A look into the nature and causes of human errors in the intensive care unit*

No abstract is available for this paper.

• Publication year

  1995

• Venue

  Critical Care Medicine

• Publication date

  1995-02-01

• Fields of study

  Medicine, Engineering

• Identifiers
  DOI 10.1136/qhc.12.2.143PMID 7867355PMCID PMC1743697
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I*

  2004cited by this paper
• Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.

  1991cited by this paper
• Incidence of adverse events and negligence in hospitalized patients.

  1991cited by this paper
• Normal Accidents

  1991cited by this paper
• Medication prescribing errors in a teaching hospital.

  1990cited by this paper
• Identification of adverse events occurring during hospitalization. A cross-sectional study of litigation, quality assurance, and medical records at two teaching hospitals.

  1990cited by this paper
• The Nature and Causes of Human Errors in a Medical Intensive Care Unit

  1989cited by this paper
• HUMAN ERROR IN ANESTHETIC MISHAPS

  1989cited by this paper
• The Definition of Human Error and a Taxonomy for Technical System Design

  1987cited by this paper
• An evaluation of outcome from intensive care in major medical centers.

  1986cited by this paper
• Medication errors with inhalant epinephrine mimicking an epidemic of neonatal sepsis.

  1984cited by this paper
• Adverse occurrences in intensive care units.

  1980cited by this paper
• Human Error

  1973cited by this paper
• A look into the nature and causes of human errors in the intensive care unit

  year unknowncited by this paper

• Infection Prevention and Control in the Intensive Care Unit

  2026cites this paper
• Layout configuration and occupancy in healthcare indoors: A case study in a Turkish research hospital

  2025cites this paper
• Identifying Factors Contributing to Medical Errors: A Qualitative Study

  2025cites this paper
• Research on Enhancing Healthcare System Safety and Reducing Human Errors Based on Human Reliability Analysis Techniques

  2025cites this paper
• Beyond labels: determining the true type of blood gas samples in ICU patients through supervised machine learning

  2025cites this paper
• Developing ICU Clinical Behavioral Atlas Using Ambient Intelligence and Computer Vision

  2025cites this paper
• Handoffs and transitions of care in the intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document

  2025cites this paper
• Causes of Medical Errors and Their Relative Importance: Systematic Review

  2025cites this paper
• Managing Safety in Teaching Clinical Skills: Investigating Framing Errors in Cardiopulmonary Resuscitation Training through a Multi-Arm Randomized Controlled Equivalence Study

  2025cites this paper
• Framework for Balancing Socio-Spatial, Energy, and Daylighting Objectives in Healthcare Facilities Design

  2025cites this paper
• Investigating differences in Paramedic trainees’ multimodal interaction during low and high physiological synchrony

  2025cites this paper
• Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training – a multi-arm randomized controlled equivalence trial

  2024cites this paper
• Decreasing medication errors in Alexandria Main University Hospital Critical Care Unit 3 using sensitization program

  2024influential citation
• Patient Handoff Practices at the Epilepsy Centers in the United States: A Survey of the Medical Directors

  2024cites this paper
• Data Driven Insights to Operating Room Inefficiencies: What’s next? Part 2

  2024cites this paper
• Enhancing Collaboration and Performance among EMS Students through Multimodal Learning Analytics

  2024cites this paper
• How to involve the patient and family in improving safety in intensive medicine services (SMI)?

  2024cites this paper
• Are “High-alert Medication” Used Safely in Intensive Care Units?

  2023cites this paper
• Technical, Non-Technical, or Both? A Scoping Review of Skills in Simulation-Based Surgical Training.

  2023cites this paper
• Evaluation of Digital Health Strategy to Support Clinician-Led Critically Ill Patient Population Management: A Randomized Crossover Study

  2023cites this paper
• Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study

  2023cites this paper
• Human factors in surgery: optimal surgical team proficiency and decision making

  2023cites this paper
• Development of a high fidelity, multidisciplinary, crisis simulation model for robotic surgical teams

  2023cites this paper
• Nurse-Led Rounds in the Pediatric Intensive Care Unit.

