Study Assessing system failures in operating rooms and intensive care units. Citation Text: van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care. 2007;16(1):45-50. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 7, 2007 van Beuzekom M, Akerboom SP, Boer F. Qual Saf Health Care. 2007;16(1):45-50. View more articles from the same authors. The authors describe an instrument for identifying failures in the intensive care unit (ICU) and operating room to help organizations gain insight into system failures in those high-risk environments. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care. 2007;16(1):45-50. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Patient safety: latent risk factors. July 14, 2010 The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial. June 18, 2014 Intra-operative monitoring—many alarms with minor impact. September 18, 2013 Evidence-based guidelines for fatigue risk management in emergency medical services. March 14, 2018 Can a structured checklist prevent problems with laparoscopic equipment? July 23, 2008 The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. 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The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial. June 18, 2014
The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. February 14, 2024
The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. August 10, 2022
Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. March 4, 2009
Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. January 30, 2005
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021
Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. March 23, 2011
Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. December 6, 2006
Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. July 12, 2017
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Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. July 11, 2012
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. January 20, 2021
Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison. February 25, 2009
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Building safer systems by ecological design: using restoration science to develop a medication safety intervention. April 12, 2006
Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. May 25, 2016
Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. February 13, 2008
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. May 10, 2017
Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. June 10, 2009
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Cluster randomized trial to evaluate the impact of team training on surgical outcomes. October 5, 2016
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Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents. October 6, 2010
Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. April 28, 2021
Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance February 17, 2021
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The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. March 27, 2019
Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. August 15, 2018
Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk factors. May 26, 2021
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The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. May 13, 2009
Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. March 12, 2014
Communication in healthcare: a narrative review of the literature and practical recommendations. July 29, 2015
Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. February 22, 2006
Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. July 15, 2009
Drug administration errors in an institution for individuals with intellectual disability: an observational study. August 29, 2007
Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. July 2, 2008
Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners. October 4, 2023
Exploring the causes of adverse events in hospitals and potential prevention strategies. February 24, 2010
Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians. September 26, 2018
Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. January 3, 2007
Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission. December 21, 2022
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Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. March 21, 2007
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Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. July 28, 2021
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5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. September 24, 2014
Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. July 6, 2011
Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022
If only...: failed, missed and absent error recovery opportunities in medication errors. March 10, 2010
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Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
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Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis March 15, 2023
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Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022
Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. March 23, 2022
Care transition of trauma patients: processes with articulation work before and after handoff. February 16, 2022
Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022
Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. November 10, 2021
Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. July 21, 2021
Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children. June 30, 2021
Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. June 9, 2021
Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. February 3, 2021
Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020
Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. March 11, 2020
Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. November 6, 2019
Clinical impact of intraoperative electronic health record downtime on surgical patients. April 24, 2019
Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program. October 11, 2017
Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. August 31, 2016
Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial. March 18, 2015
Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. October 22, 2014