A novel error-reporting tool in pediatric intensive care.
Patient safety is a critical component of the U.S. healthcare system: thousands of people, including children, die or are injured yearly as a result of medical error. We designed and implemented a novel error-reporting tool for the pediatric intensive care unit. More errors were reported with the use of this paper-based tool than with the existing computerized error-reporting system. We also developed a scoring system to assess potential harm to the patient. The tool provided information about frequent and high-risk errors that guided successful improvements in patient care and safety and the achievement of measurable success.
Division of Critical Care Medicine, St. Louis Children's Hospital, St. Louis, MO, USA. kolovos@wustl.edu
Nikoleta S
NS
Kolovos
Susan L
SL
Bratton
Fiona H
FH
Levy
D004282:Documentation; D006801:Humans; D015278:Intensive Care Units, Pediatric; D019300:Medical Errors; D008923:Missouri; D019982:Organizational Case Studies; D017751:Safety Management / Q000458:organization & administration