AHRQ Patient Safety Network

The Collection > Intensive Care Units

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Safety Target

•Device-related Complications (59)

•Diagnostic Errors (11)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (41)

•Fatigue and Sleep Deprivation (11)

•Medication Safety (111)

•Medical Complications (90)

•Nonsurgical Procedural Complications (10)

•Surgical Complications (15)

•Transfusion Complications (2)

•Psychological and Social Complications (3)

Origin/Sponsor

•Africa (1)

•Asia (5)

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•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (331)

•Meeting/Conference (1)

•Newspaper/Magazine Article (19)

•Press Release/Announcement (4)

•Special or Theme Issue (3)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (125)

•Active Errors (65)

•Latent Errors (23)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (91)

•Legal and Policy Approaches (17)

•Error Reporting and Analysis (99)

•Communication Improvement (69)

•Human Factors Engineering (76)

•Teamwork (50)

•Specialization of Care (40)

•Logistical Approaches (39)

•Culture of Safety (56)

•Technologic Approaches (51)

•Education and Training (50)

Clinical Areas

•Medicine (349)

•Nursing (64)

•Pharmacy (13)

Target Audience

•Health Care Providers (258)

•Health Care Executives and Administrators (292)

•Non-Health Care Professionals (103)

•Patients (14)

Setting of Care
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Intensive Care Units

1 - 20 of 365

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STUDY

The effects of computerized provider order entry implementation on communication in intensive care units.

Hoonakker PL, Carayon P, Walker JM, Brown RL, Cartmill RS. Int J Med Inform. 2013;82:e107-e117.

STUDY

Interdisciplinary communication in the intensive care unit.

Reader TW, Flin R, Mearns K, Cuthbertson BH. Br J Anaesth. 2007;98:347-52.

STUDY

Airway carts: a systems-based approach to airway safety.

Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.

COMMENTARY

PCA Overdose

Doyle DJ. AHRQ WebM&M [serial online]. July/August 2005.

COMMENTARY

Deciphering the Code

Goldstein MK. AHRQ WebM&M [serial online]. Febuary 2006.

COMMENTARY

Changing the work environment in ICUs to achieve patient-focused care: the time has come.

McCauley K, Irwin RS. Chest. 2006;130:1571-1578.

STUDY

Thomas AN, Panchagnula U. Anaesthesia. 2008;63:726-733.

STUDY

Implementing and validating a comprehensive unit-based safety program.

Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.

STUDY

Design and implementation of an ICU incident registry.

van der Veer S, Cornet R, de Jonge E. Int J Med Inform. 2007;76:103-108.

STUDY

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Sanghera IS, Franklin BD, Dhillon S. Anaesthesia. 2007;62:53-61.

COMMENTARY

A clinical nurse specialist intervention to facilitate safe transfer from ICU.

St-Louis L, Brault D. Clin Nurse Spec. 2011;25:321-326.

STUDY

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

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

STUDY

Development of the ICU safety reporting system.

Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1:23-32.

REVIEW

Failure mode and effects analysis application to critical care medicine.

Duwe B, Fuchs BD, Hansen-Flaschen J. Crit Care Clin. 2005;21:21-30, vii.

STUDY

Interruptive communication patterns in the intensive care unit ward round.

Alvarez G, Coiera E. Int J Med Inform. 2005;74:791-796.

STUDY

Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010.

Thomas AN, Taylor RJ. Anaesthesia. 2012;67:706-713.

IMAGE/POSTER

Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.

Brandwijk M, Nemeth C, O'Conner M, Kahana M, Cook RI. Departments of Pediatrics and Anesthesia and Critical Care: Chicago, IL: University of Chicago.

COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

STUDY

In search of common ground in handoff documentation in an intensive care unit.

Collins SA, Mamykina L, Jordan D, et al. J Biomed Inform. 2012;45:307-315.

STUDY

Extended work duration and the risk of self-reported percutaneous injuries in interns.

Ayas NT, Barger LK, Cade BE, et al. JAMA. 2006;296:1055-1062.

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