-
2
-
-
34249736940
-
Dutch study shows that 40% of adverse incidents in hospital are avoidable
-
Sheldon T. Dutch study shows that 40% of adverse incidents in hospital are avoidable. BMJ 2007; 334:925.
-
(2007)
BMJ
, vol.334
, pp. 925
-
-
Sheldon, T.1
-
3
-
-
0038482206
-
The quality of healthcare delivered to adults in the United States
-
McGlynn EA, Asch SM, Adams J, et al. The quality of healthcare delivered to adults in the United States. N Engl J Med 2003; 348:2635-2645.
-
(2003)
N Engl J Med
, vol.348
, pp. 2635-2645
-
-
McGlynn, E.A.1
Asch, S.M.2
Adams, J.3
-
4
-
-
0028812215
-
A look into the nature and causes of human errors in the intensive care unit
-
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.
-
(1995)
Crit Care Med
, vol.23
, pp. 294-300
-
-
Donchin, Y.1
Gopher, D.2
Olin, M.3
-
5
-
-
23844432611
-
The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care
-
Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care. Crit Care Med 2005; 33:1694-1700.
-
(2005)
Crit Care Med
, vol.33
, pp. 1694-1700
-
-
Rothschild, J.M.1
Landrigan, C.P.2
Cronin, J.W.3
-
6
-
-
33749247650
-
Patient safety in intensive care: Results from the multinational Sentinel Events Evaluation (SEE) study
-
This is one of the few studies demonstrating that weak points in patient safety are not attributable to suboptimal care in a few individual ICUs but represent a common pattern in a multinational observation
-
Valentin A, Capuzzo M, Guidet B, et al. Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. Intensive Care Med 2006; 32:1591-1598. This is one of the few studies demonstrating that weak points in patient safety are not attributable to suboptimal care in a few individual ICUs but represent a common pattern in a multinational observation.
-
(2006)
Intensive Care Med
, vol.32
, pp. 1591-1598
-
-
Valentin, A.1
Capuzzo, M.2
Guidet, B.3
-
8
-
-
1642410193
-
Improving hospital safety for acutely ill patients. A Lancet quintet. I: Current challenges in the care of the acutely ill patient
-
Bion JF, Heffner JE. Improving hospital safety for acutely ill patients. A Lancet quintet. I: Current challenges in the care of the acutely ill patient. Lancet 2004; 363:970-977.
-
(2004)
Lancet
, vol.363
, pp. 970-977
-
-
Bion, J.F.1
Heffner, J.E.2
-
9
-
-
16844378215
-
The JCAHO patient safety event taxonomy: A standardized terminology and classification schema for near misses and adverse events
-
Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Int J Qual Healthcare 2005; 17:95-105.
-
(2005)
Int J Qual Healthcare
, vol.17
, pp. 95-105
-
-
Chang, A.1
Schyve, P.M.2
Croteau, R.J.3
-
10
-
-
0036667403
-
The hostile environment of the intensive care unit
-
Donchin Y, Seagull FJ. The hostile environment of the intensive care unit. Curr Opin Crit Care 2002; 8:316-320.
-
(2002)
Curr Opin Crit Care
, vol.8
, pp. 316-320
-
-
Donchin, Y.1
Seagull, F.J.2
-
11
-
-
0034662118
-
Hospital mortality in relation to staff workload: A 4-year study in an adult intensive-care unit
-
Tarnow-Mordi WO, Hau C, Warden A, Shearer AJ. Hospital mortality in relation to staff workload: a 4-year study in an adult intensive-care unit. Lancet 2000; 356:185-189.
-
(2000)
Lancet
, vol.356
, pp. 185-189
-
-
Tarnow-Mordi, W.O.1
Hau, C.2
Warden, A.3
Shearer, A.J.4
-
12
-
-
0037032390
-
Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review
-
Pronovost PJ, Angus DC, Dorman T, et al. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA 2002; 288:2151-2162.
-
(2002)
JAMA
, vol.288
, pp. 2151-2162
-
-
Pronovost, P.J.1
Angus, D.C.2
Dorman, T.3
-
13
-
-
17044431126
-
The effect of prompt physician visits on intensive care unit mortality and cost
-
Engoren M. The effect of prompt physician visits on intensive care unit mortality and cost. Crit Care Med 2005; 33:727-732.
