CRITICAL INCIDENTS IN THE INTENSIVE THERAPY UNIT

被引:62
|
作者
WRIGHT, D
MACKENZIE, SJ
BUCHAN, I
CAIRNS, CS
PRICE, LE
机构
[1] Intensive Therapy Unit, Western General Hospital, Edinburgh
来源
LANCET | 1991年 / 338卷 / 8768期
关键词
D O I
10.1016/0140-6736(91)91243-N
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Preventable mishaps in an intensive therapy unit were studied over 12 months by the critical incident technique. Staff were encouraged to complete confidential questionnaires describing incidents in which they had participated or had observed. This allowed classification of the events and examination of the views of staff on causes, detection, and prevention. 110 (80%) of 137 events were felt to have been due to human error; the remainder were due to equipment failure. Inexperience with equipment and shortage of trained staff were the factors most often felt to contribute to incidents. The critical incident technique is a useful way of improving standards of clinical care.
引用
收藏
页码:676 / 678
页数:3
相关论文
共 50 条
  • [1] Critical incidents in a multidisciplinary intensive care unit
    Chacko, J.
    Raju, H. R.
    Singh, M. K.
    Mishra, R. C.
    [J]. ANAESTHESIA AND INTENSIVE CARE, 2007, 35 (03) : 382 - 386
  • [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] 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)
  • [4] 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
  • [5] 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
  • [6] 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
  • [7] 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
  • [8] Major sources of critical incidents in intensive care
    Welters, Ingeborg D.
    Gibson, James
    Mogk, Martin
    Wenstone, Richard
    [J]. CRITICAL CARE, 2011, 15 (05)
  • [9] Major sources of critical incidents in intensive care
    Ingeborg D Welters
    James Gibson
    Martin Mogk
    Richard Wenstone
    [J]. Critical Care, 15
  • [10] Patterns of Safety Incidents in a Neonatal Intensive Care Unit
    Brado, Luise
    Tippmann, Susanne
    Schreiner, Daniel
    Scherer, Jonas
    Plaschka, Dorothea
    Mildenberger, Eva
    Kidszun, Andre
    [J]. FRONTIERS IN PEDIATRICS, 2021, 9