Predictors of adverse events in patients after discharge from the intensive care unit.

Wendy Chaboyer; Lukman Thalib; Michelle Foster; Carol Ball; Brent Richards

Study

Predictors of adverse events in patients after discharge from the intensive care unit.

May 28, 2008

Chaboyer W, Thalib L, Foster M, et al. Am J Crit Care. 2008;17(3):255-63; quiz 264.

View more articles from the same authors.

This study analyzed the most common adverse events following discharge from an intensive care unit and discovered that a respiratory rate of less than 10 breaths/minute or greater than 25 breaths/minute and a heart rate of more than 110 beats/minute were significant independent predictors. Nursing care requirements also predicted adverse events in limited analyses, which the authors suggest is an area for future investigation.

PubMed citation

Free full text (PDF)

Related Resources From the Same Author(s)

Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis.

August 27, 2014

Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients.

December 8, 2021

How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.

May 29, 2019

Enhancing communication in surgery through team training interventions: a systematic literature review.

December 22, 2010

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?

November 10, 2010

Factors that influence the expected length of operation: results of a prospective study.

January 4, 2012

Interruptions and miscommunications in surgery: an observational study.

May 16, 2012

The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team.

March 4, 2015

Implementing bedside handover: strategies for change management.

October 27, 2010

The impact of organisational and individual factors on team communication in surgery: a qualitative study.

December 16, 2009

Why isn't 'time out' being implemented? An exploratory study.

March 31, 2010

Clinical handover of patients arriving by ambulance to the emergency department: a literature review.

October 13, 2010

Patient preferences for participation in patient care and safety activities in hospitals.

December 20, 2017

Older patients' engagement in hospital medication safety behaviours.

June 16, 2021

Bedside handover: quality improvement strategy to "transform care at the bedside."

November 12, 2008

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.

August 11, 2021

Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.'

August 1, 2012

The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.

June 28, 2023

How surgeons disclose medical errors to patients: a study using standardized patients.

December 7, 2005

Learning in action: developing safety improvement capabilities through action learning.

September 25, 2013

'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas.

February 27, 2008

Best practices for safe handling of products containing concentrated potassium.

August 10, 2005

Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era.

July 22, 2020

The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.

November 7, 2012

Medication safety: just a label away.

October 24, 2007

Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.

October 1, 2014

The effect of cognitive debiasing training among family medicine residents.

July 1, 2015

The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study.

February 28, 2007

Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study.

September 13, 2017

Nurses' shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety.

October 1, 2014

Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review.

January 24, 2024

Anesthesia Risk Alert program: a proactive safety initiative.

August 30, 2023

Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error.

October 5, 2016

Evaluating teamwork in a simulated obstetric environment.

May 9, 2007

Strategies for developing and recognizing faculty working in quality improvement and patient safety.

June 1, 2016

Disclosing medical errors to patients: a challenge for health care professionals and institutions.

October 21, 2009

Prevention of opioid overdose.

June 26, 2019

Incidence of speech recognition errors in the emergency department.

September 14, 2016

Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review.

October 25, 2023

Medicare's decision to withhold payment for hospital errors: the devil is in the details.

January 30, 2008

Honesty and transparency, indispensable to the clinical mission--Parts I-III.

December 15, 2021

The use of computers for clinical care: a case series of advanced US sites.

March 6, 2005

Scaling safety: the South Carolina Surgical Safety Checklist experience.

January 9, 2019

Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety.

September 16, 2015

Team communication during patient handover from the operating room: more than facts and figures.

April 24, 2013

Safe work-hour standards for parents of children with medical complexity.

January 29, 2020

'Care left undone' during nursing shifts: associations with workload and perceived quality of care.

August 14, 2013

Predictors of serious opioid-related adverse drug events in hospitalized patients.

July 8, 2020

Effectively leading for quality.

October 4, 2017

Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there?

July 12, 2023

Relationship between operating room teamwork, contextual factors, and safety checklist performance.

August 31, 2016

Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education.

April 4, 2007

Clinical predictors for unsafe direct discharge home patients from intensive care units.

October 21, 2020

Assessing the quality of patient handoffs at care transitions.

January 19, 2011

Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education.

April 30, 2008

Association between Leapfrog safe practices score and hospital mortality in major surgery.

November 30, 2011

Physicians with multiple patient complaints: ending our silence.

