Adverse events in prehospital emergency care: A trigger tool study

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Andersson Hagiwara, MagnusHögskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen (author)

Adverse events in prehospital emergency care: A trigger tool study

Article/chapterEnglish2019

Publisher, publication year, extent ...

2019-01-24
Springer Science and Business Media LLC,2019

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LIBRIS-ID:oai:gup.ub.gu.se/278799
https://gup.ub.gu.se/publication/278799URI
https://doi.org/10.1186/s12873-019-0228-3DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-43023URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-15726URI
https://urn.kb.se/resolve?urn=urn:nbn:se:du-31442URI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Background: Prehospital 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. Methods: We 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. Results: The 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. Conclusions: There 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. © 2019 The Author(s).

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng
Adverse events
Emergency medical service
Patient safety
Prehospital
Trigger tool
Emergency medical service

Added entries (persons, corporate bodies, meetings, titles ...)

Magnusson, Carl,1976Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Univ Gothenburg, Dept Mol & Clin Med, SE-40530 Gothenburg, Sweden.;Sahlgrens Univ Hosp, SE-40530 Gothenburg, Sweden.,University of Gothenburg and Sahlgrenska University Hospital,,PreHospen(Swepub:gu)xmagnc (author)
Herlitz, Johan,1949-Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen(Swepub:hb)JHZ (author)
Seffel, E.Sodra Alvsborg Hosp SAS, Dept Ambulance Care, SE-50182 Boras, Sweden.,Department of Ambulance Care, Södra Älvsborg Hospital (author)
Axelsson, ChristerHögskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen(Swepub:hb)chax (author)
Munters, M.Department of Ambulance Care, Region of Dalarna (author)
Strömsöe, Anneli,1969-Mälardalens högskola,Hälsa och välfärd,School of Health, Care and Social Welfare, Mälardalens högskola(Swepub:du)ase (author)
Nilsson, L.Linkoping Univ, Dept Anaesthesiol & Intens Care, SE-58185 Linkoping, Sweden.;Linkoping Univ, Dept Med & Hlth Sci, SE-58185 Linkoping, Sweden.,Department of Anaesthesiology and Intensive Care and Department of Medical and Health Sciences, Linköping University (author)
Högskolan i BoråsAkademin för vård, arbetsliv och välfärd (creator_code:org_t)

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