Resources and References

British Healthcare Organisations & Resources

Department of Health
National Patient Safety Agency
Cochrane Centre
General Medical Council
National Institute for Clinical Excellence
NHS Litigation Authority
NHS Information Authority
Royal Society of Medicine

Webdirectories on Health and Patient Safety

OpenClinical Knowledge Management for Medical Care http://www.openclinical.org/home.html
Bandolier
Hardin Meta Directory of Health Resources
Healthcare Information Sites
National Patient Safety Foundation (U.S.) This site has links to a variety of sites with information on medical error, risk management and patient safety.
Pubmed

Readings and documents online

British Medical Journal. Special issue. Reducing error, improving safety. March 2000
An Organisation with a Memory. Learning from adverse events in the NHS (1999)
Building a safer NHS.
To err is human: Building a safer healthcare system. Institute of Medicine, 1999


Selected publications by the network members

Barber N, Batty R, Ridout D. Predicting the rate of physician-accepted inventions by hospital pharmacists in the United Kingdom. Am J Health-   Syst Pharm. 1997;54:397-405.

Barber ND, Blackett A, Batty R. Does a high workload decrease ward pharmacists' clinical monitoring? International Journal of Pharmacy Practice 1993;2:152-5.

Barber N, Rawlins M, Dean Franklin B.  Reducing prescribing error: competence, control and culture.  Quallity and Safety in Health Care 2003;12, Suppl1:i29-i32

Barber N. Should we consider non-compliance a medical error? Quality and Safety in Health Care 2002;11:81-4.

Barber N. Information technology and medication safety: what is the benefit? Quality and Safety in Health Care 2002;11:265.

Batty R, Barber N. Ward Pharmacy: foundation for prescribing audit. Quality in Health Care 1992;1:5-9.

Beech EF, Barber ND. The Development of a Self-reporting Multidimensional Work Sampling Measure to Study Ward Pharmacy Services in the United Kingdom. Journal of Social and Administrative Pharmacy 1993;10:157-62

Beech EF, Barber ND. Ward pharmacy services - is a once daily visit less efficient than a twice daily visit? International Journal of Pharmacy Practice 1995;3:124-7.

Cotter SM, Barber ND, McKee M, Chalmers CP. Factors influencing the provision of clinical pharmacy services in United Kingdom National Health Service Hospitals. International Journal of Technology Assessment in Health Care 1996;12:475-86.

Cotter SM, Barber ND, McKee M. Survey of clinical pharmacy services in United Kingdom National Health Service Hospitals. American Journal of Hospital Pharmacy 1994;51:2676-84.

Dean B, Schachter M, Vincent C, Barber N. Prescribing errors in hospital inpatients: their incidence and clinical significance. Quality and Safety in Health Care 2002;11:340-4.

Dean B, Schachter M, Vincent C, Barber N. Causes of prescribing errors in hospital inpatients: a prospective study. Lancet 2002;359:1373-8.

Dean BS, Barber ND. The effects of a patients' own drugs scheme on the incidence and severity of medication administration errors. International Journal of Pharmacy Practice 2000;8:209-16.

Dean BS, Barber ND. A validated, reliable method for scoring the severity of medication errors. Am J Health-Syst Pharm. 1999;56:57-62. 

Dean BS, Kanabar P, Ashby N, Taxis K, Barber ND. What can the drug chart tell us about medication administration? The Hospital Pharmacist 1998;5:167-70.

Dean B, Barber N. Validity and reliability of observational methods for studying medication administration errors. Am J Health-Syst Pharm. 2001;58:54-9.

Dean B, Barber N, Schachter M. What is a prescribing error? Quality in Health Care 2000;9:232-7.

Dean BS, Allan EL, Barber ND, Barker KN. Comparison of medication errors in an American and a British hospital. Am J Health-Syst Pharm. 1995;52:2543-9.

Ditta T.  A randomised controlled trial of a pharmaceutical discharge service.  2001.  PhD Thesis, University of London

Eagleton JM, Walker FS, Barber ND. An investigation into patient compliance with hospital discharge medication in a local population. International Journal of Pharmacy Practice 1993;107-10.

Ho C, Dean BS, Barber N. When do medication administration errors happen to hospital inpatients? International Journal of Pharmacy Practice 1997;5:91-6.

Jenkins, D B. The evaluation of an automated drug distribution system using a health technology assessment approach.  1997. PhD Thesis University of London.

