Targeting errors in the ICU: use of a national database.
The authors believe that as we move from viewing adverse event reporting system as punitive, and as the safety culture improves, reporting will likely increase. Voluntary incident reporting systems can be used to improve patient safety in the ICU by identifying broken or inadequate systems that lead to adverse events [26]. Voluntary external reporting systems such as the ICUSRS can be used to target errors and produce evidence-based best practice measures to improve patient safety in the ICU.
Kleinpell
Ruth
R
Rush University College of Nursing, Chicago, IL 60612, USA. Ruth_M_Kleinpell@rush.edu
Thompson
David
D
Kelso
Lynn
L
Pronovost
Peter J
PJ
D016907:Adverse Drug Reaction Reporting Systems / Q000458:organization & administration*; D000368:Aged; D019985:Benchmarking / Q000458:organization & administration; D003142:Communication; D003266:Continuity of Patient Care / Q000458:organization & administration; D003422:Critical Care / Q000458:organization & administration*; D016208:Databases, Factual / Q000706:statistics & numerical data*; D019317:Evidence-Based Medicine; D017809:Fatal Outcome; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D019300:Medical Errors / Q000451:nursing / Q000517:prevention & control* / Q000706:statistics & numerical data; D015279:Organizational Culture; D011015:Pneumonia, Aspiration / Q000209:etiology / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012307:Risk Factors; D017751:Safety Management / Q000458:organization & administration*; D013597:Systems Analysis; D017749:Total Quality Management / Q000458:organization & administration; D014481:United States / Q000453:epidemiology