domingo, 19 de julio de 2015

AHRQ Patient Safety Network: An analysis of near misses identified by anesthesia providers in the intensive care unit.

AHRQ Patient Safety Network

PSNet header image



An analysis of near misses identified by anesthesia providers in the intensive care unit.

Lipshutz AKM, Caldwell JE, Robinowitz DL, Gropper MA. BMC Anesthesiol. 2015;15:93.

This analysis of near misses in intensive care unit patients that were voluntarily reported by anesthesiologists found that the majority could be ascribed to one of five contributing factors, including a poor culture of safety and insufficient communication between teams.

PubMed citation icon indicating hyperlink to external website
Available at icon indicating hyperlink to external website
Free full text icon indicating hyperlink to external website




Related Resources
STUDY
Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.
Buckley MS, Erstad BL, Kopp BJ, Theodorou AA, Priestley G. Pediatr Crit Care Med. 2007;8:145-152.
STUDY
Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.
Kopp BJ, Mrsan M, Erstad BL, Duby JJ. Am J Health Syst Pharm. 2007;64:2483-2487.
STUDY
Error, stress, and teamwork in medicine and aviation: cross sectional surveys.
Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.
View all related resources...

No hay comentarios: