Study Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm. Citation Text: Vasilevskis EE, Ely W, Speroff T, et al. Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasm. Chest. 2010;138(5):1224-33. doi:10.1378/chest.10-0466. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL November 24, 2010 Vasilevskis EE, Ely W, Speroff T, et al. Chest. 2010;138(5):1224-33. View more articles from the same authors. This commentary presents a structured approach to identifying and preventing two common complications of intensive care, delirium and critical illness myopathy. PubMed citation Available at Related editorial Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Vasilevskis EE, Ely W, Speroff T, et al. Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasm. Chest. 2010;138(5):1224-33. doi:10.1378/chest.10-0466. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Interprofessional team collaboration and work environment health in 68 US intensive care units. November 30, 2022 Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. August 29, 2007 Measuring and comparing safety climate in intensive care units. March 17, 2010 Moving beyond readmission penalties: creating an ideal process to improve transitional care. January 16, 2013 Organisational culture: variation across hospitals and connection to patient safety climate. January 5, 2011 Automated identification of postoperative complications within an electronic medical record using natural language processing. 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Interprofessional team collaboration and work environment health in 68 US intensive care units. November 30, 2022
Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. August 29, 2007
Moving beyond readmission penalties: creating an ideal process to improve transitional care. January 16, 2013
Organisational culture: variation across hospitals and connection to patient safety climate. January 5, 2011
Automated identification of postoperative complications within an electronic medical record using natural language processing. August 31, 2011
The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. June 14, 2017
U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. April 11, 2018
Assessment of adverse drug events among patients in a tertiary care medical center. November 29, 2006
The association of the nurse work environment and patient safety in pediatric acute care. January 16, 2019
Hospital admission medication reconciliation in medically complex children: an observational study. April 21, 2010
Understanding patient-centred readmission factors: a multi-site, mixed-methods study. January 25, 2017
Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. September 23, 2020
Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. March 28, 2007
Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. November 11, 2009
Performance-based payment incentives increase burden and blame for hospital nurses. February 16, 2011
Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. September 2, 2009
The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). February 12, 2020
Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. September 24, 2014
Differences in the rates of patient safety events by payer: implications for providers and policymakers. May 13, 2015
The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. August 25, 2021
Preventability and causes of readmissions in a national cohort of general medicine patients. May 4, 2016
Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. August 19, 2015
The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. June 23, 2010
Medication error reporting in nursing homes: identifying targets for patient safety improvement. February 17, 2010
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Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient? November 10, 2010
The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. May 6, 2015
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Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009--2014. September 27, 2017
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User-centered collaborative design and development of an inpatient safety dashboard. September 20, 2017
Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. July 20, 2011
Automated and electronically assisted hand hygiene monitoring systems: a systematic review. June 18, 2014
Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure. June 29, 2005
Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. January 3, 2007
Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare. April 19, 2017
The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts. January 25, 2017
Reconcilable differences: correcting medication errors at hospital admission and discharge. April 19, 2006
Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 27, 2005
Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. January 11, 2023
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Shifting supervision: implications for safe administration of medication by nursing students. November 5, 2008
Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. December 23, 2020
Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. May 13, 2020
From research to practice: factors affecting implementation of prospective targeted injury-detection systems. June 8, 2011
Learning from malpractice claims about negligent, adverse events in primary care in the United States. March 6, 2005
Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument. November 29, 2006
Auto identification technology and its impact on patient safety in the operating room of the future. May 9, 2007
Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia. March 3, 2010
Shortage of perioperative drugs: implications for anesthesia practice and patient safety. June 8, 2011
Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. March 23, 2022
Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. March 23, 2022
Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. February 3, 2021
Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. February 27, 2019
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
Safety of the Manchester Triage System to detect critically ill children at the emergency department. August 17, 2016
Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. January 7, 2015
Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. October 22, 2014
The morbidity and mortality conference in PICUs in the United States: a national survey. September 24, 2014
Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. August 20, 2014
Eliminating central line-associated bloodstream infections: a national patient safety imperative. January 15, 2014
Management of arterial lines and blood sampling in intensive care: a threat to patient safety. January 8, 2014
Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. October 23, 2013
Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries. July 31, 2013
Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients. February 27, 2013
Prevalence of copied information by attendings and residents in critical care progress notes. January 23, 2013
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. February 29, 2012
The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. October 26, 2011
Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. October 26, 2011
A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. September 7, 2011
Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. August 24, 2011