Critical incidents rates and types in Italian Intensive Care Units: A five-year analysis |
| |
| Affiliation: | 1. School of Nursing, Department of Medical Sciences, University of Udine, Viale Ungheria 20, 33100 Udine, Italy;2. Accreditation, Clinical Risk Management and Performance Assessment Unit, Udine University Hospital, Piazzale Santa Maria della Misericordia 15, 33100 Udine, Italy;1. Innovation Center of Nursing Research, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, Sichuan Province, PR China;2. Clinical Practice Facilitator, Cambridge University Hospitals, Rosie Maternity Neonatal Intensive Care Unit, Cambridge, United Kingdom;3. Dept. of Internal Medicine & Pediatrics, Faculty of Medicine & Health Science, Ghent University, Belgium;4. Dept. of Neonatology, West China Second Hospital, Sichuan University, Chengdu, Sichuan Province, PR China;1. Faculty of Education, Health and Social Work, Nursing Dept., HOGENT University of Applied Sciences and Arts, Ghent, Belgium;2. Faculty of Medicine & Health Science, Dept. of Internal Medicine, Ghent University, Ghent, Belgium;2. Department of Surgery, University of South Florida, Tampa, Florida;1. Perioperative Medicine and Intensive Care Function, Karolinska University Hospital, Stockholm, Sweden;2. Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden;1. School of Health and Human Sciences, Gold Coast Campus, Southern Cross University, Bilinga QLD 4225, Australia;2. School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Australia;3. School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, QLD, 4556, Australia;4. Sunshine Coast Health Institute, QLD, Australia;5. Gold Coast Hospital and Health Service, Southport, QLD, Australia;1. Faculty of Medicine, University of Turku, Turku, Finland;2. Public Health, Faculty of Medicine, University of Turku, Turku, Finland;3. Perioperative Services, Intensive Care Medicine and Pain Management, Turku University Hospital, Turku, Finland;4. Division of Clinical Neuroscience, Department of Neurosurgery, Turku University Hospital, Turku, Finland |
| |
| Abstract: | ObjectiveTo describe rates and types of critical incidents in Intensive Care Units.Research methodologyA retrospective study in four intensive care units of an Academic Hospital located in the North-East of Italy. All critical incidents recorded in an incident reporting system database from 2013 to 2017 were collected.Results160 critical incidents emerged. The rate was 1.7/100 intensive care-patient admissions, and 2.86/1000 in intensive care-patient days. Nurses reported most of the critical incidents (n = 113, 70.6%). In 2013 there were 19 (11.9%) critical incidents which significantly increased by 2017 (n = 38, 23.7%; p = 0.034). The most frequent critical incidents were medication/intravenous fluids issues (n = 35, 21.9%) and resources and organisational management (n = 35, 21.9%). Less frequently occurring incidents concerned medical devices/equipment (n = 29, 18.1%), clinical processes/procedures (n = 18, 11.3%), documentation (n = 14, 8.8%) and patient accidents (n = 13, 8.1%). Rare incidents included behaviour, clinical administration, nutrition, blood products and healthcare associated infection.ConclusionOver a five-year period, documented incidents were steadily increasing in four Italian intensive care units. A voluntary incident reporting system might provide precious information on safety issues occurring in units. at both policy and professional levels. |
| |
| Keywords: | Critical incident Hospital incident reporting Intensive Care Unit Italy Patient safety |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
