Research Topics
| J M RothschildSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
Research Grants
| Collaborators
|
Detail Information
Publications
Preventable medical injuries in older patientsJ 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...- A controlled trial of smart infusion pumps to improve medication safety in critically ill patientsJeffrey M Rothschild
Division of General Medicine and Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
Crit Care Med 33:533-40. 2005..We sought to assess the impact of smart pumps with integrated decision support software on the incidence and nature of medication errors and adverse drug events... - Recovery from medical errors: the critical care nursing safety netJeffrey M Rothschild
Harvard Medical School, Boston, USA
Jt Comm J Qual Patient Saf 32:63-72. 2006..Patient surveillance and preventing errors from harming patients represent essential nursing responsibilities but have received relatively little study... 
Use and perceived benefits of handheld computer-based clinical referencesJeffrey M Rothschild
Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02120 1613, USA
J Am Med Inform Assoc 13:619-26. 2006..Clinicians are increasingly using handheld computers (HC) during patient care. We sought to assess the role of HC-based clinical reference software in medical practice by conducting a survey and assessing actual usage behavior...- Assessment of education and computerized decision support interventions for improving transfusion practiceJeffrey M Rothschild
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02120 1613, USA
Transfusion 47:228-39. 2007..Overuse of blood products is common, but prior efforts to improve transfusion decisions have met with limited success... - Medication safety in a psychiatric hospitalJeffrey M Rothschild
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120 1613, USA
Gen Hosp Psychiatry 29:156-62. 2007..We sought to assess the epidemiology of medication errors (MEs) and adverse drug events (ADEs) in a psychiatric hospital... - A controlled trial of a rapid response system in an academic medical centerJeffrey M Rothschild
Harvard Medical School, Boston, MA, USA
Jt Comm J Qual Patient Saf 34:417-25, 365. 2008..The intervention had little noticeable impact, although the number of cardiac arrests and deaths were low both before and after the intervention... 
The costs and savings associated with prevention of adverse events by critical care nursesJeffrey M Rothschild
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02120 1613, USA
J Crit Care 24:471.e1-7. 2009..The aim of the study was to determine the costs and savings associated with prevention of adverse events (AEs) by critical care nurses...- Risks of complications by attending physicians after performing nighttime proceduresJeffrey M Rothschild
Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120 1613, USA
JAMA 302:1565-72. 2009..Few data exist on the relationships between experienced physicians' work hours and sleep, and patient safety... - Computerized physician order entry in the critical care and general inpatient setting: a narrative reviewJeffrey Rothschild
Division of General Medicine and Primary Care, Department of Medicine Brigham and Women s Hospital, 1620 Tremont St, Boston, MA, USA
J Crit Care 19:271-8. 2004..Future studies are needed to demonstrate the benefits of more patient specific decision support interventions and the seamless integration of CPOE into a wireless, computerized medication administration system... - Single-parameter early warning criteria to predict life-threatening adverse eventsJeffrey M Rothschild
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts, USA
J Patient Saf 6:97-101. 2010..Early warning criteria ("criteria"), used to activate rapid response system (RRS) teams, may improve patient outcomes by predicting life-threatening adverse events--urgent intensive care unit (ICU) transfers and cardiac arrests... - Clinician use of a palmtop drug reference guideJeffrey M Rothschild
Division of General Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
J Am Med Inform Assoc 9:223-9. 2002..ePocrates Rx (formerly known as qRx; ePocrates, San Carlos, California) is a comprehensive drug information guide that is downloadable free from the Internet and designed for the Palm OS platform align="right"... - Do abnormal liver function tests predict inpatient imaging yield? An evaluation of clinical decision makingJeffrey M Rothschild
Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
J Eval Clin Pract 8:397-406. 2002..We undertook this study to assess whether the extent and severity of LFTs abnormalities predicted the yield of inpatient imaging... - Analysis of medication-related malpractice claims: causes, preventability, and costsJeffrey M Rothschild
Division of General Medicine, Department of Medicine, Brigham and Women s Hospital, 75 Francis St, Boston, MA 02115, USA
Arch Intern Med 162:2414-20. 2002..We also assessed the potential benefits of proved effective ADE prevention strategies on ADE claims prevention... - Variability in intravenous medication practices: implications for medication safetyDavid 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... - Abdominal cross-sectional imaging for inpatients with abnormal liver function test results: yield and usefulnessJ M Rothschild
Division of General Medicine, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115, USA
Arch Intern Med 161:583-8. 2001..CONCLUSION: Abdominal cross-sectional imaging studies performed on inpatients with abnormal LFT results had a high diagnostic yield and frequently changed patient care... - The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive careJeffrey 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..Although many types of errors were identified, failure to carry out intended treatment correctly was the leading category... - Effect of reducing interns' work hours on serious medical errors in intensive care unitsChristopher 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... - Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classificationKlaus 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... 
Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug eventsTeryl K Nuckols
THE RAND CORPORATION, Santa Monica, CA, USA
J Gen Intern Med 23:41-5. 2008..Patients in intensive care units (ICUs) frequently experience adverse drug events involving intravenous medications (IV-ADEs), which are often preventable...- Costs of intravenous adverse drug events in academic and nonacademic intensive care unitsTeryl K Nuckols
THE RAND CORPORATION, Santa Monica, California 90407 2138, USA
Med Care 46:17-24. 2008..Precise cost estimates have not been reported for academic ICUs, and no studies have included nonacademic ICUs... - Effects of health care provider work hours and sleep deprivation on safety and performanceSteven W Lockley
Department of Medicine, Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Patient Saf 33:7-18. 2007..To reduce the unacceptably high rate of preventable fatigue-related medical error and injuries among health care workers, the United States must establish and enforce safe work-hour limits... - A model of recovering medical errors in the coronary care unitAnn C Hurley
Brigham and Women s Hospital, Department of Nursing, Boston, Massachusetts 02115, USA
Heart Lung 37:219-26. 2008..The purpose of this study was to explore the thoughts, interpersonal processes, and actions used by nurses who had recently intervened to protect coronary care unit (CCU) patients from potential medical errors... - Hospital workload and adverse eventsJoel S Weissman
Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Med Care 45:448-55. 2007..Hospitals are under pressure to increase revenue and lower costs, and at the same time, they face dramatic variation in clinical demand... - What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyorsBenjamin C Grasso
The Institute for Self Directed Care, Falmouth, ME 04105, USA
J Psychiatr Pract 11:268-73. 2005..e., lack of medication errors). Replication of our findings in other hospital settings is needed. We also recommend measures for improving patient safety by reducing error rates and increasing error detection... - Intravenous medication safety and smart infusion systems: lessons learned and future opportunitiesCarol A Keohane
Center of Excellence for Patient Safety Research and Practice, Brigham and Women s Hospital, Boston, MA 02120, USA
J Infus Nurs 28:321-8. 2005..Finally, it details the lessons learned and the opportunities identified through the use of smart infusion technology at Brigham and Women's Hospital in Boston, Massachusetts... - Medication safety in the ambulatory chemotherapy settingTejal 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... - Adherence to black box warnings for prescription medications in outpatientsKaren 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... - Strategies for detecting adverse drug events among older persons in the ambulatory settingTerry S Field
Meyers Primary Care Institute, Fallon Healthcare System and University of Massachusetts Medical School, Worcester, MA 01605, USA
J Am Med Inform Assoc 11:492-8. 2004..To examine various strategies for the identification of adverse drug events (ADEs) among older persons in the ambulatory clinical setting... - How many hospital pharmacy medication dispensing errors go undetected?Jennifer L Cina
Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Patient Saf 32:73-80. 2006..A study was conducted at an academic tertiary care hospital to characterize the incidence and severity of medication dispensing errors in a hospital pharmacy... - What do we know about medication errors in inpatient psychiatry?Benjamin C Grasso
Institute for Self Directed Care, Portland, Maine, USA
Jt Comm J Qual Saf 29:391-400. 2003..The literature on ADEs, both preventable and nonpreventable, was reviewed within the broader patient safety framework... - Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacyEric G Poon
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Harvard Medical School, and Partners Information Systems, Boston, Massachusetts 02120, USA
Ann Intern Med 145:426-34. 2006..Many dispensing errors made in hospital pharmacies can harm patients. Some hospitals are investing in bar code technology to reduce these errors, but data about its efficacy are limited... - Effective implementation of work-hour limits and systemic improvementsChristopher P Landrigan
Department of Medicine, Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Patient Saf 33:19-29. 2007..Implementation of evidence-based work-hour limits, scientifically designed work schedules, and infrastructural changes, such as the development of standardized handoff systems, are urgently needed... - Costs of adverse events in intensive care unitsRainu Kaushal
Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
Crit Care Med 35:2479-83. 2007..Iatrogenic injuries are very common in critically ill adults. However, the financial implications of these events are incompletely understood... - Effect of reducing interns' weekly work hours on sleep and attentional failuresSteven W Lockley
Division of Sleep Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 351:1829-37. 2004..CONCLUSIONS: Eliminating interns' extended work shifts in an intensive care unit significantly increased sleep and decreased attentional failures during night work hours... - Is terminology used effectively to convey diagnostic certainty in radiology reports?Ramin Khorasani
Department of Radiology, Brigham and Women s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA
Acad Radiol 10:685-8. 2003..This study was performed to assess the extent of agreement among radiologists and nonradiologists in perception of diagnostic certainty conveyed by words and phrases commonly used in radiology reports... - Reliability evaluation of the adapted national coordinating council medication error reporting and prevention (NCC MERP) indexRita A Snyder
College of Nursing, University of Nebraska Medical Center, Omaha, NE, USA
Pharmacoepidemiol Drug Saf 16:1006-13. 2007..This article describes: (1) adaptation of the Index, (2) classification criteria and processes used to assess the adapted Index, and (3) inter-rater reliability results...
Research Grants
- Improving Transfusion Practices Using Decision SupportJeffrey Rothschild; Fiscal Year: 2004..We will also examine whether improvements in appropriate transfusion ordering behavior among clinicians using decision support tools will be greater than improvements achieved by educational programs alone. ..