Ngo, S W. Implications of Computerized Prescribing in Hospitals in the UK.  1994. PhD Thesis, University of London.

Ridge KW, Jenkins DB, Noyce PR, Barber ND. Medication errors during hospital drug rounds. Quality in Health Care 1995;4:240-3.

Sagripanti M, Dean BS, Barber N. An evaluation of the process-related medication risks for elective surgery patients from pre-operative assessment to discharge. International Journal of Pharmacy Practice 2002;10:161-70.

Taxis K, Barber N. An observation-based study investigating causes of intravenous medication errors in a German hospital. In press  Zeitschrift für Gesundheitswissenschaften.

Taxis K, Barber N. The incidence of intravenous medication errors in German hospitals. In press European Journal of Clinical Pharmacology

Taxis K, Barber N. Ethnographic study of the incidence and severity of intravenous drug errors. BMJ 2003;326:684.

Taxis K, Barber N. The causes of intravenous errors - an ethnographic study. Accepted Quality and Safety in Health Care 2003.

Taxis K. The incidence, severity and causes of IV medication errors in hospitals. PhD Thesis University of London. 2001

Taxis K, Dean B, Barber N. Hospital drug distribution systems in the UK and Germany - a study of medication errors. Pharmacy World and Science 1999;21:25-31.

Taxis K, Dean BS, Barber N. The validation of an existing method of scoring the severity of medication administration errors for use in Germany. Pharmacy World and Science 2002;24:236-9. 

Taxis K, Barber N. An analytical framework to investigate intravenous medication errors in hospitals. Pharmacy World and Science 2000;22:A7.

Wirtz V, Taxis K, Barber N. An observational study of intravenous medication errors in the United Kingdom and in Germany. Pharmacy World and Science 2003;25:104-11


Avery A J, Classifying and identifying errors. Quality and Safety in Health Care 2003;12; 404 (commentary)

Avery A J, Preventing drug-related hospital admissions Prescriber 2003;14:10-13 (editorial)

Avery A J, Drug Warning: How to avoid medication errors. Practice Management Update 2003;3:224 (article)

Avery A J, Can pharmacists prevent deaths and admissions? Prescriber 2003,14(9):15-16 (editorial)

Avery A J, How much are we prepared to pay for patient safety? Prescriber 2003;14(19):11-13 (editorial)

Avery A J, Danger! Making warnings count. Prescriber 2003;14(23):13

Avery A J, Medication Errors: Lessons for Education and Healthcare. BMJ 2003;326:555 (book review)

Avery A J.  Safer prescribing: the National Patient Safety Agency. Prescriber 2002; 13:13.

Avery A J, Cutting Edge: When medicine is a risky business. Times Higher Educational Supplement 2002;July 5th edition:22 (article)

Avery A J, Getting to the root of prescribing errors. Prescriber 2002;(11):9-11 (editorial)

Avery A J, Building a Safer NHS for Patients. Prescriber 2001;12(12):13. (editorial)

Avery A J, Computerised alerts for potential drug hazards. Prescriber 2000; 11(7):113- 117. (article)

Avery A J, The Swiss cheese approach to reducing prescribing error. Prescriber 2000; 11(9):13-14. (editorial)

Avery A J, Making Sense of risk Management. Prescriber 2000; 11(15):33

(book review)

Avery A J, The use of computers to aid GP prescribing. Prescriber 1998; 9(21):13. (editorial)

Avery A J, Chen Y-F, The incidence of prescribing potentially dangerous drug-drug combinations in general (family) practice. Pharmacoepidemiology and Drug Safety 2000; 9:S140-1 (published conference abstract)

Avery A J, Savelyich B S P, Teasdale, S, Improving the safety features of general practice computer systems.  Informatics in Primary Care 2003;11:203-6

Avery A J, Smeaton L, Royal S, Sheikh A, Hurwitz B, Dewey M, Systematic review of interventions aimed at reducing drug-related adverse events in primary care (family practice). Pharmacoepidemiology and Drug Safety 2003;12:S131-132 (published conference abstract)

Avery A J, Sheikh A, Hurwitz B, Smeaton L, Chen Y-F, Howard R, Cantrill J, Royal S, Safer medicines management in primary care. British Journal of General Practice 2002;52(supplement):S17-S22 (discussion paper)

Chen Y-F, Avery A J, Neil K, Johnson C, Assessing the occurrence and preventability of prescribing potentially hazardous/contraindicated drug combinations in general (family) practice. Pharmacoepidemiology and Drug Safety 2001; 10:S53 (published conference abstract)

