Learning from non-routine events and teamwork in intensive care units: challenges and opportunities.

Yang Gong; You Chen

Commentary

Learning from non-routine events and teamwork in intensive care units: challenges and opportunities.

February 28, 2024

Gong Y, Chen Y. Stud Health Technol Inform. 2024;310:324-328.

View more articles from the same authors.

Non-routine events (NRE), or deviations from optimal care, are latent safety threats, and their early identification and elimination can improve patient safety. This article uses an example of a medication error in the intensive care unit presented in a PSNet WebM&M case and commentary to describe NRE in the context of time-dependent tasks and teamwork, the use of real-world data to investigate them, and the challenges of identifying NRE.

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See More About The Topic

Intensive Care Units

Critical Care

Critical Care Nursing

Discontinuities, Gaps, and Hand-Off Problems

Medication Errors/Preventable Adverse Drug Events

Learning from non-routine events and teamwork in intensive care units: challenges and opportunities.

The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Critical care resource nurse team: a patient safety and quality outcomes model.

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Learning from non-routine events and teamwork in intensive care units: challenges and opportunities.

The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Critical care resource nurse team: a patient safety and quality outcomes model.

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