Study Assessing system failures in operating rooms and intensive care units. Citation Text: van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care. 2007;16(1):45-50. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 7, 2007 van Beuzekom M, Akerboom SP, Boer F. Qual Saf Health Care. 2007;16(1):45-50. View more articles from the same authors. The authors describe an instrument for identifying failures in the intensive care unit (ICU) and operating room to help organizations gain insight into system failures in those high-risk environments. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care. 2007;16(1):45-50. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Patient safety: latent risk factors. July 14, 2010 Intra-operative monitoring—many alarms with minor impact. September 18, 2013 The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial. June 18, 2014 Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. March 4, 2009 Crew resource management in the intensive care unit: a prospective 3-year cohort study. July 1, 2015 Peer support: healthcare professionals supporting each other after adverse medical events. 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October 22, 2014 View More See More About The Topic Intensive Care Units Operating Room Health Care Providers Facility and Group Administrators Quality and Safety Professionals View More
The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial. June 18, 2014
Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. March 4, 2009
Peer support: healthcare professionals supporting each other after adverse medical events. August 20, 2008
Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic stress symptoms, anxiety, and depression: a meta-analysis. January 30, 2005
Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. May 19, 2010
Prevalence of medication transfer errors in nephrology patients and potential risk factors. November 6, 2019
Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. May 25, 2016
Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. February 22, 2006
Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. April 28, 2021
The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. October 15, 2008
Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument. July 16, 2008
Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. July 15, 2009
The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. March 27, 2019
Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. January 14, 2009
Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. April 26, 2017
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SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. October 23, 2013
Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. July 2, 2008
Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. March 27, 2005
Parents' medication administration errors: role of dosing instruments and health literacy. February 10, 2010
The extent and importance of unintended consequences related to computerized provider order entry. May 16, 2007
The impact of shift patterns on junior doctors' perceptions of fatigue, training, work/life balance and the role of social support. December 22, 2010
Promoting patient safety through prospective risk identification: example from peri-operative care. March 17, 2010
Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. September 28, 2011
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The use of pharmaceuticals for dialysis patients. How well do we know our patients' allergies? March 11, 2009
Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. September 29, 2021
Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. January 30, 2005
Exploring the causes of adverse events in hospitals and potential prevention strategies. February 24, 2010
Communication in healthcare: a narrative review of the literature and practical recommendations. July 29, 2015
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Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. July 10, 2013
The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. May 13, 2009
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Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals. July 13, 2011
From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. March 2, 2016
Differences in medication reconciliation interventions between six hospitals: a mixed method study. June 29, 2022
Building safer systems by ecological design: using restoration science to develop a medication safety intervention. April 12, 2006
Implementation of crew resource management: a qualitative study in 3 intensive care units. January 7, 2015
Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. March 23, 2011
Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. January 19, 2011
Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. August 13, 2014
Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. November 17, 2010
Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. March 21, 2007
Drug administration errors in an institution for individuals with intellectual disability: an observational study. August 29, 2007
Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. February 3, 2016
A comprehensive obstetrics patient safety program improves safety climate and culture. April 20, 2011
Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. January 25, 2012
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 6, 2013
Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. March 18, 2015
Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. December 8, 2010
A comprehensive obstetric patient safety program reduces liability claims and payments. June 25, 2014
Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. May 28, 2014
Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. December 6, 2006
Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. January 3, 2007
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. October 20, 2010
Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. May 11, 2016
Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison. February 25, 2009
The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. February 22, 2012
Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. June 7, 2017
Are incorrectly used drugs more frequently involved in adverse drug reactions? A prospective study. May 4, 2005
Nurses' and patients' appraisals show patient safety in hospitals remains a concern. November 21, 2018
So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. July 5, 2023
What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States. June 21, 2023
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
Using a learning system approach to improve safety for prone-position ventilation patients. April 26, 2023
Evaluating patient identification practices during intrahospital transfers: a human factors approach. March 29, 2023
Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis March 15, 2023
Interprofessional team collaboration and work environment health in 68 US intensive care units. November 30, 2022
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Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022
Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. March 23, 2022
Care transition of trauma patients: processes with articulation work before and after handoff. February 16, 2022
Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022
Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. November 10, 2021
Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. July 21, 2021
Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children. June 30, 2021
Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. June 9, 2021
Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. February 3, 2021
Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020
Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. March 11, 2020
Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. November 6, 2019
Clinical impact of intraoperative electronic health record downtime on surgical patients. April 24, 2019
Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program. October 11, 2017
Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. August 31, 2016
Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial. March 18, 2015
Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. October 22, 2014