Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems

Julius Cuong Pham; Tamara L Williams; Erin M Sparnon; Tam K Cillie; Hilda F Scharen; William M Marella

doi:10.4187/respcare.04151

Research ArticleOriginal Research

Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems

Julius Cuong Pham, Tamara L Williams, Erin M Sparnon, Tam K Cillie, Hilda F Scharen and William M Marella

Respiratory Care May 2016, 61 (5) 621-631; DOI: https://doi.org/10.4187/respcare.04151

Julius Cuong Pham

Department of Emergency Medicine, Department of Anesthesia and Critical Care, Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland.

MD PhD

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Tamara L Williams

University HealthSystem Consortium, Chicago, Illinois.

MSN RN

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Erin M Sparnon

Pennsylvania Patient Safety Authority, Philadelphia, Pennsylvania.

MEng

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Tam K Cillie

Office of Surveillance and Biometrics

CRT MPH

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Hilda F Scharen

Office of the Center Director, Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, Maryland.

MSc

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For correspondence: [email protected]

William M Marella

Pennsylvania Patient Safety Authority, Philadelphia, Pennsylvania.

MBA

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Fig. 1.
Distribution of events within each reporting system (normalized by institutions). UHC = University HealthSystem Consortium; PSA = Patient Safety Authority; MRI = magnetic resonance imaging; CT = computed tomography.

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Respiratory Care

Vol. 61, Issue 5

1 May 2016

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Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems