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.
An intervention to decrease catheter-related bloodstream infections in the ICU.
Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732.
Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.
Buckley MS, Erstad BL, Kopp BJ, Theodorou AA, Priestley G. Pediatr Crit Care Med. 2007;8:145-152.
Adverse drug event reporting in intensive care units: a survey of current practices.
Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.
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