May 8, 2013

Clinicians in quality improvement: a new career pathway in academic medicine.

February 25, 2009

Disclosing medical errors to patients: a status report in 2007.

August 15, 2007

Disclosing harmful medical errors to patients: a time for professional action.

September 21, 2005

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.

September 26, 2007

Seeking answers, hearing silence.

August 22, 2018

Drug name confusion: preventing medication errors.

July 27, 2005

Early death after discharge from emergency departments: analysis of national US insurance claims data.

February 15, 2017

A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust.

November 9, 2022

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

March 3, 2010

JAMA professionalism: disclosure of medical error.

August 24, 2016

The effectiveness of nurse education and training for clinical alarm response and management: a systematic review.

October 4, 2017

Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error.

March 6, 2019

Disclosing errors that affect multiple patients.

June 3, 2009

Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting.

June 24, 2020

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

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

May 5, 2021

Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients.

August 30, 2023

Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.

July 10, 2013

Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context.

January 16, 2008

Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems.

March 12, 2008

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

July 16, 2008

Organizational costs of preventable medical errors.

March 6, 2005

Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings.

June 16, 2021

Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety.

February 22, 2023

Handoff tool improves transitions from the operating room to the neonatal intensive care unit.

November 8, 2023

Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review.

May 16, 2012

Elective surgical patients' narratives of hospitalization: the co-construction of safety.

March 5, 2014

Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation.

January 9, 2013

Communication-and-resolution programs: the challenges and lessons learned from six early adopters.

January 15, 2014

Quality improvement in medical education: current state and future directions.

January 18, 2012

Disclosing harmful medical errors to patients.

July 11, 2007

Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events.

June 6, 2007

Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose.

May 21, 2008

"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States.

April 17, 2024

Catheter-associated urinary tract infection reduction in a pediatric safety engagement network.

September 30, 2020

"What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings.

January 20, 2016

Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training.

November 18, 2009

Mortality trends after a voluntary checklist-based surgical safety collaborative.

May 3, 2017

How many hospital pharmacy medication dispensing errors go undetected?

January 31, 2006

Leading your organization to high reliability.

April 22, 2009

A plan for achieving significant improvement in patient safety.

April 4, 2007

A mediation skills model to manage disclosure of errors and adverse events to patients.

September 21, 2005

Effect of a weight-based prescribing method within an electronic health record on prescribing errors.

November 25, 2009

Related Resources

Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum.

September 13, 2023

A scoping review of distributed cognition in acute care clinical decision-making.

June 7, 2023

Patient Safety Innovations

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

May 31, 2023

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

May 31, 2023

Using a learning system approach to improve safety for prone-position ventilation patients.

April 26, 2023

July 20, 2022

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.

March 23, 2022

Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system.

March 23, 2022

Impact of full personal protective equipment on alertness of healthcare workers: a prospective study.

February 2, 2022

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children.

June 30, 2021

Associations between healthcare environment design and adverse events in intensive care unit.

May 26, 2021

Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study.

February 10, 2021

The effect of blue-enriched lighting on medical error rate in a university hospital ICU.

January 27, 2021

Adverse events after transition from ICU to hospital ward: a multicenter cohort study.

May 20, 2020

Evaluation of medication errors at the transition of care from an ICU to non-ICU location.

March 27, 2019

A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study.

February 6, 2019

Data omission by physician trainees on ICU rounds.

February 6, 2019

Evaluation of a measurement system to assess ICU team performance.

January 23, 2019

Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study.

August 29, 2018

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

March 7, 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

Alterations in Spanish language interpretation during pediatric critical care family meetings.

December 6, 2017

Controlled trial to improve resident sign-out in a medical intensive care unit.

August 30, 2017

Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis.

April 26, 2017

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

December 7, 2016

Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions.

September 7, 2016

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

August 17, 2016

ICU attending handoff practices: results from a national survey of academic intensivists.

December 9, 2015

Crew resource management in the intensive care unit: a prospective 3-year cohort study.

July 1, 2015

Clinical handover of the critically ill postoperative patient: an integrative review.

April 15, 2015

See More About The Topic

Intensive Care Units

Critical Care

Discontinuities, Gaps, and Hand-Off Problems

Medical Complications

Epidemiology of Errors and Adverse Events

Predictors of adverse events in patients after discharge from the intensive care unit.

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

Predictors of adverse events in patients after discharge from the intensive care unit.

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

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