AHRQ Patient Safety Network

The Collection > Critical Care

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Safety Target

•Device-related Complications (63)

•Diagnostic Errors (13)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (53)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (121)

•Medical Complications (143)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (17)

•Transfusion Complications (4)

•Psychological and Social Complications (5)

Origin/Sponsor

•Africa (2)

•Asia (6)

•Australia and New Zealand (32)

•Central and South America (5)

Resource Types

•Clinical Guideline (1)

•Journal Article (406)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (25)

•Press Release/Announcement (4)

•Special or Theme Issue (5)

•Tools/Toolkit (1)

•Web Resource (3)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (163)

•Active Errors (74)

•Latent Errors (27)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (112)

•Legal and Policy Approaches (20)

•Error Reporting and Analysis (123)

•Communication Improvement (79)

•Human Factors Engineering (84)

•Teamwork (58)

•Specialization of Care (106)

•Logistical Approaches (33)

•Culture of Safety (68)

•Technologic Approaches (62)

•Education and Training (64)

Clinical Areas
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Critical Care

Target Audience

•Health Care Providers (317)

•Health Care Executives and Administrators (377)

•Non-Health Care Professionals (124)

•Patients (21)

Setting of Care

•Hospitals (447)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (3)

•Patient Transport (6)

1 - 20 of 460

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STUDY

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.

Sinopoli DJ, Needham DM, Thompson DA, et al. J Crit Care. 2007;22:177-183.

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

A multifaceted program for improving quality of care in intensive care units: IATROREF study.

Garrouste-Orgeas M, Soufir L, Tabah A, et al; Outcomerea Study Group. Crit Care Med. 2012;40:468-476.

PRESS RELEASE/ANNOUNCEMENT classic

AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.

Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.

STUDY

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

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.

COMMENTARY

Creating the web-based intensive care unit safety reporting system.

Holzmueller CG, Pronovost PJ, Dickman F, et al. J Am Med Inform Assoc. 2005;12:130-139.

STUDY

Multiprofessional survey of protocol use in the intensive care unit.

LeBlanc JM, Kane-Gill SL, Pohlman AS, Herr DL. J Crit Care. 2012;27:738.e9-738.e17.

STUDY

Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection.

Kopp BJ, Erstad BL, Allen ME, Theodorou AA, Priestley G. Crit Care Med. 2006;34:415-425.

STUDY

Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.

Kopp BJ, Mrsan M, Erstad BL, Duby JJ. Am J Health Syst Pharm. 2007;64:2483-2487.

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.

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.

COMMENTARY

On the Other Hand

Henneman EA. AHRQ WebM&M [serial online]. May 2007.

STUDY

Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit.

Silas R, Tibballs J. Qual Saf Health Care. 2010;19:568-571.

STUDY

Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections.

Chandonnet CJ, Kahlon PS, Rachh P, et al. Pediatrics. 2013;131:e1961-e1969.

STUDY

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

Nowak JE, Brilli RJ, Lake MR, et al. Pediatr Crit Care Med. 2010;11:579-587.

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

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

Intervention to reduce transmission of resistant bacteria in intensive care.

Huskins WC, Huckabee CM, O'Grady NP, et al; STAR*ICU Trial Investigators. N Engl J Med. 2011;364:1407-1418.

STUDY

Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry.

Jozefczyk KG, Kennedy WK, Lin MJ, et al. J Pharm Pract. 2013 Mar 5; [Epub ahead of print].

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