Drug related critical incidents

Equipment-related critical incidents in a general intensive care unit.

Introduction The complexity of the care provided for critically ill patients frequently leads to medical errors with potential harm. To improve standards of care, each incident should be recorded, reported and discussed within the team. The reporting system highlights where errors were made and what lessons can be learnt from such incidents. These are commonly reported as “critical incidents” o...

Learning from critical incidents

Ian Clarke is a consultant in general adult psychiatry in the west of Glasgow (Arndale Resource Centre, 80–90 Kinfauns Drive, Drumchapel, Glasgow, G15 7TS, UK. Email: [email protected]). He is clinical lead for the Greater Glasgow and Clyde Patient Safety Group. He obtained a Masters in Business Administration in 2004 and is lead clinician for the west of Glasgow. Critical incidents in...

Critical incidents and critical threads in empirical usability evaluation

Empirical usability evaluations (particularly “formative” evaluations, Scriven, 1967) hinge on observing and interpreting critical incidents (Flanagan, 1954) of use: the causes of such critical incidents can often be found in the immediate contexts of their occurrence and can guide specific design changes. However, it can also happen that the causes of a critical incident are temporally remote ...

Critical incidents and adverse events in healthcare

End-tidal carbon dioxide monitoring in the detection of anesthesia-related critical incidents.

A prospective study was undertaken in an effort to determine the usefulness of the end-tidal carbon dioxide monitor in detecting anesthesia-related critical incidents. The critical incident technique was employed in the evaluation of 2,334 anesthetics. Anesthesia providers completed a critical incident questionnaire following each anesthetic. All questionnaires were analyzed for the occurrence ...