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Volumn 27, Issue 5, 2007, Pages 27-34

Unreported errors in the intensive care unit: A case study of the way we work

Author keywords

[No Author keywords available]

Indexed keywords

CASE REPORT; COMMUNICATION DISORDER; COOPERATION; DOCTOR NURSE RELATION; DOCUMENTATION; HEALTH PERSONNEL ATTITUDE; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; MALE; MEDICAL ERROR; MEDICAL STAFF; METHODOLOGY; MIDDLE AGED; NURSING; NURSING STAFF; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT CARE PLANNING; PSYCHOLOGICAL ASPECT; REVIEW; RISK MANAGEMENT; SYSTEM ANALYSIS;

EID: 38449112167     PISSN: 02795442     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article
Times cited : (29)

References (28)
  • 1
    • 23844432611 scopus 로고    scopus 로고
    • 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(8):1694-1700.
    • (2005) Crit Care Med , vol.33 , Issue.8 , pp. 1694-1700
    • Rothschild, J.M.1    Landrigan, C.P.2    Cronin, J.W.3
  • 2
    • 33646912215 scopus 로고    scopus 로고
    • Recovery from medical errors: The critical care nursing safety net
    • Rothschild JM, Hurley AC, Landrigan CP, et al. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf. 2006;32(2):63-72.
    • (2006) Jt Comm J Qual Patient Saf , vol.32 , Issue.2 , pp. 63-72
    • Rothschild, J.M.1    Hurley, A.C.2    Landrigan, C.P.3
  • 3
    • 0028812215 scopus 로고
    • 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
  • 4
    • 0035097519 scopus 로고    scopus 로고
    • Human errors in a multidisciplinary intensive care unit: A one-year study
    • Bracco D, Favre JB, Bissonnette B, et al. Human errors in a multidisciplinary intensive care unit: a one-year study. Intensive Care Med. 2001;27:137-145.
    • (2001) Intensive Care Med , vol.27 , pp. 137-145
    • Bracco, D.1    Favre, J.B.2    Bissonnette, B.3
  • 5
    • 1842447889 scopus 로고    scopus 로고
    • Aspden P, Corrigan JM, Wolcott J, Erickson SM, eds, Washington, DC: National Academies Press;
    • Aspden P, Corrigan JM, Wolcott J, Erickson SM, eds. Patient Safety: Achieving a New Standard for Care. Washington, DC: National Academies Press; 2004.
    • (2004) Patient Safety: Achieving a New Standard for Care
  • 7
    • 0003413171 scopus 로고    scopus 로고
    • Kohn LT, Corrigan JM, Donaldson MD, eds, Washington, DC: National Academies Press;
    • Kohn LT, Corrigan JM, Donaldson MD, eds. To Err Is Human: Building a Safer Health System. Washington, DC: National Academies Press; 2000.
    • (2000) To Err Is Human: Building a Safer Health System
  • 8
    • 0028978123 scopus 로고
    • System analysis of adverse drug events. ADE Prevention Study Group
    • Leape LL, Bates DW, Cullen DJ, et al. System analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43.
    • (1995) JAMA , vol.274 , Issue.1 , pp. 35-43
    • Leape, L.L.1    Bates, D.W.2    Cullen, D.J.3
  • 9
    • 0003525850 scopus 로고    scopus 로고
    • Committee on Quality of Healthcare in America, Institute of Medicine, Washington, DC: National Academies Press;
    • Committee on Quality of Healthcare in America, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.
    • (2001) Crossing the Quality Chasm: A New Health System for the 21st Century
  • 10
    • 33744482871 scopus 로고    scopus 로고
    • Joint Commission, Accessed May 17, 2007
    • Joint Commission. National patient safety goals. http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals. Accessed May 17, 2007.
    • National patient safety goals
  • 11
    • 33744482608 scopus 로고    scopus 로고
    • Studying patient safety in organizations: Accentuate the qualitative
    • Hoff TJ, Sutcliffe KM. Studying patient safety in organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32:5-15.
    • (2006) Jt Comm J Qual Patient Saf , vol.32 , pp. 5-15
    • Hoff, T.J.1    Sutcliffe, K.M.2
  • 12
    • 0037079030 scopus 로고    scopus 로고
    • Reporting of adverse events
    • Leape LL. Reporting of adverse events. N Engl J Med. 2002;347:1633-1638.
    • (2002) N Engl J Med , vol.347 , pp. 1633-1638
    • Leape, L.L.1
  • 14
    • 57649239422 scopus 로고    scopus 로고
    • Agency for Healthcare Research and Quality. Morbidity and Mortality Rounds on the Web, Accessed July 13, 2007
    • Henneman EA. Commentary: on the other hand. Agency for Healthcare Research and Quality. Morbidity and Mortality Rounds on the Web. http://www.webmm.ahrq.gov/case.aspx?caseID=151. Accessed July 13, 2007.
    • Commentary: On the other hand
    • Henneman, E.A.1
  • 15
    • 33644844388 scopus 로고    scopus 로고
    • Solet DS, Norvell JM, Rutan GH, Frankel RM. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Acad Med. 2005;80(12):1094-1099.