  2023cites this paper
• Multifaceted Intervention to Improve Patient Safety Incident Reporting in Intensive Care Units.

  2023cites this paper
• Debriefing to improve interprofessional teamwork in the operating room: A systematic review.

  2023cites this paper
• Are two naïve and distributed heads better than one? Factors influencing the performance of teams in a challenging real-time task

  2023cites this paper
• Adverse events leading to intensive care unit admission in a low-and-middle-income-country: A prospective cohort study and a systematic review.

  2023cites this paper
• Evaluation of human error using human error assessment and reduction technique (HEART) based on fuzzy logic (Case study: gas power plant

  2023cites this paper
• Effects of interprofessional conferences on intensive care units: comparing lengths of stay in the intensive care unit before and after the introduction of interprofessional conferences

  2023influential citation
• application of human reliability analysis to three critical care procedures

  2023influential citation
• Accuracy of intra-arterial line transducer levelling practice in a general intensive care unit.

  2023cites this paper
• Garbage in, Garbage Out: A Case Study on Defective Product Prediction in Manufacturing

  2023cites this paper
• Impact of leadership communication on job satisfaction and well-being of physicians

  2023cites this paper
• Medication administration error prevention among nurses working in intensive care units: A secondary analysis.

  2023cites this paper
• Adaptation of the standardized plant analysis–risk human reliability analysis technique for the surgical setting: expert judgment approach

  2022cites this paper
• Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave

  2022cites this paper
• Identification and analysis of human errors in emergency department nurses using SHERPA method.

  2022cites this paper
• Information and interaction opportunities: Experiences of mothers of babies at the neonatal intensive care unit, Accra, Ghana: A qualitative study

  2022cites this paper
• Using Virtual Reality Head-Mounted Displays to Assess Skills in Emergency Medicine: Validity Study

  2022cites this paper
• Promoting Critical Thinking in Your Intensive Care Unit Team.

  2022cites this paper
• Information and Data Visualization Needs among Direct Care Nurses in the Intensive Care Unit

  2022cites this paper
• Workplace stress in paediatric intensive care units in Saudi Arabia: A mixed-methods study

  2022cites this paper
• How do physicians from two generations communicate with each other?

  2022cites this paper
• Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave

  2022cites this paper
• The Effects of Augmented Reality Remapping on Individual Differences in Task Performance, Workload, and Error Frequency within ICU Nurses

  2022cites this paper
• Debriefing surgery: a systematic review

  2022cites this paper
• Anaesthesia related complications - a single centre data analysis at a tertiary hospital in central Switzerland.

  2022cites this paper
• Investigating the risk of severe adverse events in gabapentinoid users with chronic non-cancer pain in English primary care of drug – drug interactions in older community-dwellers: A systematic review and meta-analysis

  2022cites this paper
• Concepts and Trends in Autonomy for Robot-Assisted Surgery

  2022cites this paper
• Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave

  2022cites this paper
• Implementing Rounding Checklists in a Pediatric Oncologic Intensive Care Unit

  2022cites this paper
• Common Presentations of Rare Drug Reactions and Atypical Presentations of Common Drug Reactions in the Intensive Care Unit.

  2022cites this paper
• Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave

  2022cites this paper
• Effects of the introduction of interprofessional conferences on the intensive care unit: Comparison of the length of stay in the intensive care unit before and after the introduction of interprofessional conferences

  2022cites this paper
• The impact of eye-tracking on patient safety in critical care

  2022cites this paper
• Safety management in times of crisis: Lessons learned from a nationwide status-analysis on German intensive care units during the COVID-19 pandemic

  2022influential citation
• Vigilance, Alarms, and Integrated Monitoring Systems

  2021cites this paper
• Building a Taxonomy to Understand Health Care Worker’s Response to Workplace ‘Pressure’ in Complex, Volatile and Emergency Situations

  2021cites this paper
• "GAMING" communication between doctors and nurses: Understanding the interactions in the emergency department.

