@article{4728, keywords = {adverse events, intensive care unit, medical error, outcomes, systematic review}, author = {Adil H. Ahmed and Jyothsna Giri and Rahul Kashyap and Balwinder Singh and Yue Dong and Oguz Kilickaya and Patricia J. Erwin and Hassan Murad and Brian W. Pickering}, title = {Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis.}, abstract = {

Adverse events and medical errors (AEs/MEs) are more likely to occur in the intensive care unit (ICU). Information about the incidence and outcomes of such events is conflicting. A systematic review and meta-analysis were conducted to examine the effects of MEs/AEs on mortality and hospital and ICU lengths of stay among ICU patients. Potentially eligible studies were identified from 4 major databases. Of 902 studies screened, 12 met the inclusion criteria, 10 of which are included in the quantitative analysis. Patients with 1 or more MEs/AEs (vs no MEs/AEs) had a nonsignificant increase in mortality (odds ratio = 1.5; 95% confidence interval [CI] = 0.98-2.14) but significantly longer hospital and ICU stays; the mean difference (95% CI) was 8.9 (3.3-14.7) days for hospital stay and 6.8 (0.2-13.4) days for ICU. The ICU environment is associated with a substantial incidence of MEs/AEs, and patients with MEs/AEs have worse outcomes than those with no MEs/AEs.

}, year = {2015}, journal = {Am J Med Qual}, volume = {30}, pages = {23-30}, month = {12/2015}, issn = {1555-824X}, doi = {10.1177/1062860613514770}, language = {eng}, }