Document Detail

Experience with an anonymous web-based state EMS safety incident reporting system.
MedLine Citation:
PMID:  22128906     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Patient and provider safety is paramount in all aspects of emergency medical services (EMS) systems. The leaders, administrators, and policymakers of these systems must have an understanding of situations that present potential for harm to patients or providers.
OBJECTIVE: This study analyzed reports to a statewide EMS safety event reporting system with the purpose of categorizing the types of incidents reported and identifying opportunities to prevent future safety events.
METHODS: This statewide EMS safety incident reporting system is a Web-based system to which any individual can anonymously report any event or situation perceived to impact safety. We reviewed all reports between the system's inception in 2003 through August 2010. A stipulation of the system is that any entry containing information that identifies an EMS provider, agency, or patient will be deleted and thus not included in the analysis. Each event report included the description of the event, the relationship of the reporter, and the year in which the event occurred. Each entry was placed into a category that best represents the situation described.
RESULTS: A total of 415 reports were received during the study period, and 186 reports were excluded-163 (39%) excluded by the state because of identifiable information and 23 (6%) excluded by the authors because of nonsensical description. Within the remaining 229 reports, there were 237 distinct safety events. These events were classified as actions/behavior (32%), vehicle/transportation (16%), staffing or ambulance availability (13%), communications (8%), medical equipment (9%), multiple patients/agencies/units and level-of-care issues (7%), medical procedure (6%), medication (5%), accident scene management/scene safety (3%), and protocol issues (1%). EMS providers directly involved in the event represented the largest reporting group (33%). We also provide examples of statewide system and policy changes that were made in direct response to these reports.
CONCLUSION: This EMS safety incident reporting system identified situations that occurred in many categories of EMS care. These potential dangers represent opportunity to assess, and ultimately change, policy and procedures to reduce potential safety events and medical errors and improve overall safety. A substantial number of cases were excluded to maintain the promise of anonymity within the system.
John M Gallagher; Douglas F Kupas
Related Documents :
22114466 - Obedience and motivation as mechanisms for adherence to medication: a study in obese ty...
22038696 - The limits of narrative: provocations for the medical humanities.
21785306 - The physician as health advocate: translating the quest for social responsibility into ...
21829316 - Medical radiation countermeasures for nuclear and radiological emergencies: current sta...
10086256 - Medical students' attitudes toward abortion and other reproductive health services.
17305266 - Anticholinergic medications: use among older adults with memory problems.
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors     Volume:  16     ISSN:  1545-0066     ISO Abbreviation:  Prehosp Emerg Care     Publication Date:    2012 Jan-Mar
Date Detail:
Created Date:  2011-12-01     Completed Date:  2012-04-09     Revised Date:  2013-01-18    
Medline Journal Info:
Nlm Unique ID:  9703530     Medline TA:  Prehosp Emerg Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  36-42     Citation Subset:  IM    
Department of EmergencyMedicine, Geisinger Health System, Danville, Pennsylvania 17822-2005, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Emergency Medical Services / statistics & numerical data*
Medical Errors / prevention & control
Occupational Health / statistics & numerical data*
Patient Care / statistics & numerical data*
Retrospective Studies
Risk Management / statistics & numerical data*
Safety Management
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Patient safety in emergency medical services: a systematic review of the literature.
Next Document:  EMS providers' perceptions of safety climate and adherence to safe work practices.