Study Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm. Citation Text: Vasilevskis EE, Ely W, Speroff T, et al. Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasm. Chest. 2010;138(5):1224-33. doi:10.1378/chest.10-0466. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL November 24, 2010 Vasilevskis EE, Ely W, Speroff T, et al. Chest. 2010;138(5):1224-33. View more articles from the same authors. This commentary presents a structured approach to identifying and preventing two common complications of intensive care, delirium and critical illness myopathy. PubMed citation Available at Related editorial Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Vasilevskis EE, Ely W, Speroff T, et al. Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasm. Chest. 2010;138(5):1224-33. doi:10.1378/chest.10-0466. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Interprofessional team collaboration and work environment health in 68 US intensive care units. November 30, 2022 Perspective Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit December 1, 2012 Inappropriate medications in elderly ICU survivors: where to intervene? June 29, 2011 Organisational culture: variation across hospitals and connection to patient safety climate. January 5, 2011 Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. 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Interprofessional team collaboration and work environment health in 68 US intensive care units. November 30, 2022
Perspective Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit December 1, 2012
Organisational culture: variation across hospitals and connection to patient safety climate. January 5, 2011
Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. August 29, 2007
Automated identification of postoperative complications within an electronic medical record using natural language processing. August 31, 2011
The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. June 14, 2017
Moving beyond readmission penalties: creating an ideal process to improve transitional care. January 16, 2013
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021
Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. September 23, 2020
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022
Understanding patient-centred readmission factors: a multi-site, mixed-methods study. January 25, 2017
Preventability and causes of readmissions in a national cohort of general medicine patients. May 4, 2016
Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009--2014. September 27, 2017
The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). February 12, 2020
Assessment of adverse drug events among patients in a tertiary care medical center. November 29, 2006
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020
The association of the nurse work environment and patient safety in pediatric acute care. January 16, 2019
Artificial intelligence and healthcare: a journey through history, present innovations, and future possibilities. June 12, 2024
Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023
Performance-based payment incentives increase burden and blame for hospital nurses. February 16, 2011
Characteristics of medical professional liability claims in patients with cardiovascular diseases. April 21, 2010
U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. April 11, 2018
The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. February 10, 2021
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. December 19, 2018
Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. November 11, 2009
Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. December 11, 2013
Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. December 13, 2023
Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. May 31, 2023
A blinded, prospective study of error detection during physician chart rounds in radiation oncology. October 14, 2020
Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. December 1, 2010
Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. June 12, 2024
Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. May 16, 2018
Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. September 12, 2018
The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. June 23, 2010
Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. July 20, 2011
Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial. October 26, 2022
Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. February 13, 2008
Association between long-term opioid use in family members and persistent opioid use after surgery among adolescents and young adults. March 13, 2019
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. February 17, 2021
Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing. June 3, 2020
Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. November 18, 2015
Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. June 8, 2022
Parents' understanding of medication at discharge and potential harm in children with medical complexity. December 20, 2023
Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. September 2, 2009
Journal Article Study Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. March 29, 2023
Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. March 13, 2024
Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. July 25, 2012
Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. May 11, 2016
Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. December 14, 2005
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. June 28, 2023
Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. December 6, 2006
Association of patient and family reports of hospital safety climate with language proficiency in the US. June 29, 2022
I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. March 10, 2019
Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. June 25, 2014
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. February 9, 2011
Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. June 7, 2023
Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. December 2, 2020
Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion. December 2, 2020
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. March 7, 2018
Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. April 13, 2016
Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. January 3, 2007
WebM&M Cases A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024
Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. March 23, 2022
Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. March 23, 2022
Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. February 3, 2021
Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. February 27, 2019
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
Safety of the Manchester Triage System to detect critically ill children at the emergency department. August 17, 2016
Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. January 7, 2015
Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. October 22, 2014
The morbidity and mortality conference in PICUs in the United States: a national survey. September 24, 2014
Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. August 20, 2014
Eliminating central line-associated bloodstream infections: a national patient safety imperative. January 15, 2014
Management of arterial lines and blood sampling in intensive care: a threat to patient safety. January 8, 2014
Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. October 23, 2013
Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries. July 31, 2013
Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients. February 27, 2013
Prevalence of copied information by attendings and residents in critical care progress notes. January 23, 2013
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. February 29, 2012
The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. October 26, 2011
Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. October 26, 2011
A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. September 7, 2011