-
(2005)
Crit Care Med
, vol.33
, pp. 727-732
-
-
Engoren, M.1
-
14
-
-
3943094334
-
More interventions do not necessarily improve outcome in critically ill patients
-
Metnitz PG, Reiter A, Jordan B, Lang T. More interventions do not necessarily improve outcome in critically ill patients. Intensive Care Med 2004; 30:1586-1593.
-
(2004)
Intensive Care Med
, vol.30
, pp. 1586-1593
-
-
Metnitz, P.G.1
Reiter, A.2
Jordan, B.3
Lang, T.4
-
15
-
-
34447305227
-
Association of nursing workload and unplanned extubations in a pediatric intensive care unit
-
Ream RS, Mackey K, Leet T, et al. Association of nursing workload and unplanned extubations in a pediatric intensive care unit. Pediatr Crit Care Med 2007; 8:366-371.
-
(2007)
Pediatr Crit Care Med
, vol.8
, pp. 366-371
-
-
Ream, R.S.1
Mackey, K.2
Leet, T.3
-
16
-
-
33845918207
-
The effect of workload on infection risk in critically ill patients
-
This article demonstrates insights in the temporal relationship between low ICU nurse staffing and infection onset. It also gives an estimation of how many infections could be avoided by appropriate levels of ICU staffing
-
Hugonnet S, Chevrolet JC, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med 2007; 35:76-81. This article demonstrates insights in the temporal relationship between low ICU nurse staffing and infection onset. It also gives an estimation of how many infections could be avoided by appropriate levels of ICU staffing.
-
(2007)
Crit Care Med
, vol.35
, pp. 76-81
-
-
Hugonnet, S.1
Chevrolet, J.C.2
Pittet, D.3
-
17
-
-
0141788344
-
Explicit approach to rounds in an ICU improves communication and satisfaction of providers
-
Dodek PM, Raboud J. Explicit approach to rounds in an ICU improves communication and satisfaction of providers. Intensive Care Med 2003; 29:1584-1588.
-
(2003)
Intensive Care Med
, vol.29
, pp. 1584-1588
-
-
Dodek, P.M.1
Raboud, J.2
-
18
-
-
27744521997
-
The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals
-
Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals. Anaesthesia 2005; 60:1115-1122.
-
(2005)
Anaesthesia
, vol.60
, pp. 1115-1122
-
-
Webster, C.S.1
-
19
-
-
0037495031
-
Improving safety with information technology
-
Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med 2003; 348:2526-2534.
-
(2003)
N Engl J Med
, vol.348
, pp. 2526-2534
-
-
Bates, D.W.1
Gawande, A.A.2
-
20
-
-
33751159119
-
Impact of computerized physician order entry on medication prescription errors in the intensive care unit: A controlled cross-sectional trial
-
Colpaert K, Claus B, Somers A, et al. Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial. Crit Care 2006; 10:R21.
-
(2006)
Crit Care
, vol.10
-
-
Colpaert, K.1
Claus, B.2
Somers, A.3
-
21
-
-
33644699125
-
Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system
-
Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics 2005; 116:1506-1512.
-
(2005)
Pediatrics
, vol.116
, pp. 1506-1512
-
-
Han, Y.Y.1
Carcillo, J.A.2
Venkataraman, S.T.3
-
22
-
-
23744485972
-
Circadian pattern of activation of the medical emergency team in a teaching hospital
-
Jones D, Bates S, Warrillow S, et al. Circadian pattern of activation of the medical emergency team in a teaching hospital. Crit Care 2005; 9:R303-R306.
-
(2005)
Crit Care
, vol.9
-
-
Jones, D.1
Bates, S.2
Warrillow, S.3
-
23
-
-
0034681866
-
-
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ 2000; 320:791-794.
-
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ 2000; 320:791-794.
-
-
-
-
24
-
-
4143079137
-
Intra-hospital transport of critically ill patients: Minimising risk
-
Shirley PJ, Bion JF. Intra-hospital transport of critically ill patients: minimising risk. Intensive Care Med 2004; 30:1508-1510.
-
(2004)
Intensive Care Med
, vol.30
, pp. 1508-1510
-
-
Shirley, P.J.1
Bion, J.F.2
-
25
-
-
27944454251
-
A nationwide survey of intensive care unit discharge practices
-
Heidegger CP, Treggiari MM, Romand JA. A nationwide survey of intensive care unit discharge practices. Intensive Care Med 2005; 31:1676-1682.
