this study was to evaluate the impact of an integrated patient-specific electronic clinical reminder system on diabetes and coronary artery disease (CAD) care and to assess physician attitudes toward this reminder system...
  50. ncbi request reprint A computer-based intervention for improving the appropriateness of antiepileptic drug level monitoring
    Philip Chen
    Department of Pathology, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
    Am J Clin Pathol 119:432-8. 2003
    ..The sustained benefit supports the idea that computerized interventions may durably affect physician behavior. Computerized delivery of such evidence-based boundary guidelines can help narrow the gap between evidence and practice...
  51. pmc Drug complications in outpatients
    T K Gandhi
    Division of General Medicine, Brigham and Women's Hospital, Boston, MA, USA
    J Gen Intern Med 15:149-54. 2000
    ..Our results indicate a need for better communication about potential side effects of medications, especially for patients with multiple medical problems...
  52. ncbi request reprint Effects of computerized physician order entry on prescribing practices
    J M Teich
    Department of Emergency Medicine, Brigham and Women s Hospital, 75 Francis St, Boston, MA 02115
    Arch Intern Med 160:2741-7. 2000
    ..This study assesses the impact of an inpatient computerized physician order entry system on prescribing practices...
  53. ncbi request reprint Incidence and preventability of adverse drug events in hospitalized adults
    D W Bates
    Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts
    J Gen Intern Med 8:289-94. 1993
    ..Optimal prevention strategies should cover many types of drugs and target physicians' ordering practices...
  54. pmc Adverse drug events and medication errors: detection and classification methods
    T Morimoto
    Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02120 1613, USA
    Qual Saf Health Care 13:306-14. 2004
    ..32-0.98). The method of ADE and medication error detection and classification described is feasible and has good reliability. It can be used in various clinical settings to measure and improve medication safety...
  55. ncbi request reprint Adherence to black box warnings for prescription medications in outpatients
    Karen E Lasser
    Department of Medicine, Cambridge Health Alliance and Harvard Medical School, Cambridge, Mass, USA
    Arch Intern Med 166:338-44. 2006
    ..Our objectives were to determine how frequently clinicians prescribe drugs in violation of black box warnings for these issues and to determine how frequently such prescribing results in harm...
  56. ncbi request reprint Improving completion of advance directives in the primary care setting: a randomized controlled trial
    Heather Heiman
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
    Am J Med 117:318-24. 2004
    ..We assessed two simple interventions to improve completion of advance directives among elderly or chronically ill outpatients...
  57. ncbi request reprint Mortality in Emergency Department Sepsis (MEDS) score: a prospectively derived and validated clinical prediction rule
    Nathan I Shapiro
    Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
    Crit Care Med 31:670-5. 2003
    ....
  58. pmc Characteristics and consequences of drug allergy alert overrides in a computerized physician order entry system
    Tyken C Hsieh
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Am Med Inform Assoc 11:482-91. 2004
    ..The aim of this study was to determine characteristics of drug allergy alert overrides, assess how often they lead to preventable adverse drug events (ADEs), and suggest methods for improving the allergy-alerting system...
  59. pmc 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...
  60. pmc Gender and utilization of ancillary services
    A K Jha
    Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Mass 02115, USA
    J Gen Intern Med 13:476-81. 1998
    ..05). When we compared ancillary utilization within the five largest diagnosis-related groups, these differences persisted. CONCLUSIONS: Men receive more ancillary services than women, even after adjusting for potential confounders...
  61. pmc Communication breakdown in the outpatient referral process
    T K Gandhi
    Division of General Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
    J Gen Intern Med 15:626-31. 2000
    ..Information obtained from the general survey and referral-specific survey was congruent. Efforts to improve the referral system could improve both physician satisfaction and quality of patient care...
  62. ncbi request reprint Epidemiology of sepsis syndrome in 8 academic medical centers
    K E Sands
    Channing Laboratory, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Mass, USA
    JAMA 278:234-40. 1997
    ..Sepsis syndrome is a leading cause of mortality in hospitalized patients. However, few studies have described the epidemiology of sepsis syndrome in a hospitalwide population...
  63. ncbi request reprint How can information technology improve patient safety and reduce medication errors in children's health care?
    R Kaushal
    Department of Medicine, Brigham and Women s Hospital, 75 Francis St, Boston, MA 02115, USA
    Arch Pediatr Adolesc Med 155:1002-7. 2001
    ..Medication errors are common, costly, and injurious to patients...
