Thomas A N, Pilkington C E, Greer R
Intensive Care Medicine, Intensive Care Unit, Hope Hospital, Salford, UK.
J Eval Clin Pract. 2003 Feb;9(1):59-68. doi: 10.1046/j.1365-2753.2003.00375.x.
RATIONALE, AIMS AND OBJECTIVES: To review critical incident reporting in UK intensive care units (ICUs).
We conducted a postal survey of clinical directors of UK ICUs to ask if critical incident reporting was used in their ICU. Using a structured questionnaire, we also asked for details of critical incident reporting systems and for changes introduced as a result of incident reporting.
Eighty-six of a total of 256 questionnaires were returned. Sixty-one units had been using a critical incident reporting system for a median duration of 3 years (interquartile range 2-5 years). There were wide variations in the structures of reporting systems between units. A median of four (interquartile range 3-8) critical incidents were reported per unit per month. In 141 changes, the development of protocols and guidelines (18) and changes in drug prescription and checking (20) were most common. A more consistent approach to reporting could improve patient care and 65 responders felt that a national reporting system was potentially useful.
原理、目的与目标：回顾英国重症监护病房（ICU）的危急事件报告。
我们对英国ICU的临床主任进行了邮寄调查，询问他们所在的ICU是否使用危急事件报告。通过结构化问卷，我们还询问了危急事件报告系统的详细情况以及因事件报告而做出的改变。
总共256份问卷中，有86份被退回。61个科室使用危急事件报告系统的中位时长为3年（四分位间距为2 - 5年）。各科室报告系统的结构差异很大。每个科室每月报告的危急事件中位数为4起（四分位间距为3 - 8起）。在141项改变中，制定方案和指南（18项）以及药物处方与核对方面的改变（20项）最为常见。采用更一致的报告方法可以改善患者护理，65名受访者认为全国性报告系统可能有用。
