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Critical incidents related to invasive mechanical ventilation in the ICU: preliminary descriptive study.

Abstract：

OBJECTIVES:To establish a preliminary list of critical incidents (CIs) associated with mechanical ventilation and to describe a CI reporting method. DESIGN:A list of CIs was established based on a consensus among ICU caregivers. The list was compared to CIs collected prospectively during a predefined study period. SETTING:The clinical observations were conducted in two intensive care units. PATIENTS:All patients receiving mechanical ventilation were included. MEASUREMENTS AND RESULTS:The list of CIs included death and 62 other CI types categorized as immediately life-threatening, secondarily life-threatening, or non-life-threatening. The observational study identified 527 CIs in 137 patients. Virtually all non-life-threatening CIs were ascribed to failure to comply with safety rules or to equipment failure and 40% of life-threatening CIs to the course of the disease or to patient-related factors. The match between CI types on the list and CI types observed in the ICUs was excellent. CONCLUSIONS:Use of our reporting method to create a CI database in a multicenter study including ICUs with varying recruitment patterns may help to identify markers suitable for routine continuous use as part of a quality-assurance program.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Auriant I,Reignier J,Pibarot ML,Bachat S,Tenaillon A,Raphael JC

doi

10.1007/s00134-002-1251-4

keywords:

subject

Has Abstract

pub_date

2002-04-01 00:00:00

pages

452-8

issue

4

eissn

0342-4642

issn

1432-1238

journal_volume

28

pub_type

临床试验,杂志文章,随机对照试验

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