-
(2005)
Intensive Care Med
, vol.31
, pp. 1676-1682
-
-
Heidegger, C.P.1
Treggiari, M.M.2
Romand, J.A.3
-
26
-
-
33645771786
-
After-hours discharges from intensive care are associated with increased mortality
-
This is confirmation of important earlier findings showing that discharge from ICU outside routine hours carries a higher risk for patients
-
Tobin AE, Santamaria JD. After-hours discharges from intensive care are associated with increased mortality. Med J Aust 2006; 184:334-337. This is confirmation of important earlier findings showing that discharge from ICU outside routine hours carries a higher risk for patients.
-
(2006)
Med J Aust
, vol.184
, pp. 334-337
-
-
Tobin, A.E.1
Santamaria, J.D.2
-
27
-
-
24944526545
-
Omission bias and decision making in pulmonary and critical care medicine
-
Aberegg SK, Haponik EF, Terry PB. Omission bias and decision making in pulmonary and critical care medicine. Chest 2005; 128:1497-1505.
-
(2005)
Chest
, vol.128
, pp. 1497-1505
-
-
Aberegg, S.K.1
Haponik, E.F.2
Terry, P.B.3
-
28
-
-
0035829842
-
Early goal-directed therapy in the treatment of severe sepsis and septic shock
-
Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001; 345:1368-1377.
-
(2001)
N Engl J Med
, vol.345
, pp. 1368-1377
-
-
Rivers, E.1
Nguyen, B.2
Havstad, S.3
-
29
-
-
33744527833
-
Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock
-
This study shows that even tasks like the prompt administration of antimicrobial agents in septic shock are challenging and have a strong impact on patient outcome
-
Kumar A, Roberts D, Wood KE, et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit Care Med 2006; 34:1589-1596. This study shows that even tasks like the prompt administration of antimicrobial agents in septic shock are challenging and have a strong impact on patient outcome.
-
(2006)
Crit Care Med
, vol.34
, pp. 1589-1596
-
-
Kumar, A.1
Roberts, D.2
Wood, K.E.3
-
30
-
-
0345471068
-
Evaluation of two methods for quality improvement in intensive care: Facilitated incident monitoring and retrospective medical chart review
-
Beckmann U, Bohringer C, Carless R, et al. Evaluation of two methods for quality improvement in intensive care: facilitated incident monitoring and retrospective medical chart review. Crit Care Med 2003; 31:1006-1011.
-
(2003)
Crit Care Med
, vol.31
, pp. 1006-1011
-
-
Beckmann, U.1
Bohringer, C.2
Carless, R.3
-
31
-
-
0742287193
-
Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals
-
Michel P, Quenon JL, de Sarasqueta AM, Scemama O. Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. BMJ 2004; 328:199-203.
-
(2004)
BMJ
, vol.328
, pp. 199-203
-
-
Michel, P.1
Quenon, J.L.2
de Sarasqueta, A.M.3
Scemama, O.4
-
32
-
-
34547180915
-
Inter-rater reliability of case-note audit: A systematic review
-
Lilford R, Edwards A, Girling A, et al. Inter-rater reliability of case-note audit: a systematic review. J Health Serv Res Policy 2007; 12:173-180.
-
(2007)
J Health Serv Res Policy
, vol.12
, pp. 173-180
-
-
Lilford, R.1
Edwards, A.2
Girling, A.3
-
33
-
-
1542614329
-
Reporting of medical errors: An intensive care unit experience
-
Osmon S, Harris CB, Dunagan WC, et al. Reporting of medical errors: an intensive care unit experience. Crit Care Med 2004; 32:727-733.
-
(2004)
Crit Care Med
, vol.32
, pp. 727-733
-
-
Osmon, S.1
Harris, C.B.2
Dunagan, W.C.3
-
34
-
-
33646853293
-
A new safety event reporting system improves physician reporting in the surgical intensive care unit
-
Schuerer DJ, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg 2006; 202:881-887.
-
(2006)
J Am Coll Surg
, vol.202
, pp. 881-887
-
-
Schuerer, D.J.1
Nast, P.A.2
Harris, C.B.3
-
35
-
-
33845914308
-
Impact of extended-duration shifts on medical errors, adverse events, and attentional failures
-
This article provides confirmation of earlier reports showing an association between physician workload and the occurrence of error. The study has methodological limitations, but still has some important findings
-
Barger LK, Ayas NT, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med 2006; 3:e487. This article provides confirmation of earlier reports showing an association between physician workload and the occurrence of error. The study has methodological limitations, but still has some important findings.
