Outcome of Adverse Events and Medical Errors in the Intensive Care Unit: A Systematic Review and Meta-analysis
Abstract
Adverse events and medical errors (AEs/MEs) are more likely to occur in the intensive care unit (ICU). Information about the incidence and outcomes of such events is conflicting. A systematic review and meta-analysis were conducted to examine the effects of MEs/AEs on mortality and hospital and ICU lengths of stay among ICU patients. Potentially eligible studies were identified from 4 major databases. Of 902 studies screened, 12 met the inclusion criteria, 10 of which are included in the quantitative analysis. Patients with 1 or more MEs/AEs (vs no MEs/AEs) had a nonsignificant increase in mortality (odds ratio = 1.5; 95% confidence interval [CI] = 0.98-2.14) but significantly longer hospital and ICU stays; the mean difference (95% CI) was 8.9 (3.3-14.7) days for hospital stay and 6.8 (0.2-13.4) days for ICU. The ICU environment is associated with a substantial incidence of MEs/AEs, and patients with MEs/AEs have worse outcomes than those with no MEs/AEs.
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Medical errors and adverse events among critically ill patients are associated with worse outcomes.
“Medical errors and adverse events among critically ill patients are associated with worse outcomes”
From Application of zero trust model in preventing medical errors (2024) · cites this paper as [3]
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- Authors
- Ahmed, A. H., Giri, J., Kashyap, R., Singh, B., Dong, Y., Kilickaya, O., Erwin, P. J., Murad, M. H., & Pickering, B. W.
- Affiliations
- Mayo Clinic (US)
- Mayo Clinic, Rochester, MN
- ORCID
- Venue
- American Journal of Medical Quality
- Published
- 2013-12-19
- Volume
- 30
- Issue
- 1
- Pages
- 23-30
- ISSN
- 1062-8606 (ISSN-L)
- 1555-824X
- OpenAlex
- W2098303005
- Cited by
- 73
- References
- 41
- Citations by year
- 2026: 10 · 2025: 7 · 2024: 13 · 2023: 6 · 2022: 7 · 2021: 5 · 2020: 7 · 2019: 8 · 2016: 5 · 2015: 4 · 2014: 1
- FWCI
- 5.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Medical Quality (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- adverse events, medical errors, intensive care unit, mortality, length of hospital stay, patient outcomes, intensive care
- MeSH terms
- Humans, Intensive Care Units, Length of Stay, Incidence, Hospital Mortality, Medical Errors, Quality Indicators, Health Care, Checklist, Patient Safety
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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