Pediatric safety incidents from an intensive care reporting system.
Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. J Patient Saf. 2009;5:95-101.
Intensive Care Unit Safety Reporting System
(ICUSRS) is a model incident reporting system that has been used to
and improve safety for ICU patients in
. This study used ICUSRS data to characterize the types of adverse events suffered by pediatric and neonatal ICU patients. In contrast to a
, the most common types of errors involved medications and procedural complications. The authors discuss methods, such as
, that could be used to address the safety issues identified in this study.
Toward learning from patient safety reporting systems.
Pronovost PJ, Thompson DA, Holzmueller CG, et al. J Crit Care. 2006;21:305-315.
Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.
Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.
Adverse drug event reporting in intensive care units: a survey of current practices.
Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.
Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.
Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.
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