  2021cites this paper
• Organisational and relational factors that influence return to work and job retention: The contribution of activity ergonomics

  2021cites this paper
• Completion of electronic nursing documentation of inpatient admission assessment: insights from Australian metropolitan hospitals

  2021cites this paper
• Valoración de la cultura de seguridad del paciente en la UCI de un hospital de segundo nivel al finalizar la tercera oleada de COVID-19

  2021cites this paper
• Exploring the relationship between nurses’ communication satisfaction and patient safety culture

  2021cites this paper
• Communication Patterns During Routine Patient Care in a Pediatric Intensive Care Unit: The Behavioral Impact of In Situ Simulation

  2021cites this paper
• Improving the neonatal team handoff process in a level IV NICU: reducing interruptions and handoff duration

  2021cites this paper
• Interprofessional teamwork is the foundation of effective psychosocial work in organ transplantation.

  2021cites this paper
• Cognitive biases, environmental, patient and personal factors associated with critical care decision making: A scoping review.

  2021cites this paper
• Lanyards as Source of a Candida auris Outbreak: As You Investigate the Environment, Do Not Overlook Hand Hygiene.

  2021cites this paper
• Improving transparent team communication with the ‘Glass Door’ decal communication tool: a mixed methods analysis of family and staff perspectives

  2021cites this paper
• Communication Patterns During Routine 1 Patient Care in a Pediatric Intensive Care Unit: 2 The Behavioral Impact of In Situ Simulation

  2021cites this paper
• Medication errors in a health care facility in southern Saudi Arabia

  2021cites this paper
• Transforming acute care through digitization

  2021cites this paper
• Os trabalhadores do contexto hospitalar em tempos de pandemia: singularidades, travessias e potencialidades

  2021cites this paper
• Quantification of the impact of factors affecting the technical performance of operating room personnel: Expert judgment approach.

  2021cites this paper
• Security in Disaster Anesthesia

  2020cites this paper
• Schedule-based Family-centered Rounds: A Novel Approach to Achieve High Nursing Attendance and Participation

  2020cites this paper
• Pain in Disasters

  2020cites this paper
• Total Intravenous Anesthesia in Disaster Medicine

  2020cites this paper
• Incidence and Classification of Nonroutine Events during Anesthesia Care

  2020cites this paper
• Regional Anesthesia in Disaster Circumstances

  2020cites this paper
• Power and Light: Impact of Electrical Systems Failure on the Delivery of Anesthetic Care

  2020cites this paper
• Austere Obstetric Anesthesia

  2020cites this paper
• Succinylcholine Administration and Resultant Pulseless Ventricular Tachycardia: A Case Report of Communication Breakdown During an Emergent Intubation

  2020cites this paper
• Disaster: Mental Health Effects, Responses, and What Clinicians Can Do

  2020cites this paper
• Pharmacy in Disaster Anesthesia

  2020cites this paper
• Vascular Access, Hydration, and Fluids

  2020cites this paper
• Assessment of Nurses' Performance Regarding the Implementation of Patient Safety Measures in Intensive Care Units

  2020cites this paper
• Design for critical care

  2020cites this paper
• Identification and Assessment of Human Error in Electrical Installation Work of Electricity Distribution Company in Tehran Province Using SHERPA Technique

  2020cites this paper
• Strategic Packing v13.2

  2020cites this paper
• Adverse events in a new intensive care unit. Influence of healthcare facilities design and technology on incidence rates

  2020cites this paper
• Disaster Recovery Toolkit for Small Businesses

  2020cites this paper
• Preparing to Deploy to a Remote Disaster

  2020cites this paper
• Development of a Machine Learning Based Algorithm To Accurately Detect Schizophrenia based on One-minute EEG Recordings

  2020cites this paper
• Airway Management

  2020cites this paper
• Public Perception of Medical Errors: Experiences and Risks Shared in Australia

  2020cites this paper
• Inhaled Anesthetics and Draw-Over Devices in Disaster Response

  2020cites this paper
• Powered Air Purifying Respirator Placement

  2020cites this paper
• Preface

  2020cites this paper