Conroy S, Collier J, Birchley N, Neil K, Rodgers S, McIntyre J, Choonara I, Avery A, An examination of the risk management issues in the handling at home of over-the-counter medicines purchased for children. Pharmaceutical Journal 2003;271:209-213

Coulter A, An unacknowledged workforce: patients as partners in healthcare. In: Davies C (ed). The future health workforce, Chapter 2,pp. 33-48. Basingstoke: Palgrave Macmillan, 2003

Coulter A, After Bristol: putting patients at the centre. British Medical Journal 2002; 324: 648-51

Coulter A, The Autonomous Patient. London: Nuffield Trust, 2002

Dean, B S, Gallivan S, Barber N D, van Ackere A, Mathematical modelling of pharmacy systems American Journal Health System Pharmacy 1997; 54:2491-2499,  PubMed Dean BS, Gallivan S, Barber ND, Van Ackere A.

Franke L, Avery A J, Groom L, Horsfield P, Is there a role for computerised decision support for drug dosing in general practice?  A questionnaire survey. Journal of Clinical Pharmacy & Therapeutics 2000; 25:373-377

Gallivan S, Davis K B, Stark J F, Early identification of divergent performance in congenital cardiac surgery European Journal of Cardio-thoracic Surgery 2001; 20, 1214-1219

Howard R L, Avery A J, Howard P D, Partridge M, Investigation into the reasons for preventable drug related admissions to a medical admissions unit: observational study. Quality and Safety in Health Care 2003; 12:280-285

Lovegrove J, Valencia O, Treasure T, Sherlaw-Johnson C, Gallivan S, Monitoring the result of cardiac surgery by variable life adjusted display (VLAD) Lancet 1997; 350:1128-1130, PubMed Lovegrove J, Valencia O, Treasure T, Sherlaw-Johnson C, Gallivan S.

Magnus D, Rodgers S, Avery A J, GPs' views on computerised drug interaction alerts: questionnaire survey. Journal of Clinical Pharmacy and Therapeutics 2002; 27:377-382

McIntyre J, Conroy S, Avery A, Corns H, Choonara I, Unlicensed and off label prescribing of drugs in general practice Archive Diseases of Childhood 2000; 83:498-501

Morris C J, Cantrill J A, Avery A J, Howard R L, Preventing drug-related morbidity: determining valid indicators. The International Journal of Pharmacy Practice 2002:10,R60 (published conference abstract)

Morris C J, Rogers S, Hammersley V, Avery A J, Cantrill J A, Indicators for preventing drug-related morbidity: applications in general practice. International Journal of Pharmacy Practice 2003:11(supplement);R15 (published conference abstract)

Reebye RN, Avery AJ, Bissell P, van Weel C. The issue of territoriality between pharmacists and physicians in primary care. International Journal of Pharmacy Practice 2002;10:69-75 (Discussion paper)

Shah SNH, Aslam M, Avery A J, A survey of prescription errors in general practice. Pharmaceutical Journal 2001; 267:860-862

Sherlaw-Johnson C, Lovegrove J, Treasure T, Gallivan S, Likely variations in perioperative mortality associated with cardiac surgery: when does high mortality reflect bad practice? Heart 2000; 84:79-82  PubMed Sherlaw-Johnson C, Lovegrove J, Treasure T, Gallivan S.

Smeaton L, Sheikh A, Avery A, Royal S, Hurwitz B, Dewey M, Interventions for reducing preventable drug-related hospital admissions or preventable drug-related morbidity in primary care (Protocol for a Cochrane Review). In: The Cochrane Library, Issue 1, 2003. Oxford: Update Software

Stark J, Gallivan S, Lovegrove J, Hamilton JRL., Jmonro J L, Pollock JCS, Watterson JCS, Mortality rates after surgery for congenital heart defects in children and surgeons' performance Lancet 2000; 355:1004-1007  PubMed Stark J, Gallivan S, Lovegrove J, Hamilton JR, Monro JL, Pollock JC, Watterson KG.

Vincent C, Coulter A, Patient safety: what about the patient? Quality and Safety in Health Care 2002; 11: 76-80 PubMed Vincent CA, Coulter A.

Other resources

Powerpoint Presentation (566Kb) by Steve Gallivan on Monitoring mortality following surgery.
Click here for a PDF version.