Adverse events are common on the intensive care unit: results from a structured record review

Acta Anaesthesiologica Scandinavica
L NilssonE Ericsson

Abstract

Intensive care is advanced and highly technical, and it is essential that, despite this, patient care remains safe and of high quality. Adverse events (AEs) are supposed to be reported to internal quality control systems by health-care providers, but many are never reported. Patients on the intensive care unit (ICU) are at special risk for AEs. Our aim was to identify the incidence and characteristics of AEs in patients who died on the ICU during a 2-year period. A structured record review according to the Global Trigger Tool (GTT) was used to review charts from patients cared for at the ICU of a middle-sized Swedish hospital during 2007 and 2008 and who died during or immediately after ICU care. All identified AEs were scored according to severity and preventability. We reviewed 128 records, and 41 different AEs were identified in 25 patients (19.5%). Health care-associated infections, hypoglycaemia, pressure sores and procedural complications were the most common harmful events. Twenty two (54%) of the AEs were classified as being avoidable. Two of the 41 AEs were reported as complications according to the Swedish Intensive Care Registry, and one AE had been reported in the internal AE-reporting system. Almost one fifth of th...Continue Reading

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Citations

Nov 28, 2013·Critical Care Medicine·Damien RouxJean-Damien Ricard
Aug 1, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Thea Otto MattssonJørn Herrstedt
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