AHRQ Patient Safety Network

The Collection > Critical Care

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Safety Target

•Device-related Complications (59)

•Diagnostic Errors (12)

•Identification Errors (2)

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

•Fatigue and Sleep Deprivation (6)

•Medication Safety (97)

•Medical Complications (137)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (17)

•Transfusion Complications (3)

•Psychological and Social Complications (4)

Origin/Sponsor

•Africa (1)

•Asia (7)

•Australia and New Zealand (29)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (340)

•Newspaper/Magazine Article (27)

•Press Release/Announcement (5)

•Special or Theme Issue (4)

•Tools/Toolkit (2)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (119)

•Active Errors (71)

•Latent Errors (24)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (92)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (86)

•Communication Improvement (76)

•Human Factors Engineering (75)

•Teamwork (54)

•Specialization of Care (97)

•Logistical Approaches (22)

•Culture of Safety (69)

•Technologic Approaches (55)

•Education and Training (67)

Clinical Areas
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Critical Care

Target Audience

•Health Care Providers (292)

•Health Care Executives and Administrators (324)

•Non-Health Care Professionals (111)

•Patients (24)

Setting of Care

•Hospitals (379)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (3)

•Patient Transport (6)

1 - 20 of 394

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COMMENTARY

Intubation Mishap.

Weinger MB, Blike GT. AHRQ WebM&M [serial online]. September 2003.

STUDY

Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.

Mayer CM, Cluff L, Lin WT, et al. Jt Comm J Qual Patient Saf. 2011;37:365-374.

REVIEW

Teamwork in obstetric critical care.

Guise JM, Segel S. Best Pract Res Clin Obstet Gynaecol. 2008;22:937-951.

STUDY

Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.

Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR. Pediatrics. 2010;125:539-546.

COMMENTARY

What went right: lessons for the intensivist from the crew of US Airways Flight 1549.

Eisen LA, Savel RH. Chest. 2009;136:910-917.

STUDY

Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU.

Droogh JM, Kruger HL, Ligtenberg JJM, Zijlstra JG. Jt Comm J Qual Patient Saf. 2012;38:554-559.

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

Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns.

Gordon JA, Alexander EK, Lockley SW, et al; Harvard Work Hours, Health, and Safety Group (Boston, Massachusetts). Acad Med. 2010;85:1583-1588.

STUDY

Determination of health-care teamwork training competencies: a Delphi study.

Clay-Williams R, Braithwaite J. Int J Qual Health Care. 2009;21:433-440.

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].

NEWSPAPER/MAGAZINE ARTICLE

Practicing on patients, real and otherwise.

Chen PW. New York Times. January 28, 2010.

STUDY

Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk.

Berkenstadt H, Haviv Y, Tuval A, et al. Chest. 2008;134:158-162.

STUDY

Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme.

Neily J, Mills PD, Lee P, et al. Qual Saf Health Care. 2010;19:360-364.

STUDY

Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents.

Hayes CW, Rhee A, Detsky ME, Leblanc VR, Wax RS. Crit Care Med. 2007;35:1668-1672.

STUDY

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.

NEWSPAPER/MAGAZINE ARTICLE

Can high tech save your life?

Fischman J. US News and World Report. August 1, 2005;139:45,49-50,52.

COMMENTARY

Double Dosing, by the Rules

Cohen H. AHRQ WebM&M [serial online]. February/March 2009.

COMMENTARY

Central Line Clot.

Randolph AG. AHRQ WebM&M [serial online]. May 2003.

COMMENTARY

Code Blue—Where To?

Adams BD. AHRQ WebM&M [serial online]. October 2007.

STUDY

Building collaborative teams in neonatal intensive care.

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

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