Serious adverse events and deaths linked to poor ventilator use: A report of four closed claims

Through this series of four closed claims, we highlight examples of accidents stemming from poor ventilator use. We then review the main issues in this regard as reported in the literature and by learned societies. This case series has led us to emphasise the need for safety procedures involving sys...

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Bibliographic Details
Published inAnaesthesia critical care & pain medicine Vol. 38; no. 2; pp. 143 - 145
Main Authors Theissen, A., Piriou, V., Fuz, F., Autran, M., Albaladejo, P., Trouiller, P.
Format Journal Article
LanguageEnglish
Published France Elsevier Masson SAS 01.04.2019
Subjects
Accidents
Asthma - complications
Capnography
Closed claims
Coma - therapy
Critical Care
Humans
Hypoxia - etiology
Insurance Claim Review
Liability, Legal
Malpractice
Medical Errors
Patient injury
Patient Safety
Persistent Vegetative State
Respiration, Artificial - adverse effects
Respiration, Artificial - mortality
Serious adverse events
Ventilator-associed complications
Ventilators, Mechanical - adverse effects
Ventilator-associed complications
Closed claims
Patient injury
Capnography
Serious adverse events
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Summary:Through this series of four closed claims, we highlight examples of accidents stemming from poor ventilator use. We then review the main issues in this regard as reported in the literature and by learned societies. This case series has led us to emphasise the need for safety procedures involving systematic checks prior to use, declaration and analysis of the risk, as well as feedback and teaching regarding ventilation systems.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:2352-5568
2352-5568
DOI:10.1016/j.accpm.2018.07.009