-
(2006)
PLoS Med
, vol.3
-
-
Barger, L.K.1
Ayas, N.T.2
Cade, B.E.3
-
37
-
-
33645532945
-
Effects of critical care nurses' work hours on vigilance and patients' safety
-
Scott LD, Rogers AE, Hwang WT, Zhang Y. Effects of critical care nurses' work hours on vigilance and patients' safety. Am J Crit Care 2006; 15:30-37.
-
(2006)
Am J Crit Care
, vol.15
, pp. 30-37
-
-
Scott, L.D.1
Rogers, A.E.2
Hwang, W.T.3
Zhang, Y.4
-
38
-
-
33748437811
-
-
Ayas NT, Barger LK, Cade BE, et al. Extended work duration and the risk of self-reported percutaneous injuries in interns. JAMA 2006; 296:1055-1062. This is an excellent study focused on the safety of physicians during patient care, a frequently overlooked additional aspect of safety concerns.
-
Ayas NT, Barger LK, Cade BE, et al. Extended work duration and the risk of self-reported percutaneous injuries in interns. JAMA 2006; 296:1055-1062. This is an excellent study focused on the safety of physicians during patient care, a frequently overlooked additional aspect of safety concerns.
-
-
-
-
39
-
-
11844288306
-
Extended work shifts and the risk of motor vehicle crashes among interns
-
Barger LK, Cade BE, Ayas NT, et al. Extended work shifts and the risk of motor vehicle crashes among interns. N Engl J Med 2005; 352:125-134.
-
(2005)
N Engl J Med
, vol.352
, pp. 125-134
-
-
Barger, L.K.1
Cade, B.E.2
Ayas, N.T.3
-
40
-
-
6944244875
-
Effect of reducing interns' work hours on serious medical errors in intensive care units
-
Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med 2004; 351:1838-1848.
-
(2004)
N Engl J Med
, vol.351
, pp. 1838-1848
-
-
Landrigan, C.P.1
Rothschild, J.M.2
Cronin, J.W.3
-
41
-
-
2542509604
-
Ageing, physical fitness and shiftwork intolerance
-
Harma M. Ageing, physical fitness and shiftwork intolerance. Appl Ergon 1996; 27:25-29.
-
(1996)
Appl Ergon
, vol.27
, pp. 25-29
-
-
Harma, M.1
-
42
-
-
9144220129
-
Guidelines for critical care medicine training and continuing medical education
-
Dorman T, Angood PB, Angus DC, et al. Guidelines for critical care medicine training and continuing medical education. Crit Care Med 2004; 32:263-272.
-
(2004)
Crit Care Med
, vol.32
, pp. 263-272
-
-
Dorman, T.1
Angood, P.B.2
Angus, D.C.3
-
43
-
-
33747609089
-
Development of core competencies for an international training programme in intensive care medicine
-
Bion JF, Barrett H. Development of core competencies for an international training programme in intensive care medicine. Intensive Care Med 2006; 32:1371-1383.
-
(2006)
Intensive Care Med
, vol.32
, pp. 1371-1383
-
-
Bion, J.F.1
Barrett, H.2
-
44
-
-
33644586315
-
Minimizing errors of omission: Behavioural reenforcement of heparin to avert venous emboli: the BEHAVE study
-
This is an impressive example of a successful initiative to improve patient safety by increased adherence to evidence-based guidelines
-
McMullin J, Cook D, Griffith L, et al. Minimizing errors of omission: behavioural reenforcement of heparin to avert venous emboli: the BEHAVE study. Crit Care Med 2006; 34:694-699. This is an impressive example of a successful initiative to improve patient safety by increased adherence to evidence-based guidelines.
-
(2006)
Crit Care Med
, vol.34
, pp. 694-699
-
-
McMullin, J.1
Cook, D.2
Griffith, L.3
-
45
-
-
33845880922
-
An intervention to decrease catheter-related bloodstream infections in the ICU
-
This is an excellent multicentre study on one of the most urgent issues in patient safety in intensive care
-
Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006; 355:2725-2732. This is an excellent multicentre study on one of the most urgent issues in patient safety in intensive care.
