Adverse events in Spanish intensive care units: The SYREC study

International Journal for Quality in Health Care

Volumn 24, Issue 2, 2012, Pages 105-113

  Merino, Paz ^a   Álvarez, Joaquín ^b   Martín, Mari Cruz ^c   Alonso, Ángela ^b   Gutiérrez, Isabel ^d  

^a HOSPITAL CAN MISSES   (Spain)

^b HOSPITAL UNIVERSITARIO DE FUENLABRADA   (Spain)

^c HOSPITAL UNIVERSITARIO DE TORREJÓN   (Spain)

^d HOSPITAL CLÍNICO UNIVERSITARIO LOZANO BLESA   (Spain)

Author keywords

Adverse events; Incident reporting and analysis; Patient safety

Indexed keywords

ACCIDENTAL INJURY; ADULT; ADVERSE OUTCOME; ARTICLE; ARTIFICIAL VENTILATION; CATHETER COMPLICATION; CAUSE OF DEATH; CRITICALLY ILL PATIENT; CROSS-SECTIONAL STUDY; DECUBITUS; DIAGNOSTIC ERROR; DISEASE ASSOCIATION; DISEASE SEVERITY; FEMALE; HOSPITAL INFECTION; HUMAN; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; MEDICATION ERROR; NO HARM EVENT; NURSING CARE; OBSERVATIONAL STUDY; PRIORITY JOURNAL; PROSPECTIVE STUDY; RISK FACTOR; SPAIN; VASCULAR ACCESS;

CRITICAL ILLNESS; CROSS-SECTIONAL STUDIES; HEALTH FACILITY SIZE; HUMANS; INTENSIVE CARE UNITS; MEDICAL ERRORS; PROSPECTIVE STUDIES; QUALITY OF HEALTH CARE; SELF REPORT; SPAIN;

EID: 84858261686     PISSN: 13534505     EISSN: 14643677     Source Type: Journal    
DOI: 10.1093/intqhc/mzr083     Document Type: Article

References (30)

1. Donchin Y, Seagull FJ. The hostile environment of the intensive care unit. Curr Opin Crit Care 2002;8:316-20.
2. Capuzzo M, Nawfal I, Campi M et al. Reporting of unintended events in an intensive care unit: comparison between staff and observer. BMC Emerg Med 2005;5:3-9.
3. 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;31:1006-11.
4. 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;33:1694-700.
5. Valentin A, Capuzzo M, Guidet B et al. Research Group on Quality Improvement of European Society of Intensive Care Medicine; Sentinel Events Evaluation Study Investigators. Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. Intensive Care Med 2006;32:1591-8.
6. Valentin A, Capuzzo M, Guidet B et al. Research group on quality improvement of the European Society of Intensive Care Medicine (ESICM); Sentinel Events Evaluation (SEE) Study Investigators. Errors in the administration of parenteral drugs an urgent safety issue in intensive care units: multinational, prospective study. BMJ 2009;338:b814.
7. Moreno RP, Rhodes A, Donchin Y. Patient safety in intensive care medicine: the Declaration of Vienna. Intensive Care Med 2009;35:1667-72.
8. Abizanda R. Atención especializada al paciente crítico. Una contribución a la perspectiva sobre la especialidad en medicina intensiva. Med Intensiva 2003;27:541-3.
9. Pronovost PJ, Angus DC, Dorman T et al. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA 2002;288:2151-62.
10. Levy MM, Rapoport J, Lemeshow S et al. Association between critical care physician management and patient mortality in the intensive care unit. Ann Intern Med 2008;148:801-9.
11. The World Health Organization. World alliance for patient safety: the conceptual framework for the international classification for patient safety. Version 1.1. Final Technical Report and Technical Annexes, 2009. http://www.who.int/patientsafety/ taxonomy/icps_form/en/index.html (30 May 2011, date last accessed).
12. Otero MJ, Codina C, Tamés MJ et al., en representación del grupo de trabajo Ruiz-Jarabo 2000. Errores de medicación: estandarización de la terminologóa y clasificación. Resultados de la Beca Ruiz-Jarabo 2000. Farm Hosp 2003;27:137-49.
13. Brennan TA, Leape LL, Laird NM et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. N Eng J Med 1991;324:370-6.
14. Thomas EJ, Studdert DM, Burstin HR et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000;38:261-71.
15. 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;30:1579-85.
16. Bellomo R, Goldsmith D, Russell S et al. Postoperative serious adverse events in a teaching hospital: a prospective study. Med J Aust 2002;176:216-8.
17. 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.
18. Andrews LB, Stocking C, Krizet T et al. An alternative strategy for studying adverse events in medical care. Lancet 1997;349:309-13.
19. Hart GK, Baldwin I, Gutteridge G et al. Adverse incident reporting in intensive care. Anaesth Intensive Care 1994;22:556-61.
20. Graf J, Von den Driesch A, Koch KC et al. Identification and characterization of errors and incidents in a medical intensive care unit. Acta Anaesthesiol Scand 2005;49:930-9.
21. Fahimi F, Ariapanah P, Faizi M et al. Errors in preparation and administration of intravenous medications in the intensive care unit of a teaching hospital: an observational study. Aust Crit Care 2008;21:110-6.
22. Beydon L, Conreux F, Le Gall R et al. 'Sous-commission de Materiovigilance' for Anaesthesia and Intensive Care. Analysis of the French health ministry's national register of incidents involving medical devices in anaesthesia and intensive care. Br J Anaesth 2001;86:382-7.
23. Thomas AN, Galvin I. Patient safety incidents associated with devices in critical care: a review of reports to the UK National Patient Safety Agency. Anaesthesia 2008;63:1193-7.
24. Needham DM, Thompson DA, Holzmueller CG et al. A system factor analysis of airway events from the Intensive Care Unit Reporting System (ICUSRS). Crit Care Med 2004;32:2227-33.
25. Pronovost PJ, Thompson DA, Holzmueller CG et al. Toward learning from patient safety reporting systems. J Crit Care 2006;21:305-15.
26. McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med 2003;348:1123-33.
27. Informe ENVIN 2007. Estudio Nacional de Vigilancia de Infección Nosocomial en Servicios de Medicina Intensiva. http://www.semicyuc.org/sites/default/files/ENVIN_UCI_Informe_2007.pdf (30 August 2010, date last accessed).
28. Schiff GD, Hasan O, Kim S et al. Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med 2009;169:1881-7.
29. Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye. JAMA 2001;286:415-20.
30. Forster AJ, Asmis TR, Clark HD et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. CMAJ 2004;170:1235-40.