Awareness During an Intensive Care Unit Procedure: A Root Cause Analysis and Creation of the D5 Handoff Tool

Authors

Elise Strickler, DO, Thomas Jefferson UniversityFollow
Bryan Lutman, DO, Thomas Jefferson UniversityFollow

Files

Description

Objectives

The objectives of this study are to:

1. perform root cause analysis of the systemic causes of an incident of awareness that occurred during bedside EGD and
2. create a handoff tool that is easily remembered that conveys the essential information about ICU intubations.

Publication Date

6-7-2018

City

Philadelphia

Keywords

patient safety, anesthesia awareness, intensive care unit

Disciplines

Anesthesiology | Medicine and Health Sciences

Comments

Presented at the 2018 House Staff Quality Improvement and Patient Safety Conference

Recommended Citation

Strickler, DO, Elise and Lutman, DO, Bryan, "Awareness During an Intensive Care Unit Procedure: A Root Cause Analysis and Creation of the D5 Handoff Tool" (2018). House Staff Quality Improvement and Patient Safety Conference (2016-2019). Poster 95.
https://jdc.jefferson.edu/patientsafetyposters/95