作者
Andreas Valentin, Maurizia Capuzzo, Bertrand Guidet, Rui P Moreno, Lorenz Dolanski, Peter Bauer, Philipp GH Metnitz
发表日期
2006/10
期刊
Intensive care medicine
卷号
32
页码范围
1591-1598
出版商
Springer-Verlag
简介
Objective
To assess on a multinational level the prevalence and corresponding factors of selected unintended events that compromise patient safety (sentinel events) in intensive care units (ICUs).
Design
An observational, 24-h cross-sectional study of incidents in five representative categories.
Setting
205 ICUs worldwide
Measurements
Events were reported by intensive care unit staff members with the use of a structured questionnaire. Both ICU- and patient-related factors were assessed.
Results
In 1,913 adult patients a total of 584 events affecting 391 patients were reported. During 24 h multiple errors related to medication occurred in 136 patients; unplanned dislodgement or inappropriate disconnection of lines, catheters, and drains in 158 …
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