    • Solet DS, Norvell JM, Rutan GH, Frankel RM. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Acad Med. 2005;80(12):1094-1099.
  • 16
    • 1842832822 scopus 로고    scopus 로고
    • Handoff strategies in settings with high consequences for failure: Lessons for health care operations
    • Patterson ES, Roth EM, Woods DD, Chow R, Gomes JO. Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual Health Care. 2004;16(2):125-132.
    • (2004) Int J Qual Health Care , vol.16 , Issue.2 , pp. 125-132
    • Patterson, E.S.1    Roth, E.M.2    Woods, D.D.3    Chow, R.4    Gomes, J.O.5
  • 17
    • 0022645989 scopus 로고
    • An evaluation of outcome from intensive care in major medical centers
    • Knaus WA, Draper EA, Wagner DP, Zimmerman JE. An evaluation of outcome from intensive care in major medical centers. Ann Intern Med. 1986;104(3):410-418.
    • (1986) Ann Intern Med , vol.104 , Issue.3 , pp. 410-418
    • Knaus, W.A.1    Draper, E.A.2    Wagner, D.P.3    Zimmerman, J.E.4
  • 18
    • 0032871749 scopus 로고    scopus 로고
    • Association between nurse-physician collaboration and patient outcomes in three intensive care units
    • Baggs JG, Schmitt MH, Mushlin AI, et al. Association between nurse-physician collaboration and patient outcomes in three intensive care units. Crit Care Med. 1999;27:1991-1998.
    • (1999) Crit Care Med , vol.27 , pp. 1991-1998
    • Baggs, J.G.1    Schmitt, M.H.2    Mushlin, A.I.3
  • 19
    • 0026504532 scopus 로고
    • The association between interdisciplinary collaboration and patient outcomes in medical intensive care
    • Baggs JG, Ryan SA, Phelps CE, Richeson JF, Johnson JE. The association between interdisciplinary collaboration and patient outcomes in medical intensive care. Heart Lung. 1992;21:18-24.
    • (1992) Heart Lung , vol.21 , pp. 18-24
    • Baggs, J.G.1    Ryan, S.A.2    Phelps, C.E.3    Richeson, J.F.4    Johnson, J.E.5
  • 21
    • 85009688957 scopus 로고    scopus 로고
    • The context of care and the patient care team: The Safety Attitudes Questionnaire
    • Reid PP, Compton WD, Grossman JH, Fanjiang G, eds, Washington, DC: National Academies Press;
    • Sexon JB, Thomas EJ, Pronovost P. The context of care and the patient care team: the Safety Attitudes Questionnaire. In: Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Building a Better Delivery System: A New Engineering/Health Care Partnership. Washington, DC: National Academies Press; 2005:119-123.
    • (2005) Building a Better Delivery System: A New Engineering/Health Care Partnership , pp. 119-123
    • Sexon, J.B.1    Thomas, E.J.2    Pronovost, P.3
  • 22
    • 34247122388 scopus 로고    scopus 로고
    • Patient safety event reporting in critical care: A study of three intensive care units
    • Harris CB, Krauss MJ, Coopersmith CM, et al. Patient safety event reporting in critical care: a study of three intensive care units. Crit Care Med. 2007;35:1068-1076.
    • (2007) Crit Care Med , vol.35 , pp. 1068-1076
    • Harris, C.B.1    Krauss, M.J.2    Coopersmith, C.M.3
  • 23
    • 33846804342 scopus 로고    scopus 로고
    • Enhancing patient safety: Improving the patient handoff process through appreciative inquiry
    • Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. J Nurs Adm. 2007;37(2):95-104.
    • (2007) J Nurs Adm , vol.37 , Issue.2 , pp. 95-104
    • Shendell-Falik, N.1    Feinson, M.2    Mohr, B.J.3
  • 24
    • 23644453746 scopus 로고    scopus 로고
    • Real time patient safety audits: Improving safety every day
    • Ursprung R, Gray JE, Edwards WH, et al. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14(4):284-289.
    • (2005) Qual Saf Health Care , vol.14 , Issue.4 , pp. 284-289
    • Ursprung, R.1    Gray, J.E.2    Edwards, W.H.3
  • 25
    • 0033902022 scopus 로고    scopus 로고
    • Confidential clinician-reported surveillance of adverse events among medical inpatients
    • Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2000;15:470-477.
    • (2000) J Gen Intern Med , vol.15 , pp. 470-477
    • Weingart, S.N.1    Ship, A.N.2    Aronson, M.D.3
  • 26
    • 13744250494 scopus 로고    scopus 로고
    • interviewer. Lucian Leape on patient safety in US hospitals
    • Buerhaus PI, interviewer. Lucian Leape on patient safety in US hospitals. J Nurs Scholarsh. 2004;36(4):366-370.
    • (2004) J Nurs Scholarsh , vol.36 , Issue.4 , pp. 366-370
    • Buerhaus, P.I.1
  • 27
    • 3142703552 scopus 로고    scopus 로고
    • A "near-miss" model for describing the nurse's role in the recovery of medical errors
    • Henneman EA, Gawlinski A. A "near-miss" model for describing the nurse's role in the recovery of medical errors. J Prof Nurs. 2004;20:196-210.
    • (2004) J Prof Nurs , vol.20 , pp. 196-210
    • Henneman, E.A.1    Gawlinski, A.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.