Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/13126
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dc.contributor.authorHart, Graeme Ken
dc.contributor.authorBaldwin, Ian Cen
dc.contributor.authorGutteridge, Geoffrey Aen
dc.contributor.authorFord, Jen
dc.date.accessioned2015-05-16T02:54:41Z
dc.date.available2015-05-16T02:54:41Z
dc.date.issued1994-10-01en
dc.identifier.citationAnaesthesia and Intensive Care; 22(5): 556-61en
dc.identifier.govdoc7818059en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/13126en
dc.description.abstractThis prospective, observational, anonymous incident reporting study aimed to identify and correct factors leading to reduced patient safety in intensive care. An incident was any event which caused or had the potential to cause harm to the patient, but included problems in policy or procedure. Reports were discussed at monthly meetings. Of 390 incidents, 106 occasioned "actual" harm and 284 "potential" harm. There was one death, 86 severe complications and 88 complications of minor severity. Most were transient but the effects of 24 lasted up to a week. Most incidents affected cardiovascular and respiratory systems. Incident categories involved drugs, equipment, management or procedures. Incident causes were knowledge-based, rule-based, technical, slip/lapse, no error or unclassifiable. The study has identified some human and equipment performance problems in our intensive care unit. Correction of these should lead to a reduction in the future incidence of those events and hence an increased level of patient safety.en
dc.language.isoenen
dc.subject.otherAccidents.statistics & numerical dataen
dc.subject.otherAdulten
dc.subject.otherBed Occupancy.statistics & numerical dataen
dc.subject.otherCause of Deathen
dc.subject.otherDrug-Related Side Effects and Adverse Reactionsen
dc.subject.otherEquipment Failureen
dc.subject.otherEquipment and Supplies, Hospitalen
dc.subject.otherHospital Administrationen
dc.subject.otherHospital Information Systemsen
dc.subject.otherHumansen
dc.subject.otherIntensive Care.organization & administration.statistics & numerical dataen
dc.subject.otherIntensive Care Units.organization & administration.statistics & numerical dataen
dc.subject.otherPatient Admission.statistics & numerical dataen
dc.subject.otherPilot Projectsen
dc.subject.otherPolicy Makingen
dc.subject.otherProcess Assessment (Health Care)en
dc.subject.otherProspective Studiesen
dc.subject.otherRisk Factorsen
dc.subject.otherSafetyen
dc.subject.otherVictoria.epidemiologyen
dc.titleAdverse incident reporting in intensive care.en
dc.typeJournal Articleen
dc.identifier.journaltitleAnaesthesia and Intensive Careen
dc.identifier.affiliationIntensive Care Unit, Austin Hospital, Heidelberg, Victoria.en
dc.description.pages556-61en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/7818059en
dc.type.austinJournal Articleen
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptIntensive Care-
crisitem.author.deptIntensive Care-
Appears in Collections:Journal articles
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