A system factors analysis of "line, tube, and drain" incidents in the intensive care unit.

Abstract

OBJECTIVE To analyze the system factors related to "line, tube, and drain" (LTD) incidents in the intensive care unit (ICU). DESIGN Voluntary, anonymous Web-based patient safety reporting system. SETTING Eighteen ICUs in the United States. PATIENTS Incidents reported by ICU staff members during a 12-month period ending June 2003. INTERVENTIONS None… (More)

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