  64. ncbi request reprint Medication errors and adverse drug events in pediatric inpatients
    R Kaushal
    Children's Hospital, Enders 609, Longwood Avenue, Boston, MA 02115, USA
    JAMA 285:2114-20. 2001
    ..CONCLUSIONS: Medication errors are common in pediatric inpatient settings, and further efforts are needed to reduce them...
  65. pmc Information technology and medication safety: what is the benefit?
    R Kaushal
    Division of General Internal Medicine, Brigham and Women s Hospital, Partners HealthCare System, Harvard Medical School, Boston, MA, USA
    Qual Saf Health Care 11:261-5. 2002
    ..Public and private mandates for information technology interventions are growing, but further development, application, evaluation, and dissemination are required...
  66. ncbi request reprint Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant
    Osnat Levtzion-Korach
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, USA
    Jt Comm J Qual Patient Saf 36:402-10. 2010
    ..These data sources vary in the timing of the reporting (retrospective or prospective), severity of the events, and profession of the reporters...
  67. ncbi request reprint The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care
    Jeffrey M Rothschild
    Divisions of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
    Crit Care Med 33:1694-700. 2005
    ..We sought to study the incidence and nature of adverse events and serious errors in the critical care setting...
  68. ncbi request reprint Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity
    Arthur J Barsky
    Department of Psychiatry and Division of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA
    Arch Gen Psychiatry 62:903-10. 2005
    ..Somatoform disorders are an important determinant of medical care utilization, but their independent effect on utilization is difficult to determine because somatizing patients frequently have psychiatric and medical comorbidity...
  69. ncbi request reprint Effect of reducing interns' work hours on serious medical errors in intensive care units
    Christopher P Landrigan
    Division of Sleep Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    N Engl J Med 351:1838-48. 2004
    ..Although sleep deprivation has been shown to impair neurobehavioral performance, few studies have measured its effects on medical errors...
  70. ncbi request reprint Improving patient safety across a large integrated health care delivery system
    Allan Frankel
    Partners HealthCare System, Boston, MA, USA
    Int J Qual Health Care 15:i31-40. 2003
    ..We sought to create a common patient safety strategy for the Partners HealthCare system, a large, integrated, non-profit health care delivery system in the United States...
  71. pmc Electronically screening discharge summaries for adverse medical events
    Harvey J Murff
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    J Am Med Inform Assoc 10:339-50. 2003
    ..The authors hypothesized that discharge summaries would include information on adverse events, and they developed and evaluated an electronic method for screening medical discharge summaries for adverse events...
  72. doi request reprint Relationship between use of electronic health record features and health care quality: results of a statewide survey
    Eric G Poon
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
    Med Care 48:203-9. 2010
    ..However, evidence regarding their effectiveness for this purpose is mixed, and existing studies have generally considered EHR usage a binary factor and have not considered the availability and use of specific EHR features...
  73. pmc Rationale and design of the Pharmacist Intervention for Low Literacy in Cardiovascular Disease (PILL-CVD) study
    Jeffrey L Schnipper
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
    Circ Cardiovasc Qual Outcomes 3:212-9. 2010
    ..Pharmacist-based interventions may be effective in promoting the safe and effective use of medications, especially among high-risk patients such as those with low health literacy...
  74. ncbi request reprint Use and monitoring of "statin" lipid-lowering drugs compared with guidelines
    S A Abookire
    Division of General Medicine, Department of Medicine, Brigham and Women s Hospital, 75 Francis St, Boston, MA 02115, USA
    Arch Intern Med 161:53-8. 2001
    ..While evidence suggests that many patients are undertreated, comparatively few data are available regarding overtreatment...
  75. ncbi request reprint Identifying hospital admissions due to adverse drug events using a computer-based monitor
    A K Jha
    Department of Medicine, Brigham and Women's Hospital, Harvard Medical School 02115, USA
    Pharmacoepidemiol Drug Saf 10:113-9. 2001
    ..These events were mostly severe, often preventable, and expensive. The computer-based monitoring system represents a practical approach for identifying ADEs that occur in outpatients and cause admission to the hospital...
  76. ncbi request reprint Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification
    Klaus Mann
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120 1613, USA
    World J Biol Psychiatry 9:24-33. 2008
    ..Data collected by means of the presented approach provide a basis for the development of effective strategies to reduce the risk of medication errors and thus improve patient safety in psychiatric care...
