Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Valentin, A; Capuzzo, M; Guidet, B; Moreno, RP; Dolanski, L; Bauer, P; Metnitz, PG; Research Group on Quality Improvement of European Society of Intensive Care Medicine; Sentinel Events Evaluation Study Investigators.
Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.
Intensive Care Med. 2006; 32(10):1591-1598
Doi: 10.1007/s00134-006-0290-7
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- Metnitz Philipp
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- Abstract:
- 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). An observational, 24-h cross-sectional study of incidents in five representative categories. 205 ICUs worldwide Events were reported by intensive care unit staff members with the use of a structured questionnaire. Both ICU- and patient-related factors were assessed. 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; equipment failure in 112; loss, obstruction or leakage of artificial airway in 47; and inappropriate turn-off of alarms in 17. Per 100 patient days, 38.8 (95% confidence interval 34.7-42.9) events were observed. In a multiple logistic regression with ICU as a random component, the following were associated with elevated odds for experiencing a sentinel event: any organ failure (odds ratio 1.13, 95% confidence interval 1.00-1.28), a higher intensity in level of care (odds ratio 1.62, 95% confidence interval 1.18-2.22), and time of exposure (odds ratio 1.06, 95% confidence interval 1.04-1.08). Sentinel events related to medication, indwelling lines, airway, and equipment failure in ICUs occur with considerable frequency. Although patient safety is recognised as a serious issue in many ICUs, there is an urgent need for development and implementation of strategies for prevention and early detection of errors.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Aged -
- Aged, 80 and over -
- Cross-Sectional Studies -
- Equipment Failure -
- Female -
- Humans -
- Intensive Care Units - standards
- Intensive Care Units - statistics & numerical data
- Logistic Models -
- Male -
- Medical Errors - prevention & control
- Medical Errors - statistics & numerical data
- Middle Aged -
- Population Surveillance -
- Safety Management -
- Find related publications in this database (Keywords)
- critical care
- patient safety
- incident reporting