An analysis of near misses identified by anesthesia providers in the intensive care unit. | PSNet

Provide Feedback |

Register

Study

An analysis of near misses identified by anesthesia providers in the intensive care unit.

July 15, 2015

Lipshutz AKM, Caldwell JE, Robinowitz DL, et al. BMC Anesthesiol. 2015;15:93.

View more articles from the same authors.

This analysis of near misses in intensive care unit patients that were voluntarily reported by anesthesiologists found that the majority could be ascribed to one of five contributing factors, including a poor culture of safety and insufficient communication between teams.

PubMed citation

Related Resources From the Same Author(s)

Preventing harm in the ICU—building a culture of safety and engaging patients and families.

August 17, 2017

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety.

July 19, 2023

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Families as partners in hospital error and adverse event surveillance.

April 24, 2018

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Medication errors associated with code situations in U.S. hospitals: direct and collateral damage.

January 6, 2017

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

Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons.

August 21, 2024

View More

Related Resources

Finding diagnostic errors in children admitted to the PICU.

April 13, 2017

The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events.

September 21, 2016

An observational study of adult admissions to a medical ICU due to adverse drug events.

March 16, 2016

Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system.

February 10, 2016

Understanding medical errors and adverse events in ICU patients.

January 22, 2016

Explaining Michigan: developing an ex post theory of a quality improvement program.

April 21, 2015

A systematic review of adult admissions to ICUs related to adverse drug events.

January 28, 2015

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.

October 31, 2014

Medication errors during medical emergencies in a large, tertiary care, academic medical center.

June 13, 2012

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.

August 26, 2011

View More

See More About The Topic

Intensive Care Units

Health Care Executives and Administrators

Medication Errors/Preventable Adverse Drug Events

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364