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Titolo:
CRITICAL INCIDENT REPORTING IN THE INTENSIVE-CARE UNIT
Autore:
BUCKLEY TA; SHORT TG; ROWBOTTOM YM; OH TE;
Indirizzi:
PRINCE WALES HOSP,DEPT ANAESTHESIA & INTENS CARE SHATIN HONG KONG
Titolo Testata:
Anaesthesia
fascicolo: 5, volume: 52, anno: 1997,
pagine: 403 - 409
SICI:
0003-2409(1997)52:5<403:CIRITI>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANESTHESIA; MISHAPS;
Keywords:
INTENSIVE CARE, CRITICAL INCIDENT, QUALITY ASSURANCE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
T.A. Buckley et al., "CRITICAL INCIDENT REPORTING IN THE INTENSIVE-CARE UNIT", Anaesthesia, 52(5), 1997, pp. 403-409

Abstract

Critical incident reporting was introduced into the intensive care unit (ICU) as part of the development of a quality assurance programme within our department. Over a 3-year period 281 critical incidents werereported. Factors relating to causation, detection and prevention of critical incidents were sought. Detection of a critical incident in over 50% of cases resulted from direct observation of the patient while monitoring systems accounted for a further 27%. No physiological changes were observed in 54% of critical incidents. The most common incidents reported concerned airway management and invasive lines, tubes and drains. Human error was a factor in 55% of incidents while violations of standard practice contributed to 28%. Critical incident reporting was effective in revealing latent errors in our 'system' and clarifyingthe role of human error in the generation of incidents. It has provento be a useful technique to highlight problems previously undetected in our quality assurance programme. Improvements in quality of care following implementation of preventative strategies await further assessment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 22:36:54