A New Safety Event Reporting System Improves Physician Reporting in the Surgical Intensive Care Unit

Journal of the American College of Surgeons

Volumn 202, Issue 6, 2006, Pages 881-887

  Schuerer, Douglas J E ^a   Nast, Patricia A ^a   Harris, Carolyn B ^a   Krauss, Melissa J ^a   Jones, Rebecca M ^a   Boyle, Walter A ^a   Buchman, Timothy G ^a   Coopersmith, Craig M ^a   Dunagan, W Claiborne ^a   Fraser, Victoria J ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONTROLLED STUDY; HEALTH CARE PERSONNEL; HEALTH CARE SYSTEM; HUMAN; INFORMATION PROCESSING; INTENSIVE CARE UNIT; MEDICAL EDUCATION; MEDICAL RECORD; NURSE; ONLINE SYSTEM; PHYSICIAN; PRIORITY JOURNAL; SURGICAL ERROR; SURGICAL TECHNIQUE;

ADULT; FORMS AND RECORDS CONTROL; HUMANS; INTENSIVE CARE UNITS; MEDICAL ERRORS; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; PHYSICIANS; RISK MANAGEMENT; SURGICAL PROCEDURES, OPERATIVE;

EID: 33646853293     PISSN: 10727515     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jamcollsurg.2006.02.035     Document Type: Article

References (18)

1. In: Kohn L.T., Corrigan M., and Donaldson M.S. (Eds). To err is human. building a safer health system (2000), National Academy Press, Washington, DC
2. Leape L.L., and Berwick D.M. Five years after to err is human. What have we learned?. JAMA 293 (2005) 2384-2390
3. Beckman U., Gillies D.M., and Berenholtz S.M. Incidents relating to the intra-hospital transfer of critically ill patients. Int Care Med 30 (2004) 1579-1585
4. 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 23 (1995) 294-300
5. Vande Voorde K.M., and France A.C. Proactive error prevention in the intensive care unit. Crit Care Nurs Clin North Am 14 (2002) 347-358
6. Jeffe D.B., Dunagan W.C., Garbutt J., et al. Using focus groups to understand physicians' and nurses' perspectives on error reporting in hospitals. Jt Comm Qual Saf 30 (2004) 471-479
7. Gallagher T.H., Waterman A.D., Ebers A.G., et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA 289 (2003) 1001-1007
8. Osmon S., Harris C.B., Dunagan W.C., et al. Reporting of medical errors. An intensive care unit experience. Crit Care Med 32 (2004) 727-733
9. Leafe L.L. Reporting of adverse events. N Engl J Med 347 (2002) 1633-1638
10. Tuttle D., Holloway R., Baird T., et al. Electronic reporting to improve patient safety. Qual Saf Health Care 13 (2004) 281-286
11. Intensive care unit safety reporting system. Available at: www.ICUSRS.org. Accessed February 27, 2006
12. Bordun L.A., and Butt W. Drug errors in intensive care. Paediatr Child Health 28 (1992) 309-311
13. 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 26 (2000) 69-74
14. Rothschild J. Computerized physician order entry in the critical care and general inpatient setting. a narrative review. J Crit Care 19 (2004) 271-278
15. Woolf S.H., Kuzel A.J., Dovey S.M., et al. A string of mistakes. The importance of cascade analysis in describing, counting, and preventing medical errors. Ann Fam Med 2 (2004) 317-326
16. Frey B., Buettiker V., Hug M., et al. Does critical incident reporting contribute to medication error prevention?. Eur J Pediatr 161 (2002) 594-599
17. Peterson L.A., Brennan T.A., O'Neil A.C., et al. Does housestaff discontinuity of care increase the risk for preventable adverse events?. Ann Intern Med 121 (1994) 866-872
18. Mukkerjee S. A precious exchange. N Engl J Med 351 (2004) 1822-1824