Laura L. Morlock

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OBJECTIVE To determine whether high patient inflow volumes to an intensive care unit are associated with unplanned readmissions to the unit. DESIGN Retrospective comparative analysis. SETTING The setting is a large urban tertiary care academic medical center. PATIENTS Patients (n = 3233) discharged from an adult neurosciences critical care unit to a(More)
BACKGROUND Medication errors contribute to significant morbidity, mortality, and costs to the health system. Little is known about the characteristics of Emergency Department (ED) medication errors. STUDY OBJECTIVE To examine the frequency, types, causes, and consequences of voluntarily reported ED medication errors in the United States. METHODS A(More)
BACKGROUND Many hospitals use critical pathways to attempt to reduce postoperative length of stay (PLOS) for diverse conditions and procedures. OBJECTIVE To evaluate whether critical pathways were associated with reductions in postoperative PLOS after accounting for prepathway trends in PLOS. RESEARCH DESIGN Retrospective cohort study, from 1988 to(More)
OBJECTIVE To identify a risk profile for harmful medication errors in the neonatal intensive care unit (NICU). STUDY DESIGN A retrospective cross-sectional study on NICU medication error reports submitted to MEDMARX between 1 January 1999, and 31 December 2005. The Rao-Scott modified chi(2) test was used for analysis. RESULT 6749 NICU medication error(More)
This study examined the association between the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) accreditation scores and the Agency for Healthcare Research and Quality's Inpatient Quality Indicators and Patient Safety Indicators (IQIs/PSIs). JCAHO accreditation data from 1997 to 1999 were matched with institutional IQI/PSI performance(More)
OBJECTIVE Our institution, like many, is struggling to develop measures that answer the question, How do we know we are safer? Our objectives are to present a framework to evaluate performance in patient safety and describe how we applied this model in intensive care units. DESIGN We focus on measures of safety rather than broader measures of quality. The(More)
Little is known about vaccination errors. We analyzed 607 outpatient pediatric vaccination error reports from MEDMARX, a nationwide, voluntary medication error reporting system, occurring from 2003 to 2006. We used the "5 Rights" framework (right vaccine, time, dose, route, and patient) to determine whether vaccination error types were predictable. We found(More)
Data from a 1983-88 retrospective panel study of 797 rural (non-Metropolitan Statistical Area) U.S. hospitals revealed that less than one in five (18.7%) had any alcohol and chemical abuse (ACA) service. About one-third of both inpatient and outpatient services had been established during the study period, but few hospitals not offering these services(More)
PURPOSE To evaluate the frequency and type of factors involved in incidents reported to a patient safety reporting system and answer specific questions to enhance the value of PSRS data to improve patient safety. MATERIALS AND METHODS Prospective cohort study of incidents reported from adult and pediatric intensive care units (ICUs) in the United States(More)
Intensive care is one of the largest and most expensive components of American health care. Studies suggest that errors and resulting adverse events are common in intensive care units (ICUs). The incidence may be as high as 2 errors per patient per day; 1 in 5 ICU patients may sustain a serious adverse event, and virtually all are exposed to serious risk(More)