Adverse occurrences in intensive care units.

@article{Abramson1980AdverseOI,
  title={Adverse occurrences in intensive care units.},
  author={Norman S Abramson and K S Wald and Ake N A Grenvik and Donald Robinson and James V Snyder},
  journal={JAMA},
  year={1980},
  volume={244 14},
  pages={1582-4}
}
Analysis of 145 reports of adverse occurrences involving patients in a medical-surgical intensive care unite (ICU), during the yearts 1974 through 1978, disclosed 92 instances of human error and 53 cases of equipment malfunction. A peak occurrence of reported incidents was found between midnight and 1 AM. Harm occurred more frequently if the patient was unattended (72%) than attended (49%) during the incident. Mortality for patients with an incident report filed during their ICU admission (41… CONTINUE READING

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