Evaluation of two methods for quality improvement in intensive care: Facilitated incident monitoring and retrospective medical chart review

Critical Care Medicine

Volumn 31, Issue 4, 2003, Pages 1006-1011

  Beckmann, Ursula ^a   Bohringer, Christian ^b   Carless, Ruth ^a   Gillies, Donna M ^a   Runciman, William B ^c   Wu, Albert W ^d   Pronovost, Peter ^e  

^a JOHN HUNTER HOSPITAL   (Australia)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c UNIVERSITY OF ADELAIDE   (Australia)

^d JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^e JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Adverse events; Chart review; Comparative study; Incident monitoring; Intensive care; Patient safety

Indexed keywords

ADULT; AGED; ARTICLE; ASPIRATION; AUSTRALIA; CLINICAL EXAMINATION; DIAGNOSTIC ERROR; FACILITATED INCIDENT MONITORING; HEALTH CARE INDUSTRY; HEALTH CARE QUALITY; HOSPITAL ADMISSION; HOSPITAL INFECTION; HUMAN; IATROGENIC DISEASE; INTENSIVE CARE; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MEDICAL AUDIT; MEDICAL CHART REVIEW; MEDICAL INFORMATION; NEUROLOGICAL COMPLICATION; NEWBORN INTENSIVE CARE; OUTCOMES RESEARCH; PAIN ASSESSMENT; PRIORITY JOURNAL; PROBLEM SOLVING; RESPIRATORY ARREST; STATISTICAL SIGNIFICANCE; TEAMWORK; TRAUMATOLOGY; TREATMENT OUTCOME;

EID: 0345471068     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000060016.21525.3C     Document Type: Article

References (26)

1. McLaughlin C, Kaluzny D: Quality Improvement in Health Care. Baltimore, Aspen, 1994
2. Beckmann U, West LF, Groombridge GJ, et al: The Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. The development and evaluation of an incident reporting system in intensive care. Anaesth Intensive Care 1996; 24:314-319
3. Beckmann U, Baldwin I, Hart GK, et al: The Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. An analysis of the first year of reporting. Anaesth Intensive Care 1996; 24:320-329
4. Muckart DJ, Bhagwanjee S, Aitchison JM: Adverse events in a surgical intensive care unit: A cause of increased mortality. S Afr J Surg 1994; 32:69-73
5. Welsh CH, Pedot R, Anderson RJ: Use of morning report to enhance adverse event detection. J Gen Intern Med 1996; 11:454-460
6. Qadir N, Takrouri MS, Seraj MA, et al: Critical incident reports. Middle East J Anesthesiol 1998; 14:425-432
7. Frey B, Kehrer B, Losa M, et al: Comprehensive critical incident monitoring in a neonatal-pediatric intensive care unit: Experience with the system approach. Intensive Care Med 2000; 26:69-74
8. Hart GK, Baldwin I, Gutteridge G, et al: Adverse incident reporting in intensive care. Anaesth Intensive Care 1994; 22:556-561
9. Short TG, O'Regan A, Jayasuriya JP, et al: Improvements in anaesthetic care resulting from a critical incident reporting programme. Anaesthesia 1996; 51:615-621
10. Buckley TA, Short TG, Rowbottom YM, et al: Critical incident reporting in the intensive care unit. Anaesthesia 1997; 52:403-409
11. Wilson RM, Runciman WB, Gibberd RW, et al: The Quality in Australian Health Care Study. Med J Aust 1995; 163:458-471
12. Brennan TA, Leape LL, Laird NM, et al: Incidence of adverse events and negligent care in hospitalized patients. Trans Assoc Am Physicians 1990; 103:137-144
13. Leape LL, Brennan TA, Laird N, et al: The nature of adverse events in hospitalized patients: Results of the Harvard Medical Practice Study II. N Engl J Med 1991;324:377-384
14. O'Neil AC, Petersen LA, Cook EF, et al: Physician reporting compared with medical-record review to identify adverse medical events. Ann Intern Med 1993; 119:370-376
15. Wilson RM, Harrison BT, Gibberd RW, et al: An analysis of the causes of adverse events from the Quality in Australian Health Care Study. Med J Aust 1999; 170:411-415
16. Thomas EJ, Studdert DM, Burstin HR, et al: Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000; 38:261-271
17. Studdert DM, Thomas EJ, Burstin HR, et al: Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care 2000; 38:250-260
18. Brennan TA, Hebert LE, Laird NM, et al: Hospital characteristics associated with adverse events and substandard care. JAMA 1991; 265:3265-3269
19. Sentinel Events: Evaluating Cause and Planning Improvement. Second Edition. Oakbrook Terrace, IL, Joint Commission on Accreditation of Healthcare Organizations, 1998
20. Runciman WB, Sellen A, Webb RK, et al: The Australian Incident Monitoring Study: Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care 1993; 21:506-519
21. Webb RK, Currie M, Morgan CA, et al: The Australian Incident Monitoring Study: An analysis of 2000 incident reports. Anaesth Intensive Care 1993; 21:520-528
22. Williamson J: Critical incident reporting in anaesthesia. Anaesth Intensive Care 1988; 16:101-103
23. Rubin HR PP, Diette GB: The advantages and disadvantages of process-based measures of health care quality. Int J Qual Health Care 2001; 13:469-474
24. Malpass A, Helps SC, Sexton EJ, et al: A classification for adverse drug events. J Qual Clin Pract 1999; 19:23-26
25. Donchin Y, Gopher D, Olin M, et al: A look into the nature and causes of human errors in the intensive care unit. Crit Care Med 1995; 23:294-300
26. Andrews LB, Stocking C, Krizek T, et al: An alternative strategy for studying adverse events in medical care. Lancet 1997; 349:309-313