Critical incidents in a multidisciplinary intensive care unit

被引:18
|
作者
Chacko, J. [1 ]
Raju, H. R. [1 ]
Singh, M. K. [1 ]
Mishra, R. C. [1 ]
机构
[1] Manipal Hosp, Multidisciplinary Intens Care Unit, Bangalore, Karnataka, India
关键词
intensive care; critical incidents; monitoring;
D O I
10.1177/0310057X0703500311
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We aimed to determine the type and frequency of critical incidents in a multidisciplinary intensive care unit, to determine outcomes consequent to these incidents and to devise corrective strategies. Prospectively collected data on critical incidents during a 33-month period were analysed. In all, 1918 patients were admitted to the unit during the study period. Each incident was analysed in detail. A system-based corrective strategy was sought for and implemented as appropriate. In these patients, 280 critical incidents were reported during the study period, resulting in 3.4 incidents per 100 patient days. Airway-related incidents were the most frequent (32.8%) followed by line-related (21.8%) and drug-related (15%) incidents. Thirty-two incidents (11.4%) led to adverse outcomes. There were four deaths that occurred as a direct consequence of or contributed to by the incident, all due to airway-related incidents. A major physiological change occurred in 3.6% of incidents, while 64% of incidents resulted in a minor physiological change. Critical incidents were common in our multidisciplinaty ICU, although adverse outcomes were rare.
引用
收藏
页码:382 / 386
页数:5
相关论文
共 50 条
  • [1] DRUG-RELATED CRITICAL INCIDENTS IN A MULTIDISCIPLINARY INTENSIVE CARE UNIT
    Morrison, J.
    Wenstone, R.
    Cloherty, L.
    Welters, I.
    [J]. INTENSIVE CARE MEDICINE, 2014, 40 : S39 - S39
  • [2] Critical incidents in a pediatric Intensive Care Unit
    Harada, MJCS
    Marin, HF
    Carvalho, WB
    Pedreira, MLG
    [J]. INTENSIVE CARE MEDICINE, 2003, 29 : S120 - S120
  • [3] CRITICAL INCIDENTS IN THE INTENSIVE THERAPY UNIT
    WRIGHT, D
    MACKENZIE, SJ
    BUCHAN, I
    CAIRNS, CS
    PRICE, LE
    [J]. LANCET, 1991, 338 (8768): : 676 - 678
  • [4] Equipment-related critical incidents in a general intensive care unit
    AT King
    R Wenstone
    J Morrison
    L Cloherty
    ID Welters
    [J]. Intensive Care Medicine Experimental, 3 (Suppl 1)
  • [5] Multidisciplinary obstetric critical care delivery: The concept of the "virtual" intensive care unit
    Leovic, Michael P.
    Robbins, Hailey N.
    Starikov, Roman S.
    Foley, Michael R.
    [J]. SEMINARS IN PERINATOLOGY, 2018, 42 (01) : 3 - 8
  • [6] Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit
    Frey, B.
    Ersch, J.
    Bernet, V.
    Baenziger, O.
    Enderli, L.
    Doell, C.
    [J]. QUALITY & SAFETY IN HEALTH CARE, 2009, 18 (06): : 446 - 449
  • [7] Predisposing factors for critical illness polyneuromyopathy in a multidisciplinary intensive care unit
    Nanas, S.
    Kritikos, K.
    Angelopoulos, E.
    Siafaka, A.
    Tsikriki, S.
    Poriazi, M.
    Kanaloupiti, D.
    Kontogeorgi, M.
    Pratikaki, M.
    Zervakis, D.
    Routsi, C.
    Roussos, C.
    [J]. ACTA NEUROLOGICA SCANDINAVICA, 2008, 118 (03): : 175 - 181
  • [8] Beyond the Individual: A Multidisciplinary Model for Critical Thinking in the Intensive Care Unit
    Jagpal, Sugeet K.
    Alismail, Abdullah
    Lin, Erica
    Blackwell, Lauren
    Ahmed, Nayla
    Lee, May M.
    Chiarchiaro, Jared
    [J]. ADVANCES IN MEDICAL EDUCATION AND PRACTICE, 2024, 15 : 409 - 417
  • [9] Aggressive incidents on a psychiatric intensive care unit
    Cohen, Dermot P.
    Akhtar, Mohammed Saleem
    Siddiqui, Adeel
    Shelley, Cathy
    Larkin, Conal
    Kinsella, Anthony
    O'Callaghan, Eadbhard
    Lane, Abbie
    [J]. PSYCHIATRIC BULLETIN, 2008, 32 (12): : 455 - 458
  • [10] Critical incidents among intensive care unit nurses and their need for support: explorative interviews
    de Boer, Jacoba
    van Rikxoort, Simone
    Bakker, Arnold B.
    Smit, Bert J.
    [J]. NURSING IN CRITICAL CARE, 2014, 19 (04) : 166 - 174