ArticleFrontiers in pediatrics2017
Mitigating Latent Threats Identified through an Embedded
Article in Frontiers in pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed.
- Article
- Choosing Wisely for Simulation-Based Learning in Health Professions Education.Medical science educator · 2025Article
- Ward-based in situ simulation: lessons learnt from a UK District General Hospital.BMJ open quality · 2024Article
- GENESISS 1-Generating Standards for In-Situ Simulation project: a scoping review and conceptual model.BMC medical education · 2022Article
- A Neonatal Intensive Care Unit's Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative.Children (Basel, Switzerland) · 2020Article
- Qualitative analysis of latent safety threats uncovered by in situ simulation-based operations testing before moving into a single-family-room neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
- Novel team-based approach to quality improvement effectively engages staff and reduces adverse events in healthcare settings.BMJ open quality · 2020Article
- Multiprofessional in situ simulation is an effective method of identifying latent patient safety threats on the gastroenterology ward.Frontline gastroenterology · 2020Article
- Crash testing the dummy: a review of in situ trauma simulation at a Canadian tertiary centreCanadian journal of surgery. Journal canadien de chirurgie · 2019Article
- Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety.Advances in simulation (London, England) · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the impact of service improvements implemented because of latent threats (LTs) detected during
designRetrospective review from April 2008 to April 2015.
settingPaediatric Intensive Care Unit in a specialist tertiary hospital.
interventionService improvements from LTs detection during
main outcome measuresThe quantity, category, and subsequent service improvements for LTs. The quantity, category, and subsequent action plans for PSIs. Similarities between PSIs and LTs before and after service improvements.
results201 Simulated inter-professional team training courses with 1,144 inter-professional participants. 44 LTs were identified (1 LT per 4.6 courses). Incident severity varied: 18 (41%) with the potential to cause harm, 20 (46%) that would have caused minimal harm, and 6 (13%) that would have caused significant temporary harm. Category analysis revealed the majority of LTs were resources (36%) and education and training (27%). The remainder consisted of equipment (11%), organizational and strategic (7%), work and environment (7%), medication (7%), and systems and protocols (5%). 43 service improvements were developed: 24 (55%) resources/equipment; 9 (21%) educational; 6 (14%) organizational changes; 2 (5%) staff communications; and 2 (5%) guidelines. Four (9%) service improvements were adopted trust wide. 32 (73%) LTs did not recur after service improvements. 24 (1%) of 1,946 PSIs were similar to LTs: 7 resource incidents, 7 catastrophic blood loss, 4 hyperkalaemia arrests, 3 emergency buzzer failures, and 3 difficulties contacting staff. 34 LTs (77%) were never recorded as PSIs.
conclusionAn
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.