AHRQ Patient Safety Network

The Collection > Intensive Care Units

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Safety Target

•Device-related Complications (58)

•Diagnostic Errors (12)

•Identification Errors (4)

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

•Fatigue and Sleep Deprivation (11)

•Medication Safety (113)

•Medical Complications (91)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (14)

•Transfusion Complications (2)

•Psychological and Social Complications (3)

Origin/Sponsor

•Africa (1)

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•Australia and New Zealand (13)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (316)

•Meeting/Conference (1)

•Newspaper/Magazine Article (22)

•Press Release/Announcement (4)

•Special or Theme Issue (4)

•Tools/Toolkit (2)

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Error Types

•Epidemiology of Errors and Adverse Events (122)

•Active Errors (67)

•Latent Errors (25)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (91)

•Legal and Policy Approaches (18)

•Error Reporting and Analysis (101)

•Communication Improvement (75)

•Human Factors Engineering (73)

•Teamwork (53)

•Specialization of Care (40)

•Logistical Approaches (31)

•Culture of Safety (60)

•Technologic Approaches (53)

•Education and Training (55)

Clinical Areas

•Medicine (351)

•Nursing (49)

•Pharmacy (15)

Target Audience

•Health Care Providers (247)

•Health Care Executives and Administrators (286)

•Non-Health Care Professionals (107)

•Patients (16)

Setting of Care
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Intensive Care Units

1 - 20 of 359

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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].

COMMENTARY

Code Status Confusion.

Lo B, Tulsky JA. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

Dangerous Shift

Patterson ES. AHRQ WebM&M [serial online]. November 2008.

COMMENTARY

On the Other Hand

Henneman EA. AHRQ WebM&M [serial online]. May 2007.

STUDY

Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit.

Gillman L, Leslie G, Williams T, et al. Emerg Med J. 2006;23:858-861.

STUDY

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

STUDY

Burns surgery handover study: trainees' assessment of current practice in the British Isles.

Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns. 2009;35:509-512.

COMMENTARY

Double Dosing, by the Rules

Cohen H. AHRQ WebM&M [serial online]. February/March 2009.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

STUDY

The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure.

Hess DR, Tokarczyk A, O’Malley M, Gavaghan S, Sullivan J, Schmidt U. Chest. 2010;138:1475-1479.

STUDY

Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial.

MERIT study investigators. Lancet. 2005;365:2091-2097.

COMMENTARY

Where’s the Feeding Tube?

Metheny MA., Meert KL, AHRQ WebM&M [serial online]. September 2008.

COMMENTARY

Crushing Chest Pain: A Missed Opportunity.

Graber M. AHRQ WebM&M [serial online]. January 2004.

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.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

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.

STUDY

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

Li P, Stelfox HT, Ghali WA. Am J Med. 2011;124:860-867.

REVIEW

Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.

Manser T. Acta Anaesthesiol Scand. 2009;53:143-151.

STUDY

Real time patient safety audits: improving safety every day.

Ursprung R, Gray JE, Edwards WH, et al. Qual Saf Health Care. 2005;14:284-289.

STUDY

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

Nowak JE, Brilli RJ, Lake MR, et al. Pediatr Crit Care Med. 2010;11:579-587.

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