Removing "orange wires": Surfacing and hopefully learning from mistakes

Intensive Care Medicine

Volumn 32, Issue 10, 2006, Pages 1467-1469

  Pronovost, Peter J ^a   Martinez, Elizabeth A ^b   Rodriguez Paz, Jose M ^b  

^a Quality and Safety Research Group   (United States)

^b Meyer 296 ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EDITORIAL; HAZARD ASSESSMENT; HEALTH CARE; HEALTH CARE POLICY; HUMAN; INTENSIVE CARE UNIT; MEDICAL LIABILITY; MEDICAL PROFESSION; MEDICATION ERROR; NURSE; PATIENT SAFETY; PHYSICIAN; QUESTIONNAIRE; RISK ASSESSMENT; SELF REPORT; VALIDATION PROCESS;

HUMANS; INTENSIVE CARE UNITS; MEDICAL ERRORS; RISK MANAGEMENT; SAFETY MANAGEMENT;

EID: 33749267676     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-006-0291-6     Document Type: Editorial

References (10)

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6. Holzmueller CG, Pronovost PJ, Dickman F, Thompson DA, Wu AW, Lubomski LH, Fahey M, Steinwachs DM, Engineer L, Jaffrey A, Morlock LL, Dorman T (2005) Creating the web-based intensive care unit safety reporting system. J Am Med Inform Assoc 12:130-139
7. Needham D, Sinopoli D, Thompson D, Holzmueller C, Dorman T, Lubomski L, Wu A, Morlock L, Makary M, Pronovost P (2005) A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Crit Care Med 33:1701-1707
8. Pronovost PJ, Holzmueller CG, Martinez E, Cafeo CL, Hunt D, Dickson C, Awad M, Makary MA (2006) A practical tool to learn from defects in patient care. Jt Comm J Qual Saf 32:102-108
9. Pronovost PJ, Goeschel C (2005) Improving ICU care: it takes a team. Healthcare Exec April/May:14-22
10. Donaldson L (2004) When will health care pass the orange-wire test? Lancet 364:1567-1568