AHRQ Patient Safety Network

The Collection > Critical Care

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Safety Target

•Device-related Complications (62)

•Diagnostic Errors (15)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (60)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (123)

•Medical Complications (163)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (20)

•Transfusion Complications (4)

•Psychological and Social Complications (5)

Origin/Sponsor

•Africa (1)

•Asia (7)

•Australia and New Zealand (31)

•Central and South America (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (444)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (28)

•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 (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 (81)

•Human Factors Engineering (85)

•Teamwork (66)

•Specialization of Care (135)

•Logistical Approaches (33)

•Culture of Safety (70)

•Technologic Approaches (64)

•Education and Training (73)

Clinical Areas
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Critical Care

Target Audience

•Health Care Providers (343)

•Health Care Executives and Administrators (403)

•Non-Health Care Professionals (128)

•Patients (25)

Setting of Care

•Hospitals (483)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (3)

•Patient Transport (6)

1 - 20 of 502

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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.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

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.

MULTI-USE WEBSITE

Medical Event Data Collection and Analysis Service (MEDCAS).

Cognitive Technologies Laboratory, University of Chicago.

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

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.

STUDY

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts.

Miller AM, Boro MS, Korman NE, Davoren JB. J Am Med Inform Assoc. 2011;18(suppl 1):i45-i50.

STUDY

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

Lin DM, Weeks K, Bauer L, et al. Am J Med Qual. 2012;27:124-129.

STUDY

Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes.

Kramer AA, Higgins TL, Zimmerman JE. Crit Care Med. 2012;40:3-10.

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

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

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

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

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

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-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

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.

STUDY

Analysis of risk factors for adverse drug events in critically ill patients.

Kane-Gill SL, Kirisci L, Verrico MM, Rothschild JM. Crit Care Med. 2012;40:823-828.

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.

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.

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