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 in:Anaesthesia critical care & pain medicine 2019-04, Vol.38 (2), p.143-145
Main Authors: Theissen, A., Piriou, V., Fuz, F., Autran, M., Albaladejo, P., Trouiller, P.
Format: Article
Language:English
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
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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.
ISSN:2352-5568
2352-5568
DOI:10.1016/j.accpm.2018.07.009