ArticleBMC emergency medicine2019
Adverse events in prehospital emergency care: a trigger tool study.
Article in BMC emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- How safe is prehospital care? A systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Pooled it
- Measurement and monitoring patient safety in prehospital care: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Pooled it
- Medication administration errors in a Norwegian ambulance service: a quasi-experimental study on the impact of a team training program.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Trial
- Children and young people assessed by ambulance clinicians in a sparsely populated circumpolar region: non-conveyance and subsequent healthcare contacts in Northern Sweden.International journal of circumpolar health · 2026Article
- Second victim experiences among Austrian nonphysician emergency medical services personnel : A cross-sectional analysis of symptom burden and associated factors.Wiener klinische Wochenschrift · 2026Article
- Analysis of factors affecting organizational engagement between pre-hospital and hospital emergency departments: a qualitative study.BMC emergency medicine · 2025Article
- Ambulance professionals' adaptations in prehospital services: a critical incident study.BMC emergency medicine · 2025Article
- Competence expected from advanced-level paramedics by emergency medical services managers in Finland: a modified Delphi study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- The work system of prehospital medication administration: a qualitative mixed methods study with ambulance professionals.BMC emergency medicine · 2025Article
- Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children.BMC emergency medicine · 2024Article
- Human errors in emergency medical services: a qualitative analysis of contributing factors.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Development of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Assessing unsafe behaviors and their relationship with work-related factors among EMS staff in Iran: a cross-sectional study.BMC emergency medicine · 2024Article
- Newly employed nurses' transition into their new role in the ambulance service- a qualitative study.BMC nursing · 2024Article
- Nurses' experience regarding patient safety in mobile pre-hospital care.Revista brasileira de enfermagem · 2024Article
- An Integrative Systematic Review of Promoting Patient Safety Within Prehospital Emergency Medical Services by Paramedics: A Role Theory Perspective.Journal of multidisciplinary healthcare · 2024Review
- Navigating into the unknown: exploring the experience of exposure to prehospital emergency stressors: a sequential explanatory mixed-methods.BMC emergency medicine · 2023Article
- Trigger tool-based description of adverse events in helicopter emergency medical services in Qatar.BMJ open quality · 2023Article
- Article
- Prehospital nursing students' experiences of patient safety culture in emergency medical services-A qualitative study.Journal of clinical nursing · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrehospital emergency care has developed rapidly during the past decades. The care is given in a complex context which makes prehospital care a potential high-risk activity when it comes to patient safety. Patient safety in the prehospital setting has been only sparsely investigated. The aims of the present study were 1) To investigate the incidence of adverse events (AEs) in prehospital care and 2) To investigate the factors contributing to AEs in prehospital care.
methodsWe used a retrospective study design where 30 randomly selected prehospital medical records were screened for AEs each month in three prehospital organizations in Sweden during a period of one year. A total of 1080 prehospital medical records were included. The record review was based on the use of 11 screening criteria.
resultsThe reviewers identified 46 AEs in 46 of 1080 (4.3%) prehospital medical records. Of the 46 AEs, 43 were classified as potential for harm (AE1) (4.0, 95% CI = 2.9-5.4) and three as harm identified (AE2) (0.3, 95% CI = 0.1-0.9). However, among patients with a life-threatening condition (priority 1), the risk of AE was higher (16.5%). The most common factors contributing to AEs were deviations from standard of care and missing, incomplete, or unclear documentation. The most common cause of AEs was the result of action(s) or inaction(s) by the emergency medical service (EMS) crew.
conclusionsThere were 4.3 AEs per 100 ambulance missions in Swedish prehospital care. The majority of AEs originated from deviations from standard of care and incomplete documentation. There was an increase in the risk of AE among patients who the EMS team assessed as having a life-threatening condition. Most AEs were possible to avoid.
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