THE NATIONAL ACADEMIES PRESS
500 Fifth Street, N.W. Washington, DC 20001
NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.
This study was supported by Contract No. HHSM-500-2004-00020C between the National Academy of Sciences and Department of Health and Human Services (Centers for Medicare and Medicaid Services). Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.
Library of Congress Cataloging-in-Publication Data
Preventing medication errors / Committee on Identifying and Preventing Medication Errors, Board on Health Care Services ; Philip Aspden … [et al.], editors.
p. ; cm. — (Quality chasm series)
Includes bibliographical references and index.
ISBN-13: 978-0-309-10147-9 (hardcover)
ISBN-10: 0-309-10147-6 (hardcover)
1. Medication errors—Prevention. I. Aspden, Philip. II. Institute of Medicine (U.S.). Committee on Identifying and Preventing Medication Errors. III. Series.
[DNLM: 1. Medication Errors—prevention & control—United States. 2. Safety Management—United States. QZ 42 P9435 2006]
Additional copies of this report are available from the
National Academies Press,
500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www. nap.edu.
For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.
Copyright 2007 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America.
The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.