Critical incident reports.
We describe a retrospective analysis of critical incident reports in two teaching hospitals. We included significant observations, involving unsafe practices during cardio-pulmonary resuscitation intensive care management and during anesthesia. Of the 143 critical incidents reported, 87% did not lead to negative out-come, out of these 13% were reports on deaths of patient resuscitated by CPR team or emergency department, underwent surgery, and or managed in the intensive care unit. Human errors and lack of communications were common factors for the majority of the incidents. Wrong drug labeling and irresponsible behavior were the most frequent among the human errors. The analysis aimed to regularize the method of reporting and also to determine the causes of complications, offer solutions and prevent occurrence of such incidents in the future.
Qadir
N
N
Department of Anesthesia, King Khalid University Hosp., Riyadh, Kingdom Saudi Arabia, Riyadh.
Takrouri
M S
MS
Seraj
M A
MA
el-Dawlatly
A A
AA
al-Satli
R
R
al-Jasser
M M
MM
Baaj
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000009:adverse effects; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects; D002423:Cause of Death; D003142:Communication; D003422:Critical Care; D004636:Emergency Service, Hospital; D004868:Equipment Failure; D005260:Female; D006784:Hospitals, Teaching / Q000458:organization & administration; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007400:Interprofessional Relations; D008297:Male; D008318:Malpractice; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D012308:Risk Management; D013514:Surgical Procedures, Operative / Q000009:adverse effects