Children are commonly harmed by adverse events in intensive care units.
MedSun: Newsletter #45, February 2010
When adverse events (AEs) occur in pediatric intensive care units (ICUs), one-third of such incidents result in physical injury to children, while two-thirds harm children in other ways, according to a new study. Johns Hopkins researchers analyzed data collected over a 2-year period describing safety incidents taking place in pediatric ICUs around the country. Providers were able to report such incidents and near misses through a Web-based incident reporting system called the Intensive Care Unit Safety Reporting System. During the 2-year study period, 23 pediatric ICUs reported 464 incidents. Patient contributing factors were the strongest predictor of harm, and training and education factors also played a role. To improve safety in pediatric ICUs, the researchers recommend developing protocols for high-risk procedures involving lines and tubes; improved monitoring; and staffing, training, and communication initiatives.
AHRQ. Children are commonly harmed by adverse events in intensive care units. 2009.