A Mysterious Cluster of Deaths and Cardiopulmonary Arrests in a Pediatric Intensive Care Unit

A Mysterious Cluster of Deaths and Cardiopulmonary Arrests in a Pediatric Intensive Care Unit

In the period April 1981 through June 1982, there was an unusual increase in the number of deaths and cardiopulmonary arrests in the pediatric intensive care unit at a large medical center hospital in San Antonio, Texas. During this period, 34 of 42 deaths (81 per cent) occurred in the evening work...

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Veröffentlicht in:The New England journal of medicine 1985-07, Vol.313 (4), p.205-211
Hauptverfasser: Istre, Gregory R, Gustafson, Tracy L, Baron, Roy C, Martin, Deborah L, Orlowski, James P
Format: Artikel
Sprache:eng
Schlagworte:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
Disease control
Epidemics
Epidemiologic Methods
Epidemiology
Health surveillance
Heart Arrest - mortality
Hospital Bed Capacity, 500 and over
Hospitals
Humans
Infant, Newborn
Intensive care
Intensive care medicine
Intensive Care Units - standards
Medical prognosis
Medical sciences
Nursing Staff, Hospital
Paging systems
Patients
Pediatrics
Peer Review
Personnel Staffing and Scheduling
Resuscitation
Risk
Space-Time Clustering
Texas
Time
United States
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Zusammenfassung:In the period April 1981 through June 1982, there was an unusual increase in the number of deaths and cardiopulmonary arrests in the pediatric intensive care unit at a large medical center hospital in San Antonio, Texas. During this period, 34 of 42 deaths (81 per cent) occurred in the evening work shift, as compared with 36 of 106 (34 per cent) during the previous four years (P
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM198507253130401