-
(2006)
N Engl J Med
, vol.355
, pp. 2725-2732
-
-
Pronovost, P.1
Needham, D.2
Berenholtz, S.3
-
46
-
-
23844548933
-
A system factors analysis of 'line, tube, and drain' incidents in the intensive care unit
-
Needham DM, Sinopoli DJ, Thompson DA, et al. A system factors analysis of 'line, tube, and drain' incidents in the intensive care unit. Crit Care Med 2005; 33:1701-1707.
-
(2005)
Crit Care Med
, vol.33
, pp. 1701-1707
-
-
Needham, D.M.1
Sinopoli, D.J.2
Thompson, D.A.3
-
47
-
-
34247370984
-
Patient handover from surgery to intensive care: Using Formula 1 pit-stop and aviation models to improve safety and quality
-
This is an innovative approach to investigating communication processes in an acute care setting under time pressure. The paper provides a structured analysis that might serve as example for other areas
-
Catchpole KR, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr Anaesth 2007; 17:470-478. This is an innovative approach to investigating communication processes in an acute care setting under time pressure. The paper provides a structured analysis that might serve as example for other areas.
-
(2007)
Paediatr Anaesth
, vol.17
, pp. 470-478
-
-
Catchpole, K.R.1
de Leval, M.R.2
McEwan, A.3
-
48
-
-
1642533561
-
Guidelines for the inter- and intrahospital transport of critically ill patients
-
Warren J, Fromm RE Jr, Orr RA, et al. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med 2004; 32:256-262.
-
(2004)
Crit Care Med
, vol.32
, pp. 256-262
-
-
Warren, J.1
Fromm Jr, R.E.2
Orr, R.A.3
-
49
-
-
4143134187
-
Incidents relating to the intrahospital transfer of critically ill patients. An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care
-
Beckmann U, Gillies DM, Berenholtz SM, et al. Incidents relating to the intrahospital transfer of critically ill patients. An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. Intensive Care Med 2004; 30:1579-1585.
-
(2004)
Intensive Care Med
, vol.30
, pp. 1579-1585
-
-
Beckmann, U.1
Gillies, D.M.2
Berenholtz, S.M.3
-
51
-
-
20444443626
-
Introduction of the medical emergency team (MET) system: A cluster-randomised controlled trial
-
Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet 2005; 365:2091-2097.
-
(2005)
Lancet
, vol.365
, pp. 2091-2097
-
-
Hillman, K.1
Chen, J.2
Cretikos, M.3
-
52
-
-
34347407999
-
-
Jones D, Opdam H, Egi M, et al. Long-term effect of a Medical Emergency Team on mortality in a teaching hospital. Resuscitation 2007; 74:235-241. This is an interesting prospective study on hospital outcomes before and after implementation of a Medical Emergency Team. It involves an important comparison of the impact of a Medical Emergency Team in surgical and medical patients over a period of 4 years in a large patient population.
-
Jones D, Opdam H, Egi M, et al. Long-term effect of a Medical Emergency Team on mortality in a teaching hospital. Resuscitation 2007; 74:235-241. This is an interesting prospective study on hospital outcomes before and after implementation of a Medical Emergency Team. It involves an important comparison of the impact of a Medical Emergency Team in surgical and medical patients over a period of 4 years in a large patient population.
-
-
-
-
53
-
-
33751255420
-
-
Chest, This article contains useful suggestions related to a necessary cultural and behavioural shift towards a multidisciplinary and team-oriented approach
-
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest 2006; 130:1571-1578. This article contains useful suggestions related to a necessary cultural and behavioural shift towards a multidisciplinary and team-oriented approach.
-
(2006)
Changing the work environment in ICUs to achieve patient-focused care: The time has come
, vol.130
, pp. 1571-1578
-
-
McCauley, K.1
Irwin, R.S.2
-
54
-
-
34247339404
-
-
Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med 2007; 35:1312-1317. Here is an important study with a novel conceptual model investigating a 'soft' issue: healthcare climate. It shows an assocation between a good nursing climate and a lower likelihood of adverse events.
-
Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med 2007; 35:1312-1317. Here is an important study with a novel conceptual model investigating a 'soft' issue: healthcare climate. It shows an assocation between a good nursing climate and a lower likelihood of adverse events.
-
-
-
|