ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Critical incident reporting systems (CIRS) in trauma patients may identify common quality problems.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Perception of Health Teams on the Implementation of Strategies to Decrease Nursing Errors and Enhance Patient Safety.Journal of multidisciplinary healthcare · 2023Article
- Assessment of RAdiopaque Patient IDentification Stickers (RAPIDS) for patient-scan correlation in a mass casualty incident.Emergency radiology · 2020Article
- Significance of incident reports by medical doctors for organizational transparency and driving forces for patient safety.Patient safety in surgery · 2020Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundCritical incident reporting systems (CIRS) are considered to be a valid instrument to identify typical errors in various clinical settings as well as in prehospital emergency medicine. Our aim was to review incidents and errors in the care of trauma patients during the period of emergency trauma room treatment before their transfer to the intensive care unit or the operation room.
methodsWe screened six open access and German language-based CIRS-platforms on the internet.
resultsWe identified 78 critical incidents. They could be divided into four groups: organization related (n = 30), communication related (n = 6), equipment related (n = 28), and medical error (n = 23). Within the category, typical, common, or frequent clusters were identified, such as incomplete trauma team, malfunctioning equipment, or a lack of communication skills. In 12 cases (15.4%), patients were reported to have been harmed, mostly by medical errors. Three reported incidents (3.6%) were considered near-incidents.
conclusionsOur results demonstrate that using CIRS is able to reveal individual or rare errors and allows for the identification of systematic errors and deficiencies in the acute care of trauma patients in the trauma room. This may guide quality control and quality improvement measures to be focused on the most common fields of demand.
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