  77. ncbi request reprint Electronic health records: use, barriers and satisfaction among physicians who care for black and Hispanic patients
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    J Eval Clin Pract 15:158-63. 2009
    ..Given that a small group of providers care for most racial/ethnic minorities, we sought to determine whether minority-serving providers adopt EHR systems at comparable rates to other providers...
  78. ncbi request reprint Resource utilization among patients with sepsis syndrome
    David W Bates
    Division of General Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Infect Control Hosp Epidemiol 24:62-70. 2003
    ..To assess the resource utilization associated with sepsis syndrome in academic medical centers...
  79. ncbi request reprint Frequency of potential azole drug-drug interactions and consequences of potential fluconazole drug interactions
    D Tony Yu
    Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Division of General Medicine, Boston, MA, USA
    Pharmacoepidemiol Drug Saf 14:755-67. 2005
    ..To assess the frequency of potential azole-drug interactions and consequences of interactions between fluconazole and other drugs in routine inpatient care...
  80. ncbi request reprint Charlson Index is associated with one-year mortality in emergency department patients with suspected infection
    Scott B Murray
    Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
    Acad Emerg Med 13:530-6. 2006
    ..The purpose of this study was to examine the utility of the Charlson Index as a predictor of one-year mortality in a population of ED patients with suspected infection...
  81. doi request reprint The role of advice in medication administration errors in the pediatric ambulatory setting
    Claire Lemer
    Harkness Health Foundation Fellow, Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    J Patient Saf 5:168-75. 2009
    ..In the pediatric setting, adverse events occurring at the administration stage are the most common type of preventable adverse drug events. Few data are available on the effect of advice from medical professionals on medication safety...
  82. ncbi request reprint Medication safety messages for patients via the web portal: the MedCheck intervention
    Saul N Weingart
    Center for Patient Safety, Dana Farber Cancer Institute, Boston, MA 02115, USA
    Int J Med Inform 77:161-8. 2008
    ..Accordingly, the goal of this study was to learn whether electronic medication safety messages directed to patients can improve communication about medications and identify ADEs...
  83. ncbi request reprint Primary care physician time utilization before and after implementation of an electronic health record: a time-motion study
    Lisa Pizziferri
    Partners HealthCare System, Inc, Information Systems, USA
    J Biomed Inform 38:176-88. 2005
    ..While the EHR did not require more time for physicians during a clinic session, further studies should assess the EHR's potential impact on non-clinic time...
  84. pmc Electronic health records in specialty care: a time-motion study
    Helen G Lo
    Information Systems, Partners HealthCare System, Wellesley, MA, USA
    J Am Med Inform Assoc 14:609-15. 2007
    ..However, adoption has been slow, and a key concern has been that clinicians will require more time to complete their work using EHRs. Most previous studies addressing this issue have been done in primary care...
  85. doi request reprint Do medical inpatients who report poor service quality experience more adverse events and medical errors?
    Benjamin B Taylor
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
    Med Care 46:224-8. 2008
    ..We hypothesized that patients who reported poor service quality were at increased risk of experiencing adverse events and medical errors...
  86. pmc Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention
    Balthasar L Hug
    Division of General Internal Medicine, Brigham and Women s Hospital, Brigham Circle, 1620 Tremont St, 3rd Floor, Boston, MA, 02120 1613, USA
    J Gen Intern Med 25:31-8. 2010
    ..Medications represent a major cause of harm and are costly for hospitalized patients, but more is known about these issues in large academic hospitals than in smaller hospitals...
  87. ncbi request reprint Will electronic order entry reduce health care costs?
    Christian M Birkmeyer
    Department of Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA
    Eff Clin Pract 5:67-74. 2002
  88. ncbi request reprint Impact of an automated test results management system on patients' satisfaction about test result communication
    Michael E Matheny
    Division of General Medicine, Brigham and Women s Hospital, Harvard Medical School, 1620 Tremont Street, Boston, MA 02120, USA
    Arch Intern Med 167:2233-9. 2007
    ..The objective of this study was to assess the impact of physicians' use of a test results management tool embedded in an electronic health record on patient satisfaction with test result communication...
  89. ncbi request reprint Resource utilization of patients with hypochondriacal health anxiety and somatization
    A J Barsky
    Department of Psychiatry, Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts 02115, USA
    Med Care 39:705-15. 2001
    ..To examine the resource utilization of patients with high levels of somatization and health-related anxiety...
