Difficulties reporting system in intensive care
In 2005, Belluno Health Authority’s Resuscitation Unit took part in a regional project coordinated by Veneto Regional Health and Social Services to test an incident re p o rting system. The main aims were to experiment an electronic incident rep o rting sheet and the relative computerised...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2008-02-01
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| Series: | Emergency Care Journal |
| Online Access: | http://www.pagepressjournals.org/index.php/ecj/article/view/1365 |
| _version_ | 1811291645966024704 |
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| author | Claudio Bianchin Lorenzo Bernardi Davide Mazzon Lucio Di Silvio |
| author_facet | Claudio Bianchin Lorenzo Bernardi Davide Mazzon Lucio Di Silvio |
| author_sort | Claudio Bianchin |
| collection | DOAJ |
| description | In 2005, Belluno Health Authority’s Resuscitation Unit took part in a regional project coordinated by Veneto Regional Health and Social Services to test an incident re p o rting system. The main aims were to experiment an electronic incident rep o rting sheet and the relative computerised procedure for data e n t ry and analysis with the aim of developing an incident rep o rting system. The Australian Incident Monitoring System (AIMS) was designed to obtain information about the event, the context and concomitant causes. We observed 58 anonymous incident reports over a six-month period. The main incidents include issues relating to the management of medication, the a i rways, catheters and equipment. Most incidents had modest consequences or led to temporary disability and they often caused longer hospitalisation or further treatment and investigations. Communication problems, inadequate superv i s i o n , poor teamwork and difficulties in applying procedures and protocols were the contributory factors most frequently identified as the concomitant causes of the incidents. The report sheet and experience as a whole were evaluated favourably by the operators involved. This reporting system does not provide the real frequency of the adverse events, but it does provide useful information for improving patient safety. |
| first_indexed | 2024-04-13T04:32:11Z |
| format | Article |
| id | doaj.art-8872dde1b7234cf69cdbe6c71fab68b6 |
| institution | Directory Open Access Journal |
| issn | 1826-9826 |
| language | English |
| last_indexed | 2024-04-13T04:32:11Z |
| publishDate | 2008-02-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj.art-8872dde1b7234cf69cdbe6c71fab68b62022-12-22T03:02:17ZengPAGEPress PublicationsEmergency Care Journal1826-98262008-02-0141222710.4081/ecj.2008.1.22892Difficulties reporting system in intensive careClaudio Bianchin0Lorenzo Bernardi1Davide Mazzon2Lucio Di Silvio3Servizio di Medicina Legale, ULSS 1 BellunoAnestesia e Rianimazione, Ospedale di BellunoAnestesia e Rianimazione, Ospedale di BellunoULSS 1 BellunoIn 2005, Belluno Health Authority’s Resuscitation Unit took part in a regional project coordinated by Veneto Regional Health and Social Services to test an incident re p o rting system. The main aims were to experiment an electronic incident rep o rting sheet and the relative computerised procedure for data e n t ry and analysis with the aim of developing an incident rep o rting system. The Australian Incident Monitoring System (AIMS) was designed to obtain information about the event, the context and concomitant causes. We observed 58 anonymous incident reports over a six-month period. The main incidents include issues relating to the management of medication, the a i rways, catheters and equipment. Most incidents had modest consequences or led to temporary disability and they often caused longer hospitalisation or further treatment and investigations. Communication problems, inadequate superv i s i o n , poor teamwork and difficulties in applying procedures and protocols were the contributory factors most frequently identified as the concomitant causes of the incidents. The report sheet and experience as a whole were evaluated favourably by the operators involved. This reporting system does not provide the real frequency of the adverse events, but it does provide useful information for improving patient safety.http://www.pagepressjournals.org/index.php/ecj/article/view/1365 |
| spellingShingle | Claudio Bianchin Lorenzo Bernardi Davide Mazzon Lucio Di Silvio Difficulties reporting system in intensive care Emergency Care Journal |
| title | Difficulties reporting system in intensive care |
| title_full | Difficulties reporting system in intensive care |
| title_fullStr | Difficulties reporting system in intensive care |
| title_full_unstemmed | Difficulties reporting system in intensive care |
| title_short | Difficulties reporting system in intensive care |
| title_sort | difficulties reporting system in intensive care |
| url | http://www.pagepressjournals.org/index.php/ecj/article/view/1365 |
| work_keys_str_mv | AT claudiobianchin difficultiesreportingsysteminintensivecare AT lorenzobernardi difficultiesreportingsysteminintensivecare AT davidemazzon difficultiesreportingsysteminintensivecare AT luciodisilvio difficultiesreportingsysteminintensivecare |