| Medical error and decision making: Learning from the past and present in intensive care. | |
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MedLine Citation:
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PMID: 20594866 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Human error occurs in every occupation. Medical errors may result in a near miss or an actual injury to a patient that has nothing to do with the underlying medical condition. Intensive care has one of the highest incidences of medical error and patient injury in any specialty medical area; thought to be related to the rapidly changing patient status and complex diagnoses and treatments. PURPOSE: The aims of this paper are to: (1) outline the definition, classifications and aetiology of medical error; (2) summarise key findings from the literature with a specific focus on errors arising from intensive care areas; and (3) conclude with an outline of approaches for analysing clinical information to determine adverse events and inform practice change in intensive care. DATA SOURCE: Database searches of articles and textbooks using keywords: medical error, patient safety, decision making and intensive care. Sociology and psychology literature cited therein. FINDINGS: Critically ill patients require numerous medications, multiple infusions and procedures. Although medical errors are often detected by clinicians at the bedside, organisational processes and systems may contribute to the problem. A systems approach is thought to provide greater insight into the contributory factors and potential solutions to avoid preventable adverse events. CONCLUSION: It is recommended that a variety of clinical information and research techniques are used as a priority to prevent hospital acquired injuries and address patient safety concerns in intensive care. |
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Authors:
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Tracey K Bucknall |
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Publication Detail:
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Type: Journal Article; Review Date: 2010-07-01 |
Journal Detail:
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Title: Australian critical care : official journal of the Confederation of Australian Critical Care Nurses Volume: 23 ISSN: 1036-7314 ISO Abbreviation: Aust Crit Care Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-26 Completed Date: 2010-12-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207852 Medline TA: Aust Crit Care Country: Australia |
Other Details:
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Languages: eng Pagination: 150-6 Citation Subset: N |
Copyright Information:
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2010 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Deakin University, Cabrini-Deakin Centre for Nursing Research, Cabrini Institute, Malvern, Victoria, Australia. tracey.bucknall@deakin.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Critical Illness* Decision Making* Humans Intensive Care Units / standards* Medical Errors / classification, prevention & control* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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