Error in intensive care: psychological repercussions and defense mechanisms among health professionals.

Alexandra Laurent; Laurence Aubert; Khadija Chahraoui; Antoine Bioy; André Mariage; Jean-Pierre Quenot; Gilles Capellier

Study

Error in intensive care: psychological repercussions and defense mechanisms among health professionals.

October 29, 2014

Laurent A, Aubert L, Chahraoui K, et al. Crit Care Med. 2014;42(11):2370-8.

View more articles from the same authors.

This interview study found that physicians and nurses experience guilt and shame following errors, echoing previous studies of the health care provider as the second victim in adverse events. A past AHRQ WebM&M interview with Dr. Albert Wu discusses the impact of errors on health care providers.

PubMed citation

Available at

Related Resources From the Same Author(s)

Medical errors reported by French general practitioners in training: results of a survey and individual interviews.

April 4, 2012

Trend analysis of radiation therapy incidents over seven years.

August 25, 2010

Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence.

December 14, 2016

Predicting and preventing adverse drug reactions in the very old.

June 8, 2005

Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences.

May 28, 2014

Error disclosure in neonatal intensive care: a multicentre, prospective, observational study.

May 10, 2023

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation.

October 20, 2021

Dispensing error rate in a highly automated mail-service pharmacy practice.

November 23, 2005

Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs.

February 1, 2012

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

January 28, 2015

Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know?

October 6, 2010

Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department.

April 20, 2022

Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs.

March 12, 2014

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

March 16, 2016

Do pharmacist-led medication reviews in hospitals help reduce hospital readmissions? A systematic review and meta-analysis.

October 19, 2016

Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomised crossover study.

October 18, 2017

The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture.

February 4, 2015

Breaking the mould in patient safety.

July 15, 2009

Effect of computerisation on the quality and safety of chemotherapy prescription.

January 3, 2007

Influence of shift duration on cognitive performance of emergency physicians: a prospective cross-sectional study.

August 29, 2018

Mortality due to hospital-acquired infection after cardiac surgery.

June 1, 2022

Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.

February 10, 2010

Overview of adverse events related to invasive procedures in the intensive care unit.

May 30, 2012

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

June 8, 2005

Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency.

March 11, 2009

Insensible losses: when the medical community forgets the family.

May 6, 2015

Risk, society and system failure.

August 30, 2006

The relationship of self-report of quality to practice size and health information technology.

October 10, 2012

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.

April 13, 2011

Redesigning hospital alarms for patient safety: alarmed and potentially dangerous.

March 12, 2014

All consumer medication information is not created equal: implications for medication safety.

April 19, 2017

Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study.

August 10, 2016

Clinical care checklists: salvations or frustrations?

June 1, 2011

Liability reform should make patients safer: "Avoidable classes of events" are a key improvement.

October 19, 2005

Producing effective treatment, enhancing safety: medical physicists' strategies to ensure quality in radiotherapy.

September 19, 2012

Consumer-directed technologies to improve medication management and safety.

April 24, 2019

Towards a framework for managing risk associated with technology-induced error.

April 5, 2017

Health technology, quality and safety in a learning health system.

February 15, 2023

A safety maturity model for technology-induced errors.

February 9, 2022

Patient safety climate: a study of Southern California healthcare organizations.

September 5, 2018

Using simulation to prepare nursing staff for the move to a new building.

April 26, 2017

Tablet-splitting: a common yet not so innocent practice.

January 19, 2011

Predictors of prescription errors involving anticancer chemotherapy agents.

February 15, 2012

Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.

June 2, 2021

Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions.

March 18, 2015

A handoff is not a telegram: an understanding of the patient is co-constructed.

March 7, 2012

Using root cause analysis to reduce falls with injury in the psychiatric unit.

March 21, 2012

Using root cause analysis to reduce falls with injury in community settings.

August 1, 2012

From tragedy to advocacy.

September 30, 2009

Changing course.

November 18, 2009

Still hard to share. PSOs making progress but still face tech hurdles.

November 4, 2009

AHRQ presses on: no rule yet, but agency taps 10 safety organizations.

November 26, 2008

An innovative collaborative model of care for undiagnosed complex medical conditions.

May 31, 2017

Recognition and management of potential drug-drug interactions in patients on internal medicine wards.

November 21, 2007

Discussion of medical errors in morbidity and mortality conferences.

March 6, 2005

Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences.

