AHRQ Patient Safety Network

The Collection > Critical Care

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Safety Target

•Device-related Complications (49)

•Diagnostic Errors (12)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (48)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (96)

•Medical Complications (158)

•Nonsurgical Procedural Complications (8)

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•Clinical Guideline (2)

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•Newspaper/Magazine Article (27)

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•Special or Theme Issue (4)

•Tools/Toolkit (2)

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Error Types

•Epidemiology of Errors and Adverse Events (129)

•Active Errors (49)

•Latent Errors (19)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (94)

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•Error Reporting and Analysis (87)

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Clinical Areas
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Critical Care

Target Audience

•Health Care Providers (280)

•Health Care Executives and Administrators (325)

•Non-Health Care Professionals (102)

•Patients (22)

Setting of Care

•Hospitals (396)

•Psychiatric Facilities (1)

•Ambulatory Care (1)

•Patient Transport (2)

1 - 20 of 413

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DATABASE/DIRECTORY

The Leapfrog Hospital Survey.

Washington, DC: Leapfrog Group; 2011.

STUDY

Does the Leapfrog program help identify high-quality hospitals?

Jha AK, Orav EJ, Ridgway AB, Zheng J, Epstein AM. Jt Comm J Qual Patient Saf. 2008;34:318-325.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

STUDY

Description of inpatient medication management using cognitive work analysis.

Pingenot AA, Shanteau J, Sengstacke DN. Comput Inform Nurs. 2009;27:379-392.

COMMENTARY

Improving sepsis care through systems change: the impact of a medical emergency team.

Sarani B, Brenner SR, Gabel B, et al. Jt Comm J Qual Patient Saf. 2008;34:179-182.

STUDY

The effects of computerized provider order entry implementation on communication in intensive care units.

Hoonakker PL, Carayon P, Walker JM, Brown RL, Cartmill RS. Int J Med Inform. 2013;82:e107-e117.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

STUDY

Airway carts: a systems-based approach to airway safety.

Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.

COMMENTARY

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.

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.

COMMENTARY

Early warning systems: the next level of rapid response.

Duncan KD, McMullan C, Mills BM. Nursing. 2012;42:38-44.

STUDY

Effect of illness severity and comorbidity on patient safety and adverse events.

Naessens J, Campbell CR, Shah N, et al. Am J Med Qual. 2012;27:48-57.

COMMENTARY

The growth of rapid response systems.

Steel AC, Reynolds SF. Jt Comm J Qual Patient Saf. 2008;34:489-495.

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.

STUDY

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.

Morris DS, Schweickert W, Holena D, et al. Resuscitation. 2012;83:1434-1437.

STUDY

Rapid response team in a rural hospital.

Brown S, Anderson MA, Hill PD. Clin Nurse Spec. 2012;26:95-102.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

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

COMMENTARY

Eliminating preventable death at Ascension Health.

Tolchin S, Brush R, Lange P, Bates P, Garbo JJ. Jt Comm J Qual Patient Saf. 2007;33:145-154.

STUDY

Rapid response teams and failure to rescue: one community's experience.

Hammer JA, Jones TL, Brown SA. J Nurs Care Qual. 2012;27:352-358.

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