AHRQ Patient Safety Network

The Collection > Intensive Care Units

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Safety Target

•Device-related Complications (59)

•Diagnostic Errors (14)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (43)

•Fatigue and Sleep Deprivation (13)

•Medication Safety (122)

•Medical Complications (91)

•Nonsurgical Procedural Complications (10)

•Surgical Complications (15)

•Transfusion Complications (2)

•Psychological and Social Complications (3)

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•Africa (1)

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•Clinical Guideline (1)

•Journal Article (340)

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•Newspaper/Magazine Article (22)

•Press Release/Announcement (4)

•Special or Theme Issue (4)

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Error Types

•Epidemiology of Errors and Adverse Events (128)

•Active Errors (66)

•Latent Errors (26)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (94)

•Legal and Policy Approaches (18)

•Error Reporting and Analysis (104)

•Communication Improvement (75)

•Human Factors Engineering (77)

•Teamwork (53)

•Specialization of Care (41)

•Logistical Approaches (38)

•Culture of Safety (62)

•Technologic Approaches (57)

•Education and Training (56)

Clinical Areas

•Medicine (363)

•Nursing (61)

•Pharmacy (16)

Target Audience

•Health Care Providers (265)

•Health Care Executives and Administrators (301)

•Non-Health Care Professionals (108)

•Patients (16)

Setting of Care
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Intensive Care Units

1 - 20 of 383

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STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

COMMENTARY

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units.

Pastores SM, O’Connor MF, Kleinpell RM, et al. Crit Care Med. 2011;39:2540-2549.

STUDY

Measuring communication in the surgical ICU: better communication equals better care.

Williams M, Hevelone N, Alban RF, et al. J Am Coll Surg. 2010;210:17-22.

REVIEW

Teamwork in obstetric critical care.

Guise JM, Segel S. Best Pract Res Clin Obstet Gynaecol. 2008;22:937-951.

STUDY

Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns.

Gordon JA, Alexander EK, Lockley SW, et al; Harvard Work Hours, Health, and Safety Group (Boston, Massachusetts). Acad Med. 2010;85:1583-1588.

STUDY

The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs.

Waters HR, Korn R Jr, Colantuoni E, et al. Am J Med Qual. 2011;26:333-339.

NEWSPAPER/MAGAZINE ARTICLE

Too many abandon the "second victims" of medical errors.

ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.

COMMENTARY

Physician staffing models and patient safety in the ICU.

Gajic O, Afessa B. Chest. 2009;135:1038-1044.

STUDY

Disclosing errors and adverse events in the intensive care unit.

Boyle D, O'Connell D, Platt FW, Albert RK. Crit Care Med. 2006;34:1532-37.

STUDY

Patient safety event reporting in critical care: a study of three intensive care units.

Harris CB, Krauss MJ, Coopersmith CM, et al. Crit Care Med. 2007;35:1068-1076.

COMMENTARY

Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.

Savel RH, Goldstein EB, Gropper MA. Crit Care Med. 2009;37:725-728.

STUDY

Effect of reducing interns' work hours on serious medical errors in intensive care units.

Landrigan CP, Rothschild JM, Cronin JW, et al. N Engl J Med. 2004;351:1838-1848.

NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

STUDY

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

Lin DM, Weeks K, Bauer L, et al. Am J Med Qual. 2012;27:124-129.

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

COMMENTARY

Patient safety and collaboration of the intensive care unit team.

Despins LA. Crit Care Nurse. April 2009;29:85-91.

STUDY

Effect of reducing interns' weekly work hours on sleep and attentional failures.

Lockley SW, Cronin JW, Evans EE, et al. N Engl J Med. 2004;351:1829-1837.

STUDY

Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit?

Chudgar SM, Cox CE, Que LG, Andolsek K, Knudsen NW, Clay AS. Crit Care Med. 2009;37:49-60.

STUDY

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.

MULTI-USE WEBSITE

Medical Event Data Collection and Analysis Service (MEDCAS).

Cognitive Technologies Laboratory, University of Chicago.

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