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 (60)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (124)

•Medical Complications (167)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (20)

•Transfusion Complications (4)

•Psychological and Social Complications (5)

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•Africa (1)

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Resource Types

•Clinical Guideline (2)

•Journal Article (445)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (29)

•Press Release/Announcement (4)

•Special or Theme Issue (5)

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Error Types

•Epidemiology of Errors and Adverse Events (160)

•Active Errors (77)

•Latent Errors (25)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (117)

•Legal and Policy Approaches (22)

•Error Reporting and Analysis (124)

•Communication Improvement (83)

•Human Factors Engineering (85)

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•Specialization of Care (136)

•Logistical Approaches (34)

•Culture of Safety (68)

•Technologic Approaches (64)

•Education and Training (72)

Clinical Areas
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Critical Care

Target Audience

•Health Care Providers (345)

•Health Care Executives and Administrators (407)

•Non-Health Care Professionals (133)

•Patients (25)

Setting of Care

•Hospitals (484)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (3)

•Patient Transport (5)

1 - 20 of 505

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COMMENTARY

A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.

Carspecken CW, Sharek PJ, Longhurst C, Pageler NM. Pediatrics. 2013;131:e1970-e1973.

STUDY

Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.

Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. BMJ Qual Saf. 2011;914-922.

STUDY

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

Morriss FH, Jr, Abramowitz PW, Nelson SP, Milavetz G, Michael SL, Gordon SN. Am J Health Syst Pharm. 2011;68:57-62.

STUDY

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.

Morriss FH Jr, Abramowitz PW, Nelson SP, et al. J Pediatr. 2009;197:678-685.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

STUDY

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.

Nuckols TK, Bower AG, Paddock SM, et al. J Gen Intern Med. 2008;23(suppl 1):41-45.

SPECIAL OR THEME ISSUE

Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.

Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(suppl 6):S83-S264.

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

STUDY

ICU nurses' acceptance of electronic health records.

Carayon P, Cartmill R, Blosky MA, et al. J Am Med Inform Assoc. 2011;18:812-819.

STUDY

Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.

Hoonakker PL, Carayon P, Brown RL, Cartmill RS, Wetterneck TB, Walker JM. J Am Med Inform Assoc. 2013;20:252-259.

STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

Computerized order entry with limited decision support to prevent prescription errors in a PICU.

Kadmon G, Bron-Harlev E, Nahum E, Schiller O, Haski G, Shonfeld T. Pediatrics. 2009;124:945-950.

STUDY

The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance.

Ahmed A, Chandra S, Herasevich V, Gajic O, Pickering BW. Crit Care Med. 2011;39:1626-1634.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

NEWSPAPER/MAGAZINE ARTICLE

Another tragic parenteral nutrition compounding error.

ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.

STUDY

What’s past is prologue: organizational learning from a serious patient injury.

Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.

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

Toward learning from patient safety reporting systems.

Pronovost PJ, Thompson DA, Holzmueller CG, et al. J Crit Care. 2006;21:305-315.

STUDY

Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.

Thompson DA, Duling L, Holzmueller CG, et al. J Clin Outcomes Manage. 2005;12:407-412.

REVIEW

Medication errors in critical care: risk factors, prevention and disclosure.

Camiré E, Moyen E, Stelfox HT. CMAJ. 2009;180:936-943.

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