AHRQ Patient Safety Network

The Collection > Critical Care

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Safety Target

•Device-related Complications (32)

•Diagnostic Errors (8)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (29)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (74)

•Medical Complications (78)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (8)

•Transfusion Complications (2)

•Psychological and Social Complications (3)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (15)

•Central and South America (4)

Resource Types

•Journal Article (219)

•Newspaper/Magazine Article (20)

•Press Release/Announcement (2)

•Special or Theme Issue (1)

•Tools/Toolkit (1)

•Web Resource (2)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (83)

•Active Errors (49)

•Latent Errors (18)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (57)

•Legal and Policy Approaches (17)

•Error Reporting and Analysis (63)

•Communication Improvement (38)

•Human Factors Engineering (47)

•Teamwork (26)

•Specialization of Care (65)

•Logistical Approaches (14)

•Culture of Safety (40)

•Technologic Approaches (48)

•Education and Training (37)

Clinical Areas
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Critical Care

Target Audience

•Health Care Providers (169)

•Health Care Executives and Administrators (207)

•Non-Health Care Professionals (87)

•Patients (16)

Setting of Care

•Hospitals (247)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (1)

•Patient Transport (3)

1 - 20 of 253

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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

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

REVIEW

Rapid response systems as a patient safety strategy: a systematic review.

Winters BD, Weaver SJ, Pfoh ER, Yang T, Pham JC, Dy SM. Ann Intern Med. 2013;158(5 Part 2):417-425.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

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

STUDY

Description of inpatient medication management using cognitive work analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

Parents sue over babies' heparin overdoses: infants were given too much heparin at Methodist Hospital.

Higgins W. Indianapolis Star. September 13, 2008;News section:A1

NEWSPAPER/MAGAZINE ARTICLE

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

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Can high tech save your life?

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

STUDY

Rapid response systems: a prospective study of response times.

Adelstein BA, Piza MA, Nayyar V, Mudaliar Y, Klineberg PL, Rubin G. J Crit Care. 2011;26:635.e11-635.e18.

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.

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.

COMMENTARY

Double Dosing, by the Rules

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

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

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

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.

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.

COMMENTARY

Central Line Clot.

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

STUDY

Toward learning from patient safety reporting systems.

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

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

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