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Riassunto

Nel dicembre 2007, Atul Gawande [1]_citò sul quotidiano The Newyorker uno studio, realizzato qualche anno prima da alcuni autori israeliani, nel quale venivano riportati dati relativi alle attività svolte nei reparti di terapia intensiva (TI). Si dimostrava che, in un periodo di 24 ore, un paziente riceveva da parte dei medici e degli infermieri una media di 178 interventi. Tali interventi prevedevano, prevalentemente, la somministrazione di farmaci (amine simpatico-mimetiche, analgesici, sedativi, ecc.) e procedure invasive (bronco-aspirazione, cateterismo venoso centrale, ecc.). Tutto questo esponeva il paziente a un rischio di errore che veniva stimato essere circa l’1% di tutti gli interventi effettuati in un giorno. In media, un paziente ricoverato in terapia intensiva rischiava due errori per ogni giornata di degenza.

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Bibliografia

  1. Gawande A (2001) The checklist. Newyorker reporting 12:10

    Google Scholar 

  2. Moreno RP, Rhodes A, Donchin Y (2009) Patient safety in intensive care medicine. The Declaration of Vienna. Int Care Med 35:1667–1672

    Article  Google Scholar 

  3. Rothschild J, Landrigan CP, Cronin JW et al (2005) The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care. Crit Care Med 33:1694–1700

    Article  PubMed  Google Scholar 

  4. Valentin A, Capuzzo M, Guidet B et al (2006) Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. Int Care Med 32:1591–1598

    Article  Google Scholar 

  5. Valentin A, Capuzzo M, Guidet B et al (2009) on behalf of the Research Group on Quality Improvement of the European Society of Intensive Care Medicine (ESICM) and the Sentinel Events Evaluation (SEE) Study Investigators. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. Brit Med J 338:814–821

    Article  Google Scholar 

  6. Thomas AN, Galvin I (2008) Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. Anaesthesia 63:1193–1197

    Article  PubMed  CAS  Google Scholar 

  7. Thomas AN, Mc Grath BA (2009) Patient safety incidents associated with airways devices in critical care: a review of reports to the UK National Patient Safety Agency. Anaesthesia 64:358–365

    Article  PubMed  CAS  Google Scholar 

  8. Thomas AN, Panchagnula U, Taylor RJ (2009) Review of patient safety incidents submitted from Critical Care Units in England & Wales to the UK National Patient Safety Agency. Anaesthesia 64:1178–1185

    Article  PubMed  CAS  Google Scholar 

  9. Cliché JD, Moreno R, Putensen C, Rhodes A (eds) (2009) Patient safety and quality of care in intensive care medicine. Medizinisch Wissenschaftaftliche Verlagsgeselleshaft Berlin

    Google Scholar 

  10. Curtis JR, Cook D, Wall RJ, Angus D et al (2006) Intensive care unit quality improvement: a “how-to” guide for the interdisciplinary team. Crit Care Med 34:211–218

    Article  PubMed  Google Scholar 

  11. Dellinger RP, Levy MM, Carlet JM et al (2008) Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock. Intensive Care Med 34(1):17–60

    Article  PubMed  Google Scholar 

  12. Pronovost PJ, Berenholtz SM, Goeshel C et al (2008) Improving patient safety in intensive care units in Michigan. J Crit Care 23:297–221

    Article  Google Scholar 

  13. Despins LA (2009) Patient safety and collaboration of the intensive care unit team. Crit Care Nurse 29:285–291

    Article  Google Scholar 

  14. Valentin A (2010) The importance of risk reduction in critically ill patients. Curr Opin Crit Care 16:482–486

    Article  PubMed  Google Scholar 

  15. Arfanis K, Fioratou E, Smith A (2011) Safety culture in anaesthesiology: basic concepts and practical application. Best Practice Research Clin Anaesth 25:229–238

    Article  Google Scholar 

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Correspondence to Raffaele De Gaudio .

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Consales, G., De Gaudio, R. (2013). Terapia intensiva. In: Tartaglia, R., Vannucci, A. (eds) Prevenire gli eventi avversi nella pratica clinica. Springer, Milano. https://doi.org/10.1007/978-88-470-5450-9_8

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  • DOI: https://doi.org/10.1007/978-88-470-5450-9_8

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