AHRQ Patient Safety Network

The Collection > Critical Care

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Safety Target

•Device-related Complications (48)

•Diagnostic Errors (11)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (45)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (111)

•Medical Complications (129)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (11)

•Transfusion Complications (2)

•Psychological and Social Complications (4)

Origin/Sponsor

•Africa (1)

•Asia (3)

•Australia and New Zealand (13)

•Central and South America (4)

Resource Types

•Clinical Guideline (2)

•Journal Article (331)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (28)

•Press Release/Announcement (2)

•Special or Theme Issue (3)

•Web Resource (3)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (125)

•Active Errors (63)

•Latent Errors (16)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (89)

•Legal and Policy Approaches (17)

•Error Reporting and Analysis (90)

•Communication Improvement (57)

•Human Factors Engineering (64)

•Teamwork (42)

•Specialization of Care (107)

•Logistical Approaches (23)

•Culture of Safety (56)

•Technologic Approaches (54)

•Education and Training (55)

Clinical Areas
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Critical Care

Target Audience

•Health Care Providers (262)

•Health Care Executives and Administrators (308)

•Non-Health Care Professionals (98)

•Patients (24)

Setting of Care

•Hospitals (367)

•Ambulatory Care (2)

•Patient Transport (2)

1 - 20 of 383

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AUDIOVISUAL

Nebraska Medical Center investigates staff after girl's death.

Luby R. KETV. Omaha, NE. March 31, 2010.

NEWSPAPER/MAGAZINE ARTICLE

Dennis Quaid's Quest.

Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.

NEWSPAPER/MAGAZINE ARTICLE

Baby's death spotlights safety risks linked to computerized systems.

Graham J, Dizikes C. Chicago Tribune. June 27, 2011.

STUDY

Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients.

Kaushal R, Bates DW, Abramson EL, Soukup JR, Goldmann DA. Am J Health Syst Pharm. 2008;65:1254-1260.

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.

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.

AUDIOVISUAL

Medical Mistakes: Dr. Oz Talks to Actor Dennis Quaid.

The Oprah Winfrey Show. March 10, 2009.

STUDY

Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.

Turner K, Frush K, Hueckel R, Relf MV, Thornlow D, Champagne MT. J Nurs Care Qual. 2012 Oct 31; [Epub ahead of print].

AUDIOVISUAL

Sepsis Emergency.

Tampa, FL: Sepsis Alliance; 2010.

STUDY

Rapid response teams and continuous quality improvement.

Dailey MS, Durkin S, Gulczynski B, Kearney M, Loeb B, Pouliot J. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.

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

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Practicing on patients, real and otherwise.

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

NEWSPAPER/MAGAZINE ARTICLE

Dangerous infections are more likely in pediatric intensive-care units.

Consumer Reports. January 26, 2012.

COMMENTARY

Improving medication safety in the ICU: the pharmacist's role.

Lee AJ, Chiao TB, Lam JT, Khan S, Boro MS. Hosp Pharm. 2007;42:337–344.

STUDY

Toward learning from patient safety reporting systems.

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

NEWSPAPER/MAGAZINE ARTICLE

Too many abandon the "second victims" of medical errors.

ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.

STUDY

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

Maiden J, Georges JM, Connelly CD. Dimens Crit Care Nurs. 2011;30:339-345.

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.

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