  90. pmc Automated evidence-based critiquing of orders for abdominal radiographs: impact on utilization and appropriateness
    L H Harpole
    Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02115, USA
    J Am Med Inform Assoc 4:511-21. 1997
    ..The purpose of this study was to measure the impact of presenting real time, evidence-based critiques about the appropriateness of abdominal radiograph (KUB) orders on physician decision making...
  91. ncbi request reprint 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...
  92. ncbi request reprint Comparison of time spent writing orders on paper with computerized physician order entry
    K Shu
    Information Systems, Partners HealthCare System, Boston, MA, USA
    Stud Health Technol Inform 84:1207-11. 2001
    ..We conclude that while CPOE has many benefits, it represents a major process change, and organizations must factor this in when they implement it...
  93. ncbi request reprint Referrals for musculoskeletal disorders: patterns, predictors, and outcomes
    D H Solomon
    Robert B Brigham Multipurpose Arthritis and Musculoskeletal Diseases Center, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    J Rheumatol 28:2090-5. 2001
    ..To examine factors associated with musculoskeletal referral and determine whether referral influences clinical outcomes...
  94. pmc What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents
    Saul N Weingart
    Center for Patient Safety, Dana Farber Cancer Institute, Boston, MA 02115, USA
    J Gen Intern Med 20:830-6. 2005
    ..Accordingly, the purpose of this study was to elicit incident reports from hospital inpatients in order to identify and characterize adverse events and near-miss errors...
  95. pmc A randomized trial of electronic clinical reminders to improve medication laboratory monitoring
    Michael E Matheny
    Division of General Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
    J Am Med Inform Assoc 15:424-9. 2008
    ..We evaluated the impact of electronic reminders delivered to primary care physicians on rates of appropriate routine medication laboratory monitoring...
  96. ncbi request reprint Relationship of pulmonary artery catheter use to mortality and resource utilization in patients with severe sepsis
    D Tony Yu
    Division of General Medicine, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
    Crit Care Med 31:2734-41. 2003
    ..To examine the relationship of pulmonary artery catheter (PAC) use to patient outcomes, including mortality rate and resource utilization, in patients with severe sepsis in eight academic medical centers...
  97. pmc Ambulatory hypercholesterolemia management in patients with atherosclerosis. Gender and race differences in processes and outcomes
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
    J Gen Intern Med 20:123-30. 2005
    ..To determine whether outpatient cholesterol management varies by gender or race among patients with atherosclerosis, and assess factors related to subsequent cholesterol control...
  98. ncbi request reprint Guided prescription of psychotropic medications for geriatric inpatients
    Josh F Peterson
    Division of General Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
    Arch Intern Med 165:802-7. 2005
    ..Inappropriate use or excessive dosing of psychotropic medications in the elderly is common and can lead to a variety of adverse drug events including falls, oversedation, and cognitive impairment...
  99. pmc E-Prescribing collaboration in Massachusetts: early experiences from regional prescribing projects
    John Halamka
    CareGroup Healthcare System and Harvard Medical School, 1135 Tremont Street, 6th Floor, Boston, MA 02215, USA
    J Am Med Inform Assoc 13:239-44. 2006
    ..In Massachusetts, regional projects have helped to address these barriers, and e-Prescribing activities are accelerating rapidly within the state...
  100. ncbi request reprint Understanding of drug indications by ambulatory care patients
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
    Am J Health Syst Pharm 61:2523-7. 2004
    ..Patients' knowledge of the indications of their prescription medications was studied and those medications that were most likely to be taken without patients understanding the correct indication were identified...

Research Grants3

  1. Allergy Alerts in Computerized Physician Entry
    David Bates; Fiscal Year: 2001
    ..We believe the results of our work will improve patient safety and the overall quality of pharmacotherapy. We also believe that the results of our study will be applicabe to other healthcare systems ..
  2. Statewide Implementation of Electronic Health Records
    David Bates; Fiscal Year: 2006
    ..Dissemination of the results of this work should speed efforts toward the establishment of a national health information infrastructure. ..
  3. Health Information Technology and Improving Mediciation Use
    David Bates; Fiscal Year: 2007
    ..In addition, we will build and bolster educational tools and programs to assist with therapeutics and HIT. ..