Towards safer neonatal transfer: the importance of critical incident review.
Arch Dis Child
; 90(7): 729-32, 2005 Jul.
Article
em En
| MEDLINE
| ID: mdl-15871980
ABSTRACT
BACKGROUND:
Critical incidents are common during the inter-hospital transfer of sick patients, and infants are an especially vulnerable group.AIMS:
To examine the effect of critical incident review on the number of adverse events during inter-hospital transfer of sick infants.METHODS:
Critical incidents over an eight year period are reported from a single neonatal transfer service before and after major service changes were made. The changes were instigated as part of ongoing critical incident reviews.RESULTS:
Changes made as a result of critical incident review significantly reduced the number of incidents contributed to by poor preparation, transport equipment or clinical problems, ambulance delays, and ambulance equipment failure.CONCLUSIONS:
The continuous process of critical incident reporting and review can reduce the number of adverse events during the transfer of critically ill infants.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
9_ODS3_accidentes_transito
Base de dados:
MEDLINE
Assunto principal:
Gestão de Riscos
/
Transporte de Pacientes
/
Cuidado do Lactente
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Humans
/
Newborn
País/Região como assunto:
Europa
Idioma:
En
Revista:
Arch Dis Child
Ano de publicação:
2005
Tipo de documento:
Article