Iatrogenic events in admitted neonates: a prospective cohort study

Ligi, Isabelle; Arnaud, F; Jouve, Élisabeth; Tardieu, Sophie; Sambuc, Roland; Simeoni, Umberto

doi:10.1016/s0140-6736(08)60204-4

Cited by 113 publications

(86 citation statements)

References 25 publications

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“…These results are consistent with a study in which catheter errors were the most common iatrogenic events (20% of total), followed by respiratory procedure errors (16%) (16). Another study reported that cutaneous injuries (peripheral catheter-related lesions) were the most common iatrogenic event (10). Thus, it is clear that high numbers of errors in invasive procedures result mainly from catheter and respiratory procedure errors.…”

Section: Discussionsupporting

confidence: 89%

Medical errors in neonatal intensive care unit at Benha University Hospital, Egypt

El-Shazly¹,

Al-Azzouny²,

Soliman³

et al. 2017

East Mediterr Health J

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This study was conducted in the neonatal intensive care unit of Benha University Hospital, Egypt from 1 August 2012 to the 31 January 2013 to identify medical errors and to determine the risk factors and consequences of these errors. Errors were detected by follow-up of neonates and review of reports including nursing followup sheets, resident progression notes and investigation reports. We detected 3819 errors that affected 97% of neonates. Types of errors included 403 medication errors (10.55% of total errors), 652 errors in daily routine procedures (17.07%), 1042 errors in invasive procedures (27.28%), 68 errors in nutrition (1.78%), 63 equipment errors (1.64%), 260 administration errors (6.8%), 656 staffing errors (17.18%), 107 environmental errors (2.8%), 448 infection control errors (11.73%) and 120 nosocomial infection errors (3.14%). Medical errors were high in low birth weight, low gestational age neonates and increased with duration of admission. RÉSUMÉ La présente étude a été conduite dans l'unité néonatale de soins intensifs du centre hospitalier universitaire de Banha, en Égypte, du 1 er août 2012 au 31 janvier 2013, dans le but d'identifier les erreurs médicales et de déterminer les facteurs de risque et les conséquences associés. Des erreurs ont été détectées dans le suivi des nouveau-nés et l'analyse de rapports incluant des fiches de suivi des soins infirmiers, des notes sur la progression des internes, et des rapports d'enquête. Nous avons détecté 3 819 erreurs ayant affecté 97 % des nouveau-nés. Les types d'erreurs incluaient 403 erreurs de médication (10,55 % du nombre total d'erreurs), 652 erreurs dans les actes de routine journaliers (17,07 %), 1 042 erreurs dans les procédures invasives (27,28 %), 68 erreurs de nutrition (1,78 %), 63 erreurs d'équipement (1,64 %), 260 erreurs administratives (6,8 %), 656 erreurs au niveau du personnel (17,18 %), 107 erreurs en matière de pratiques environnementales (2,8 %), 448 erreurs liées à la lutte contre les infections (11,73 %) et 120 erreurs entraînant des infections nosocomiales (3,14 %). Les erreurs médicales étaient nombreuses dans les cas de nouveau-nés souffrant d'une insuffisance pondérale à la naissance ou étant nés prématurément, et elles augmentaient en fonction de la durée de l'hospitalisation. ‫مرص‬

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Section: Discussionsupporting

confidence: 89%

Medical errors in neonatal intensive care unit at Benha University Hospital, Egypt

El-Shazly¹,

Al-Azzouny²,

Soliman³

et al. 2017

East Mediterr Health J

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“…5,6 Studies suggest that the rate of iatrogenic events among hospitalized pediatric patients is substantially higher, and that the critically ill, such as those hospitalized in NICUs, are at particular risk. 2,3,7,8 Although research has tended to focus primarily on patientrelated factors (eg, age, weight), 1, [8][9][10][11] studies suggest that practitioner stressors may also heighten iatrogenic risk. [12][13][14] One such stressor may be rudeness, a relatively mild form of interpersonal aggression or incivility.…”

Section: What's Known On This Subjectmentioning

confidence: 99%

The Impact of Rudeness on Medical Team Performance: A Randomized Trial

et al. 2015

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“…188 Children, especially the very young, those who are socially disadvantaged, and those with more complex or critical care needs are particularly vulnerable to adverse events. [189][190][191][192] …”

Section: Individual Practicementioning

confidence: 99%

Understanding why children die in high-income countries

et al. 2014

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Copyright and reuse:The Warwick Research Archive Portal (WRAP) makes this work of researchers of the University of Warwick available open access under the following conditions. Copyright © and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable the material made available in WRAP has been checked for eligibility before being made available.Copies of full items can be used for personal research or study, educational, or not-forprofit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. AbstractThrough a structured narrative review of the literature, we have identified a wide range of factors influencing child and adolescent mortality in high income countries. These can be conceptualised within the four domains of intrinsic factors, the physical environment, the social environment, and service delivery factors. The most prominent factors in the literature are socio-economic gradients, although the mechanisms through which these gradients exert their effects are complex, affecting all four domains, and often poorly understood. While some factors are relatively fixed, including the child's gender, age, ethnicity and inherent genetic make-up, some parental characteristics, and some wider 3 environmental conditions, others may be amenable to interventions that could lessen risks and help to prevent future child deaths. A number of examples of systemic health service factors that may impact child survival are given, along with interventions such as modifications to the physical or social environmental that may impact more distal factors.

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Iatrogenic events in admitted neonates: a prospective cohort study

Cited by 113 publications

References 25 publications

Medical errors in neonatal intensive care unit at Benha University Hospital, Egypt

Medical errors in neonatal intensive care unit at Benha University Hospital, Egypt

The Impact of Rudeness on Medical Team Performance: A Randomized Trial

Understanding why children die in high-income countries

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