June 19, 2013

Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands.

October 1, 2008

Approaches for improving continuity of care in medication management: a systematic review.

October 9, 2013

Differential impact of a crew resource management program according to professional specialty.

February 15, 2012

Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019.

July 29, 2020

Medical emergency teams: a strategy for improving patient care and nursing work environments.

June 28, 2006

Impact of including readmissions for qualifying events in the Patient Safety Indicators.

April 22, 2015

Patient safety climate in US hospitals: variation by management level.

November 12, 2008

Will my patient fall?

January 17, 2007

Are personal health records (PHRs) facilitating patient safety? A scoping review.

June 15, 2022

The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation.

May 3, 2017

Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review.

August 7, 2019

Exploration of a rapid response team model of care: a descriptive dual methods study.

September 21, 2022

Social disparities in patient safety in primary care: a systematic review.

August 22, 2018

Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.

August 9, 2017

The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review.

April 15, 2009

Sterile compounding: clinical, legal, and regulatory implications for patient safety.

February 4, 2015

Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge.

December 17, 2014

Implementing a distraction-free practice with the Red Zone Medication Safety initiative.

June 8, 2016

Root cause analysis of serious adverse events among older patients in the Veterans Health Administration.

May 28, 2014

How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care.

December 21, 2022

Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital.

August 19, 2009

Success in hospital-acquired pressure ulcer prevention: a tale in two data sets.

December 12, 2018

Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study.

February 15, 2017

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.

August 5, 2009

The ‘new view’ of human error. Origins, ambiguities, successes and critiques.

September 14, 2022

Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.

November 7, 2018

Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions.

February 24, 2021

Barriers to staff adoption of a surgical safety checklist.

November 30, 2011

Use of maternal early warning trigger tool reduces maternal morbidity.

April 6, 2016

Differences in the reporting of care-related patient injuries to existing reporting systems.

March 6, 2005

Intensive care unit safety culture and outcomes: a US multicenter study.

May 12, 2010

Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error.

December 4, 2019

Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams.

April 19, 2017

Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum.

August 13, 2014

Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study.

August 17, 2011

Antibiotic prescribing errors in patients discharged from the pediatric emergency department.

March 30, 2022

Relationship of safety climate and safety performance in hospitals.

April 1, 2009

The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events.

February 25, 2015

Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework.

November 13, 2019

Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions.

March 30, 2022

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.

December 15, 2021

A review of educational philosophies as applied to radiation safety training at medical institutions.

May 24, 2006

Managing clinical failure: a complex adaptive system perspective.

May 30, 2007

Quality improvement implementation and hospital performance on patient safety indicators.

January 31, 2006

Related Resources

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.

November 30, 2022

July 20, 2022

Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims

May 11, 2022

Humanizing harm: using a restorative approach to heal and learn from adverse events.

May 4, 2022

We are not there yet: a qualitative system probing study of a hospital rapid response system.

April 20, 2022

Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff.

September 22, 2021

Psychological safety in intensive care unit rounding teams.

July 21, 2021

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors.

July 14, 2021

The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study.

June 16, 2021

COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network.

March 17, 2021

Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review.

February 3, 2021

Patient and visitor aggression in healthcare: a survey exploring organisational safety culture and team efficacy.

June 19, 2019

Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta-analysis.

May 1, 2019

Intensive care medicine in 2050: preventing harm.

May 1, 2019

Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.

November 7, 2018

The practice of respect in the ICU.

August 1, 2018

Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit.

February 28, 2018

Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections.

June 14, 2017

Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis.

May 24, 2017

Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios.

December 7, 2016

Safe implementation of standard concentration infusions in paediatric intensive care.

August 24, 2016

Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study.

August 10, 2016

Increased risk of burnout for physicians and nurses involved in a patient safety incident.

June 15, 2016

'Just culture': improving safety by achieving substantive, procedural and restorative justice.

May 25, 2016

Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units.

March 30, 2016

Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project.

February 17, 2016

'Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients' perception of safety in the intensive care unit.

November 11, 2015

The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety.

November 11, 2015

Analysis of medication prescribing errors in critically ill children.

October 21, 2015

See More About The Topic

Intensive Care Units

Health Care Executives and Administrators

Organizational Behaviorists

Critical Care

Psychological and Social Complications

Error in intensive care: psychological repercussions and defense mechanisms among health professionals.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Error in intensive care: psychological repercussions and defense mechanisms among health professionals.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site