Multiprofessional survey of protocol use in the intensive care unit.

Jaclyn M. LeBlanc; Sandra L. Kane-Gill; Anne S. Pohlman; Daniel L. Herr

Study

Multiprofessional survey of protocol use in the intensive care unit.

November 14, 2012

LeBlanc JM, Kane-Gill SL, Pohlman AS, et al. J Crit Care. 2012;27(6):738.e9-17.

View more articles from the same authors.

This study explores the barriers and facilitators to implementing protocols for improving patient safety in the intensive care unit.

PubMed citation

Available at

Related Resources From the Same Author(s)

Themed Issue on Innovations in Medication Safety.

August 22, 2018

Adverse drug event reporting in intensive care units: a survey of current practices.

August 2, 2006

Developing a patient safety surveillance system to identify adverse events in the intensive care unit.

June 16, 2010

Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward.

April 1, 2015

Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit.

October 11, 2006

Analysis of risk factors for adverse drug events in critically ill patients.

April 11, 2012

Clinical decision support for drug related events: moving towards better prevention.

December 21, 2016

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

June 13, 2012

A comparison of voluntarily reported medication errors in intensive care and general care units.

March 24, 2010

Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries.

July 31, 2013

The cost of opioid–related adverse drug events.

October 8, 2014

Clinical practice guideline: safe medication use in the ICU.

August 30, 2017

Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.

August 1, 2018

Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.

February 19, 2014

Technological distractions—part 1 and part 2.

February 14, 2018

Transforming the medication regimen review process using telemedicine to prevent adverse events.

December 16, 2020

From research to practice: factors affecting implementation of prospective targeted injury-detection systems.

June 8, 2011

Impact of patient safety mandates on medical education in the United States.

June 4, 2008

Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project.

January 22, 2014

Understanding interrater reliability and validity of risk assessment tools used to predict adverse clinical events.

March 15, 2017

Patterns and predictors of medication discrepancies in primary care.

July 29, 2015

Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals.

December 7, 2005

Differences in medication errors between central and remote site telepharmacies.

October 17, 2012

Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project.

September 21, 2011

June 15, 2016

A literature review of the individual and systems factors that contribute to medication errors in nursing practice.

September 16, 2009

Description of inpatient medication management using cognitive work analysis.

December 16, 2009

Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.

October 21, 2009

The Veterans Affairs shift change physician-to-physician handoff project.

February 10, 2010

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

June 8, 2005

Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology.

October 15, 2014

What is preventable harm in healthcare? A systematic review of definitions.

August 8, 2012

Medication error prevention in the school setting: a closer look.

October 19, 2011

Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery.

May 26, 2010

Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up.

October 29, 2014

Optimizing medication safety in the home.

July 15, 2015

A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion.

August 15, 2007

Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents.

July 11, 2007

Defining speaking up in the healthcare system: a systematic review.

September 20, 2023

A review of adverse event reports from emergency departments in the Veterans Health Administration.

March 18, 2020

How often are potential patient safety events present on admission?

February 27, 2008

Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.

August 3, 2016

Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors.

July 11, 2007

Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration.

December 16, 2015

Evidence-based guidelines for fatigue risk management in emergency medical services.

March 14, 2018

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety.

May 5, 2021

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

March 12, 2014

Stressful intensive care unit medical crises: how individual responses impact on team performance.

April 1, 2009

Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study.

October 24, 2018

Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses.

January 18, 2012

Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes.

December 7, 2016

Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making.

June 8, 2005

Personal digital assistant-based drug information sources: potential to improve medication safety.

May 11, 2005

Error reporting and disclosure systems: views from hospital leaders.

April 3, 2005

Drug errors and related interventions reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and prevention study.

April 24, 2013

Simulation safety first: an imperative.

February 20, 2019

National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents.

March 5, 2008

Patient self-medication--a change in hospital practice.

August 23, 2006

Patient safety in chiropractic teaching programs: a mixed methods study.

December 23, 2020

Barriers to implementing a reporting and learning patient safety system: pediatric chiropractic perspective.

