Critical incidents in the intensive therapy unit

Wright, Don; Mackenzie, S. J.; Buchan, Iain; Cairns, Chris; Price, L.E.

doi:10.1016/0140-6736(91)91243-n

Cited by 117 publications

(60 citation statements)

References 4 publications

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“…In the critical care literature an incidence of between 66% and 80% has been reported [7,11,17]. These discrepancies reflect different definitions of human error.…”

Section: Discussionmentioning

confidence: 98%

“…Earlier studies [7,8] described the taxonomy of critical incidents occurring in the ICU without rigorously attempting to identify contributing factors or suggesting appropriate preventative strategies. The study by Hart and colleagues [9] is the first to attempt systematically to delineate the precipitating factors involved in critical incident generation.…”

Section: Discussionmentioning

confidence: 99%

“…Critical incident reporting is well established in anaesthesia [1][2][3][4][5][6] and several studies have now been published which highlight the role of both active and latent errors in the genesis of critical incidents. Until recently, little information was available regarding critical incidents [7][8][9][10][11] occurring in critically ill patients in the ICU especially when technically sophisticated procedures are performed on acutely ill patients with unstable physiology.…”

mentioning

confidence: 99%

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Critical incident reporting in the intensive care unit

et al. 1997

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SummaryCritical 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 were reported. 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 clarifying the role of human error in the generation of incidents. It has proven to 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.

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“…In the critical care literature an incidence of between 66% and 80% has been reported [7,11,17]. These discrepancies reflect different definitions of human error.…”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Critical incident reporting in the intensive care unit

et al. 1997

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“…Analisando-se os dados apresentados na literatura, verificase que o fator humano é apontado como o principal agente causador das ocorrências iatrogênicas ou incidentes críticos (20,(26)(27)(28)(29) . No entanto, embora grande porcentagem dos problemas tenha o componente humano envolvido, sua contribuição global para muitos problemas deve ser analisada.…”

Section: Ocorrências Iatrogênicas Na Utiunclassified

Ocorrências Iatrogênicas Na Uti E O Enfoque De Qualidade

Padilha

2001

Rev. Latino-Am. Enfermagem

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“…Already, web-based error reporting systems have been applied to clinical environments in many countries, including the USA, Australia, and England from the late 1990s (Beckmann et al, 1996;Donchin et al, 1995;Wright et al, 1991). However it was an unfamiliar system in Korea.…”

Section: Introductionmentioning

confidence: 99%