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Titolo:
THE ANESTHESIA CRITICAL INCIDENT REPORTING SYSTEM - AN EXPERIENCE-BASED DATABASE
Autore:
STAENDER S; DAVIES J; HELMREICH B; SEXTON B; KAUFMANN M;
Indirizzi:
UNIV BASEL,KANTONSSPITAL,DEPT ANAESTHESIA CH-4031 BASEL SWITZERLAND UNIV CALGARY,DEPT ANAESTHESIA CALGARY AB T2N 1N4 CANADA UNIV TEXAS,NASA AUSTIN TX 78712
Titolo Testata:
International journal of medical informatics
fascicolo: 1-2, volume: 47, anno: 1997,
pagine: 87 - 90
SICI:
1386-5056(1997)47:1-2<87:TACIRS>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
ERRORS;
Keywords:
CRITICAL INCIDENT; ANESTHESIA; DEATH;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
5
Recensione:
Indirizzi per estratti:
Citazione:
S. Staender et al., "THE ANESTHESIA CRITICAL INCIDENT REPORTING SYSTEM - AN EXPERIENCE-BASED DATABASE", International journal of medical informatics, 47(1-2), 1997, pp. 87-90

Abstract

To date there have been fewer than a dozen studies on the nature of, and contributory factors in, critical incidents (CI) in anaesthesia. The first of these, by Cooper and colleagues, showed that the vast majority of their CI involved human error [1]. Most recently, the on-goingAustralian Incident Monitoring Study (AIMS), with now more than 2000 reports, has shows that aspects of 'system failure' may constitute thebulk of the contributory factors, even though some human error may bedetected in about 80% of the analysed cases [2]. We set up a CriticalIncident Reporting System (CIRS) to collect anonymous CI in anaesthesia using a reporting form on the Internet. CIRS analysis of the first 60 cases corroborates the findings of previous CI studies. In addition, our preliminary results have shown certain important trends, especially those concerning the contributory factor of communication in the Operating Theatre. Although to date we are unable to assess the educational importance of these CI reports, we believe that there is great potential for this aspect of CIRS. (C) 1997 Elsevier Science B.V.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 21:09:32