October 28, 2015

Attitudes and opinions of doctors of chiropractic specializing in pediatric care toward patient safety: a cross-sectional survey.

October 19, 2016

Interventions to reduce the consequences of stress in physicians: a review and meta-analysis.

July 9, 2014

March 28, 2018

Antibiotic prescribing in ambulatory pediatrics in the United States.

January 11, 2012

National surveillance of emergency department visits for outpatient adverse drug events.

October 18, 2006

Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system.

April 21, 2005

A concept analysis of systems thinking.

January 18, 2017

Development and implementation of a patient safety program in an academic, urban emergency department.

December 13, 2006

Influence of a systems-based approach to prescribing errors in a pediatric resident clinic.

November 5, 2014

Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety.

June 9, 2021

A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era.

August 4, 2010

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.

June 1, 2011

Using information technology to improve the quality and safety of emergency care.

July 6, 2011

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?

July 23, 2008

Cough and cold medication adverse events after market withdrawal and labeling revision.

December 4, 2013

Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions.

December 12, 2007

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

February 17, 2010

Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study.

November 4, 2020

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

October 6, 2010

Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care.

November 16, 2016

Patient safety: Part I. Patient safety and the dermatologist.

August 19, 2009

Dissemination of Lean methods to improve Pap testing quality and patient safety.

April 8, 2008

Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior.

October 12, 2005

Assessment of patient safety research from an organizational ergonomics and structural perspective.

August 8, 2007

Surgical complications: disclosing adverse events and medical errors.

January 16, 2013

Contributing factors identified by hospital incident report narratives.

October 22, 2008

Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.

December 6, 2006

Crushing or splitting medications: unrecognized hazards.

January 25, 2012

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

July 14, 2010

Detecting medication administration errors.

September 18, 2019

Identification of adverse events in ground transport emergency medical services.

September 14, 2011

2019 update on medical overuse: a review.

September 25, 2019

Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer.

September 8, 2010

Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment.

September 29, 2021

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions.

October 23, 2013

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention.

February 20, 2008

Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences.

May 18, 2011

Using a potentially aggressive/violent patient huddle to improve health care safety.

January 30, 2019

An appeal for evidence-based resident duty hours reform.

September 27, 2017

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.

November 25, 2009

Related Resources

Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.

June 14, 2023

Identification of patient safety threats in a post-intensive care clinic.

May 31, 2023

Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study.

March 23, 2022

Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts.

February 7, 2022

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

July 14, 2021

Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work.

February 3, 2021

Joint Statement on Multiple Patients Per Ventilator.

April 22, 2020

New persistent opioid use after postoperative intensive care in US veterans.

June 19, 2019

WebM&M Cases

Premature Extubation

March 1, 2019

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.

February 27, 2019

Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event.

January 23, 2019

Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit.

January 23, 2019

WebM&M Cases

One Bronchoscopy, Two Errors

January 1, 2019

Failures in the respectful care of critically ill patients.

October 10, 2018

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.

March 7, 2018

Diagnostic errors in paediatric cardiac intensive care.

February 21, 2018

Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial.

January 24, 2018

Clinical practice guideline: safe medication use in the ICU.

August 30, 2017

Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events.

June 7, 2017

Rudeness and medical team performance.

April 12, 2017

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

February 8, 2017

Finding diagnostic errors in children admitted to the PICU.

February 8, 2017

Accuracy of laboratory data communication on ICU daily rounds using an electronic health record.

October 12, 2016

Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach.

August 31, 2016

Safety of the Manchester Triage System to detect critically ill children at the emergency department.

August 17, 2016

Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative.

August 3, 2016

A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury.

July 27, 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

The effect of universal glove and gown use on adverse events in intensive care unit patients.

September 30, 2015

See More About The Topic

Intensive Care Units

Health Care Providers

Health Care Executives and Administrators

Critical Care

Epidemiology of Errors and Adverse Events

Multiprofessional survey of protocol use in the intensive care unit.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Multiprofessional survey of protocol use in the intensive care unit.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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