AHRQ Patient Safety Network

The Collection > Intensive Care Units

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Safety Target

•Device-related Complications (59)

•Diagnostic Errors (12)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (37)

•Fatigue and Sleep Deprivation (14)

•Medication Safety (107)

•Medical Complications (79)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (12)

•Transfusion Complications (2)

•Psychological and Social Complications (2)

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•Africa (1)

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•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (293)

•Meeting/Conference (1)

•Newspaper/Magazine Article (22)

•Press Release/Announcement (2)

•Special or Theme Issue (4)

•Tools/Toolkit (2)

•Web Resource (1)

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Error Types

•Epidemiology of Errors and Adverse Events (105)

•Active Errors (52)

•Latent Errors (23)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (83)

•Legal and Policy Approaches (18)

•Error Reporting and Analysis (93)

•Communication Improvement (64)

•Human Factors Engineering (68)

•Teamwork (42)

•Specialization of Care (35)

•Logistical Approaches (39)

•Culture of Safety (61)

•Technologic Approaches (54)

•Education and Training (52)

Clinical Areas

•Medicine (313)

•Nursing (59)

•Pharmacy (12)

Target Audience

•Health Care Providers (236)

•Health Care Executives and Administrators (265)

•Non-Health Care Professionals (91)

•Patients (16)

Setting of Care
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Intensive Care Units

1 - 20 of 334

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STUDY

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.

Del Beccaro MA, Jeffries HE, Eisenberg MA, Harry ED. Pediatrics. 2006;118:290-295.

REVIEW

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

Riker RR, Fraser GL. Pharmacotherapy. 2005;25:8S-18S.

STUDY

Patient misidentification in the neonatal intensive care unit: quantification of risk.

Gray JE, Suresh G, Ursprung R, et al. Pediatrics. 2006;117:e43-e47.

STUDY

Infants at risk: when nurse fatigue jeopardizes quality care.

Dean GE, Scott LD, Rogers AE. Adv Neonatal Care. 2006;6:120-126.

STUDY

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

Larson EL, Cimiotti J, Haas J, et al. Arch Pediatr Adolesc Med. 2005;159:377-383.

STUDY

Errors in drug computations during newborn intensive care.

Perlstein PH, Callison C, White M, Barnes B, Edwards NK. Am J Dis Child. 1979;133:376-379.

STUDY

Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs.

France DJ, Throop P, Walczyk B, et al. J Patient Safety. 2005;1:145-153.

STUDY

A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.

Rothschild JM, Keohane CA, Cook EF, et al. Crit Care Med. 2005;33:533-540.

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.

STUDY

Implementing and validating a comprehensive unit-based safety program.

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

COMMENTARY

Novel Drug Misuse.

Angus DC, Milbrandt EB. AHRQ WebM&M [serial online]. July 2004.

NEWSPAPER/MAGAZINE ARTICLE

Fatal drug mix-up exposes hospital flaws.

Davies T. Washington Post. September 22, 2006.

STUDY

Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.

Vardi A, Efrati O, Levin I, et al. Resuscitation. 2007;73:400-406.

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-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.

Parshuram CS, Kirpalani H, Mehta S, Granton J, Cook D, for the Canadian Critical Care Trials Group. Crit Care Med. 2006;34:1674-78.

COMMENTARY

A case of the birth and death of a high reliability healthcare organisation.

Roberts KH, Madsen P, Desai V, Van Stralen D. Qual Saf Health Care. 2005;14:216-220.

STUDY

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.

Buckley MS, Erstad BL, Kopp BJ, Theodorou AA, Priestley G. Pediatr Crit Care Med. 2007;8:145-152.

COMMENTARY

Safety in the NICU: preventing medication errors with computerized provider order entry.

Donze A, Wolf M. Nurs Womens Health. 2007;11:612-617.

STUDY

Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit.

Nast PA, Avidan M, Harris CB, et al. J Thorac Cardiovasc Surg. 2005;130:1137.

STUDY

Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units.

Cullen DJ, Sweitzer BJ, Bates DW, Burdick E, Edmondson A, Leape LL. Crit Care Med.1997;25;1289-1297.

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