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

AHRQ Patient Safety Network





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.

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