German critical incident reporting system database of prehospital emergency medicine: Analysis of reported communication and medication errors between 2005-2015

Hohenstein, Christian; Fleischmann, Thomas; Rupp, P.; Hempel, Dorothea; Wilk, Sophia; Winning, Johannes

doi:10.5847/wjem.j.1920-8642.2016.02.002

Cited by 21 publications

(12 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, it would be appropriate to create a more widespread categorization system of events, identifying specific areas for intervention and improvement [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety

Ferorelli

Solarino

Trotta

et al. 2020

IJERPH

View full text Add to dashboard Cite

Clinical risk management constitutes a central element in the healthcare systems in relation to the reverberation that it establishes, and as regards the optimization of clinical outcomes for the patient. The starting point for a right clinical risk management is represented by the identification of non-conforming results. The aim of the study is to carry out a systematic analysis of all data received in the first three years of adoption of a reporting system, revealing the strengths and weaknesses. The results emerged showed an increasing trend in the number of total records. Notably, 86.0% of the records came from the medical category. Moreover, 41.0% of the records reported the possible preventive measures that could have averted the event and in 30% of the reports are hints to be put in place to avoid the repetition of the events. The second experimental phase is categorizing the events reported. Implementing the reporting system, it would guarantee a virtuous cycle of learning, training and reallocation of resources. By sensitizing health workers to a correct use of the incident reporting system, it could become a virtuous error learning system. All this would lead to a reduction in litigation and an implementation of the therapeutic doctor–patient alliance.

show abstract

“…Furthermore, it would be appropriate to create a more widespread categorization system of events, identifying specific areas for intervention and improvement [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety

Ferorelli

Solarino

Trotta

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…The number of emergency staff indicating having caused harm to patients by communication deficits is high. For the first time we are able to quantify the degree because other studies had only researched selected cases [3]. The extent of patient harm is sometimes considerable (disability or death).…”

Section: Patient Harmmentioning

confidence: 99%

“…The experience of mistakes seems to be an everyday occurrence that is little known to the general public (population, EMS staff) outside of small expert circles. The evaluation of the German Critical Incident Reporting System for Emergency Medicine [3] identified a deficit in team communication as the trigger for 27% of cases of patient harm. The currently reported error frequency is not tolerable, and the self-assessment probably underestimates the true frequency of error.…”

Section: Patient Harmmentioning

confidence: 99%

See 1 more Smart Citation

Communication of preclinical emergency teams in critical situations: A nationwide study

Zimmer¹,

Czarniecki²,

Sahm

2021

PLoS ONE

View full text Add to dashboard Cite

Background The emergency medical service as a high-risk workplace is a danger to patient safety. A main factor for patient safety, but also at the same time a main factor for patient harm, is team communication. Team communication is multidimensional and occurs before, during, and after the patient’s treatment. Methods In an online based, anonymous and single-blinded study, medical and non-medical employees in the emergency medical services were asked about team communication, and communication errors. Results Seven hundred and fourteen medical and non-medical rescue workers from all over Germany took part. Among them, 72.0% had harmed at least one patient during their work. With imprecise communication, 81.7% rarely asked for clarification. Also, 66.3% saw leadership behavior as the cause of poor communication; 46.0% could not talk to their superiors about errors. Of note, 96.3% would like joint training of medical and non-medical employees in communication. Conclusion Deficits in team communication occur frequently in the rescue service. There is a clear need for uniform training in team and communication skills in all professions.

show abstract

“…Especialmente no cenário do Serviço de Emergência pré-hospitalar Móvel, os profissionais são confrontados com dificuldades como trabalhar com equipes rotativas, além de atuarem em ambientes que não oferecem a melhor estrutura para um cuidado seguro. As tomadas de decisão devem ser feitas em tempo hábil, sob grande pressão, em situações imprevisíveis (Hohenstein et al, 2016).…”

Section: Introductionunclassified

Notificação de eventos adversos no serviço de emergência pré-hospitalar móvel: Protocolo de revisão de escopo

Cortes

Silvino

Moraes

2021

RSD

View full text Add to dashboard Cite

Objetivo: mapear como são realizadas as notificações dos eventos adversos no serviço de emergência pré-hospitalar móvel. Método: Trata-se de um protocolo de revisão de escopo, realizado segundo recomendações metodológicas do Joanna Briggs Institute (JBI) e checklist PRISMA Extension for Scoping Reviews (PRISMA- ScR), a fim de responder à pergunta de pesquisa “Como são realizadas as notificações de eventos adversos nos serviços de emergência pré-hospitalar móvel?”, elaborada de acordo com o acrônimo PCC (População; Conceito; Contexto), onde P refere-se aos profissionais de saúde, C à notificação de eventos adversos e C ao Serviço de emergência pré-hospitalar móvel. Após a seleção dos descritores, realizou-se uma busca prévia na Medline (PubMed) e Embase, seguida pela análise das palavras do texto contidas no título e no resumo a fim de identificar novos termos. Em seguida, uma nova busca completa será realizada em outras bases de dados selecionadas e na literatura cinzenta, para seleção final dos estudos.

show abstract

German critical incident reporting system database of prehospital emergency medicine: Analysis of reported communication and medication errors between 2005-2015

Abstract: Communication deficits can lead to critical incidents in prehospital emergency medicine and are a very important aspect in patient safety.

Cited by 21 publications

References 21 publications

Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety

Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety

Communication of preclinical emergency teams in critical situations: A nationwide study

Notificação de eventos adversos no serviço de emergência pré-hospitalar móvel: Protocolo de revisão de escopo

Contact Info

Product

Resources

About