Critical incidents rates and types in Italian Intensive Care Units: A five-year analysis

Danielis, Matteo; Bellomo, F; Farneti, Federico; Palese, Alvisa

doi:10.1016/j.iccn.2020.102950

Cited by 10 publications

(4 citation statements)

References 25 publications

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“…Other studies using the incident-reporting system found a homogeneous reporting rate, ranging from 0.39 to 3.4 per 1000 patient bed-days. [ 19 , 27 ] However, studies using medical record reviews had a higher rate of adverse events (3.7–12.0%). [ 22 , 23 , 25 , 28 , 29 ] Many studies suggested that the incident-reporting system might detect only a small fraction of adverse events.…”

Section: Discussionmentioning

confidence: 99%

Rates and Factors Associated With Serious Outcomes of Patient Safety Incidents in Malaysia: An Observational Study

Khalid

Yamamoto

Hamajima

et al. 2022

Global Journal on Quality and Safety in Healthcare

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Introduction This study aimed to examine the reporting rate and the factors associated with serious outcomes of patient safety incidents at public hospitals in Malaysia. Methods All patient safety incidents reported in the e-Incident-Reporting System from January to December 2019 were included in the study. A descriptive study was used to describe the characteristics of incidents, and logistic models were used to identify factors associated with low reporting rates and severe harm or death outcomes of incidents. Results There were 9431 patient safety incidents reported in the system in 2019. The mean reporting rate was 2.1/1000 patient bed-days or 1.5% of hospital admissions. The major category of incidents was drug-related incidents (32.4%). No-harm incidents contributed to 56.1% of all the incidents, while 1.1% resulted in death. More hospitals in the eastern (odds ratio [OR], 12.1) and southern regions (OR, 6.1) had low reporting rates compared to the central region. Incidents with severe harm or death outcomes were associated with more males (OR, 1.4) than females and with the emergency department (OR, 10.6), internal medicine (OR, 5.7), obstetrics and gynecology (OR, 2.4), and surgical department (OR, 5.0) more than the pharmacy department. Compared to drug-related incidents, operation-related (OR, 3.0), procedure-related (OR, 3.5), and therapeutic-related (OR, 4.8) incidents had significantly more severe harm or death outcomes, and patient falls (OR, 0.4) had less severe harm or death outcomes. Conclusion The mean reporting rate was 2.1/1000 patient bed-days or 1.5% of hospital admissions. More hospitals in the eastern and southern regions had low reporting rates. Certain categories of incidents had significantly more severe outcomes.

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Section: Discussionmentioning

confidence: 99%

Rates and Factors Associated With Serious Outcomes of Patient Safety Incidents in Malaysia: An Observational Study

Khalid

Yamamoto

Hamajima

et al. 2022

Global Journal on Quality and Safety in Healthcare

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“…This score may be influenced by the high awareness in avoiding critical incidents that ICU nurses possess such as Danielis et al. detected [ 29 ] and to achieve this prevention, adequate training for ICU nurses is essential. It can be seen that the nurses consulted score high values for almost all the items in the questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ perception on competency requirement and training demand for intensive care nurses

Santana-Padilla¹,

Bernat-Adell²,

Santana-Cabrera³

2022

International Journal of Nursing Sciences

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“…중환자실 간호사는 높은 중증도, 고위험 약물 및 의료기기, 빈번한 응급상황, 과도한 업무량과 다학제 간 협력이 필요한 복잡한 근무 환경 속에서 간호를 제공한다 [4]. 중환자실 간호 사는 투약 오류, 의료장비 문제, 환자 확인 누락, 침습적 카테터 와 배액관 감염, 카테터의 비계획적 탈관 [5] 등의 환자안전사 건을 적게는 2.0%에서 많게는 70.0%까지 경험한다 [6,7]. 이러 한 중환자실 내 환자안전사건은 환자의 재원 일수를 증가시키 고, 추가적인 처치를 발생시키며 [7], 심각한 경우 환자를 사망 에 이르게 한다 [6].…”

Section: 서 론unclassified

Development of a Patient Safety Simulation Program for New Nurses in the Intensive Care Unit

Jung,

Park

2024

J Korean Acad Fundam Nurs

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Purpose: Intensive care units (ICUs) are departments that use high-risk drugs and medical devices. Therefore, patient safety is especially important in ICUs. However, new nurses in ICUs often lack patient safety competencies. Thus, it is necessary to improve patient safety competencies for new nurses working in ICUs.Methods: This methodological study was designed to develop a simulation program to improve patient-safety competencies among new nurses working in ICUs. To develop a patient-safety simulation program, we conducted a survey on educational needs and reviewed the core competencies of patient safety applicable to healthcare providers. Additionally, we conducted an expert validation process and a pilot test.Results: A simulation-based patient safety program was developed that spanned 4 weeks (240 minutes).Conclusion: The patient safety simulation program, which considered the characteristics and competence levels of new nurses working in ICUs, was found to be appropriate. This program is expected to improve the patient safety competencies of new intensive care nurses, thereby contributing to the creation of a safer ICU environment.

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Critical incidents rates and types in Italian Intensive Care Units: A five-year analysis

Cited by 10 publications

References 25 publications

Rates and Factors Associated With Serious Outcomes of Patient Safety Incidents in Malaysia: An Observational Study

Rates and Factors Associated With Serious Outcomes of Patient Safety Incidents in Malaysia: An Observational Study

Nurses’ perception on competency requirement and training demand for intensive care nurses

Development of a Patient Safety Simulation Program for New Nurses in the Intensive Care Unit

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