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  1. Critical incident reporting in the intensive care unit.

    Article - En anglais

    Critical incident reporting was introduced into the intensive care unit (ICU) as part of the development of quality assurance programme within our department.

    Over a 3-year period 281 critical incidents were reported.

    Factors relating to causation, detection and prevention of critical incidents were sought.

    Detection of a critical incident in over 50% of cases resulted from direct observation of the patient while monitoring systems accounted for a further 27%. No physiological changes were observed in 54% of critical incidents.

    The most common incidents reported concerned airway managements and invasive lines, tubes and drains.

    Human error was a factor in 55% of incidents while violations of standard practice contributed to 28%. Critical incident reporting was effective in revealing latent errors in our'system'and clarifying the role of human error iii the generation of incidents.

    It has proven to be a useful technique to highlight problems previously undetected in our quality assurance programme.

    Improvements in quality of care following implementation of preventative strategies await further assessment.

    Mots-clés Pascal : Unité soin intensif, Incident, Complication, Assurance qualité, Erreur humaine, Défaillance appareil, Prévention, Homme, Hôpital, Hong Kong, Asie

    Mots-clés Pascal anglais : Intensive care unit, Mishap, Complication, Quality assurance, Human error, Apparatus failure, Prevention, Human, Hospital, Hong Kong, Asia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0308599

    Code Inist : 002B27B14C. Création : 15/07/1997.