AHRQ Patient Safety Network

The Collection > Critical Care

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Safety Target

•Device-related Complications (64)

•Diagnostic Errors (14)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (64)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (127)

•Medical Complications (169)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (22)

•Transfusion Complications (4)

•Psychological and Social Complications (5)

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•Africa (2)

•Asia (8)

•Australia and New Zealand (43)

•Central and South America (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (465)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (30)

•Press Release/Announcement (4)

•Special or Theme Issue (5)

•Tools/Toolkit (2)

•Web Resource (3)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (163)

•Active Errors (80)

•Latent Errors (27)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (120)

•Legal and Policy Approaches (22)

•Error Reporting and Analysis (131)

•Communication Improvement (86)

•Human Factors Engineering (88)

•Teamwork (70)

•Specialization of Care (150)

•Logistical Approaches (34)

•Culture of Safety (71)

•Technologic Approaches (65)

•Education and Training (75)

Clinical Areas
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Critical Care

Target Audience

•Health Care Providers (347)

•Health Care Executives and Administrators (415)

•Non-Health Care Professionals (137)

•Patients (25)

Setting of Care

•Hospitals (505)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (3)

•Patient Transport (6)

1 - 20 of 526

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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

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

Galhotra S, Devita MA, Dew MA, Simmons RL. Qual Saf Health Care. 2010;19:e38.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

REVIEW

Rapid response teams: a systematic review and meta-analysis.

Chan PS, Jain R, Nallmothu BK, Berg RA, Sasson C. Arch Intern Med. 2010;170:18-26.

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

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.

COMMENTARY

Evolution of a rapid response system from voluntary to mandatory activation.

Jones CM, Bleyer AJ, Petree B. Jt Comm J Qual Patient Saf. 2010;36:266-270.

STUDY

Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.

Hravnak M, Edwards L, Clontz A, Valenta C, DeVita MA, Pinsky MR. Arch Intern Med. 2008;168:1300-1308.

STUDY

Clinical triggers: an alternative to a rapid response team.

Moldenhauer K, Sabel A, Chu ES, Mehler PS. Jt Comm J Qual Patient Saf. 2009;35:164-174.

STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

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

Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.

Mackintosh N, Rainey H, Sandall J. BMJ Qual Saf. 2012;22:135-144.

STUDY

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.

Joffe AR, Anton NR, Burkholder SC. Arch Pediatr Adolesc Med. 2011;165:419-423.

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.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.

COMMENTARY

The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care.

Schwartz JM, Nelson KL, Saliski M, Hunt EA, Pronovost PJ. Jt Comm J Qual Patient Saf. 2008;34:608-613.

STUDY

Prevalence of copied information by attendings and residents in critical care progress notes.

Thornton JD, Schold JD, Venkateshaiah L, Lander B. Crit Care Med. 2013;41:382-388.

STUDY

Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases.

Bell CM, Brener SS, Gunraj N, et al. JAMA. 2011;306:840-847.

STUDY

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care?

Mandell SP, Robinson EF, Cooper CL, Klein MB, Gibran NS. J Burn Care Res. 2010;31:125-129.

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