AHRQ Patient Safety Network

The Collection > Critical Care

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Safety Target

•Device-related Complications (65)

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•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (61)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (125)

•Medical Complications (167)

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•Clinical Guideline (2)

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Error Types

•Epidemiology of Errors and Adverse Events (160)

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Approach to Improving Safety

•Quality Improvement Strategies (117)

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Clinical Areas
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Critical Care

Target Audience

•Health Care Providers (345)

•Health Care Executives and Administrators (409)

•Non-Health Care Professionals (133)

•Patients (25)

Setting of Care

•Hospitals (487)

•Psychiatric Facilities (1)

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1 - 20 of 508

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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

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

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.

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

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.

Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Pediatrics. 2011;127:436-444.

STUDY

NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.

Stavroudis TA, Shore AD, Morlock L, Hicks RW, Bundy D, Miller MR. J Perinatol. 2010;30:459-468.

REVIEW

The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review.

van Rosse F, Maat B, Rademaker CMA, van Vught AJ, Egberts ACG, Bollen CW. Pediatrics. 2009;123:1184-1190.

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

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

Berenholtz SM, Pham JC, Thompson DA, et al. Infect Control Hosp Epidemiol. 2011;32:305-314.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

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

Inappropriate medications in elderly ICU survivors: where to intervene?

Morandi A, Vasilevskis EE, Pandharipande PP, et al. Arch Intern Med. 2011;171:1032-1034.

STUDY

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.

STUDY

Building collaborative teams in neonatal intensive care.

Brodsky D, Gupta M, Quinn M, et al. BMJ Qual Saf. 2013;374-382.

STUDY

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.

Halbesleben JRB, Savage GT, Wakefield DS, Wakefield BJ. Health Care Manage Rev. 2010;35:124-133.

PRESS RELEASE/ANNOUNCEMENT

Serious medication errors from intravenous administration of nimodipine oral capsules.

MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; August 2, 2010.

STUDY

The ability of intensive care units to maintain zero central line–associated bloodstream infections.

Lipitz-Snyderman A, Needham DM, Colantuoni E, et al. Arch Intern Med. 2011;171:856-858.

REVIEW

Computerized physician order entry in the critical care environment: a review of current literature.

Maslove DM, Rizk N, Lowe HJ. J Intensive Care Med. 2011;26:165-171.

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.

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