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The objectives of this study are to:
- perform root cause analysis of the systemic causes of an incident of awareness that occurred during bedside EGD and
- create a handoff tool that is easily remembered that conveys the essential information about ICU intubations.
patient safety, anesthesia awareness, intensive care unit
Anesthesiology | Medicine and Health Sciences
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 Posters. Poster 95.