移除“橙色电线”：浮出水面并有望从错误中吸取教训。 - Suppr

Suppr

超能文献

Removing "orange wires": surfacing and hopefully learning from mistakes.

作者信息

Pronovost Peter J, Martinez Elizabeth A, Rodriguez-Paz Jose M

出版信息

Intensive Care Med. 2006 Oct;32(10):1467-9. doi: 10.1007/s00134-006-0291-6. Epub 2006 Jul 28.

DOI:10.1007/s00134-006-0291-6

PMID:16874491

Abstract

摘要

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本文引用的文献

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.重症监护中的患者安全：多国哨兵事件评估（SEE）研究的结果。

Intensive Care Med. 2006 Oct;32(10):1591-8. doi: 10.1007/s00134-006-0290-7. Epub 2006 Jul 28.

A practical tool to learn from defects in patient care.一个从患者护理缺陷中学习的实用工具。

Jt Comm J Qual Patient Saf. 2006 Feb;32(2):102-8. doi: 10.1016/s1553-7250(06)32014-4.

A system factors analysis of "line, tube, and drain" incidents in the intensive care unit.重症监护病房中“管路、导管及引流管”事件的系统因素分析

Crit Care Med. 2005 Aug;33(8):1701-7. doi: 10.1097/01.ccm.0000171205.73728.81.

Improving ICU care: it takes a team.改善重症监护病房护理：需要一个团队。

Healthc Exec. 2005 Mar-Apr;20(2):14-6, 18, 20 passim.

The end of the beginning: patient safety five years after 'to err is human'.开端的结束：《人非圣贤，孰能无过》发表五年后的患者安全

Health Aff (Millwood). 2004 Jul-Dec;Suppl Web Exclusives:W4-534-45. doi: 10.1377/hlthaff.w4.534.

Creating the web-based intensive care unit safety reporting system.创建基于网络的重症监护病房安全报告系统。

J Am Med Inform Assoc. 2005 Mar-Apr;12(2):130-9. doi: 10.1197/jamia.M1408. Epub 2004 Nov 23.

When will health care pass the orange-wire test?医疗保健何时才能通过橙线测试？

Lancet. 2004;364(9445):1567-8. doi: 10.1016/S0140-6736(04)17330-3.

An alternative strategy for studying adverse events in medical care.一种研究医疗保健中不良事件的替代策略。

Lancet. 1997 Feb 1;349(9048):309-13. doi: 10.1016/S0140-6736(96)08268-2.

A look into the nature and causes of human errors in the intensive care unit.深入探究重症监护病房中人为错误的性质和原因。

Crit Care Med. 1995 Feb;23(2):294-300. doi: 10.1097/00003246-199502000-00015.

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