Literature DB >> 29054937

Learning from errors: unnecessary intensive care unit admissions.

Cecil A Rambarat1, David E Winchester2.   

Abstract

An elderly man was transferred to our emergency department with reported ventricular tachycardia requiring intravenous amiodarone and intensive care unit admission. Device interrogation, the following day, revealed only frequent premature ventricular contractions and non-sustained ventricular tachycardia in a patient with a known history of these conditions. The patient underwent unnecessary invasive monitoring after being emergently transferred to our facility and admitted to the intensive care unit. Fortunately, our patient did not suffer any unwarranted side effects from intravenous amiodarone. This case reports on some negative consequences of inappropriate intensive care unit admissions and how they could have been avoided. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Entities:  

Keywords:  adult intensive care; arrhythmias; drug misuse (including addiction); health economics; healthcare improvement and patient safety

Mesh:

Substances:

Year:  2017        PMID: 29054937      PMCID: PMC5665195          DOI: 10.1136/bcr-2017-220806

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  8 in total

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Journal:  Circulation       Date:  2006-11-27       Impact factor: 29.690

2.  Intensive versus conventional glucose control in critically ill patients.

Authors:  Simon Finfer; Dean R Chittock; Steve Yu-Shuo Su; Deborah Blair; Denise Foster; Vinay Dhingra; Rinaldo Bellomo; Deborah Cook; Peter Dodek; William R Henderson; Paul C Hébert; Stephane Heritier; Daren K Heyland; Colin McArthur; Ellen McDonald; Imogen Mitchell; John A Myburgh; Robyn Norton; Julie Potter; Bruce G Robinson; Juan J Ronco
Journal:  N Engl J Med       Date:  2009-03-24       Impact factor: 91.245

3.  Critical care medicine in the United States 2000-2005: an analysis of bed numbers, occupancy rates, payer mix, and costs.

Authors:  Neil A Halpern; Stephen M Pastores
Journal:  Crit Care Med       Date:  2010-01       Impact factor: 7.598

4.  Benchmark data from more than 240,000 adults that reflect the current practice of critical care in the United States.

Authors:  Craig M Lilly; Ilene H Zuckerman; Omar Badawi; Richard R Riker
Journal:  Chest       Date:  2011-08-25       Impact factor: 9.410

5.  Intensive care unit admitting patterns in the Veterans Affairs health care system.

Authors:  Lena M Chen; Marta Render; Anne Sales; Edward H Kennedy; Wyndy Wiitala; Timothy P Hofer
Journal:  Arch Intern Med       Date:  2012-09-10

6.  Mortality and morbidity in patients receiving encainide, flecainide, or placebo. The Cardiac Arrhythmia Suppression Trial.

Authors:  D S Echt; P R Liebson; L B Mitchell; R W Peters; D Obias-Manno; A H Barker; D Arensberg; A Baker; L Friedman; H L Greene
Journal:  N Engl J Med       Date:  1991-03-21       Impact factor: 91.245

7.  Premature ventricular complexes in the absence of identifiable heart disease.

Authors:  J B Kostis; K McCrone; A E Moreyra; S Gotzoyannis; N M Aglitz; N Natarajan; P T Kuo
Journal:  Circulation       Date:  1981-06       Impact factor: 29.690

8.  Perceptions of the appropriateness of care in California adult intensive care units.

Authors:  Matthew H Anstey; John L Adams; Elizabeth A McGlynn
Journal:  Crit Care       Date:  2015-02-25       Impact factor: 9.097

  8 in total

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