scholarly journals Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kai Wehkamp ◽  
Eva Kuhn ◽  
Rainer Petzina ◽  
Alena Buyx ◽  
Annette Rogge
Keyword(s):  
Patient Safety ◽  
Clinical Ethics ◽  
Critical Incident ◽  
Critical Incidents ◽  
Incident Reporting ◽  
Biomedical Ethics ◽  
Incident Reporting Systems ◽  
Ethical Conflicts ◽  
Reporting Systems ◽  
Critical Incident Reporting

Abstract Background Critical Incident Reporting Systems (CIRS) provide a well-proven method to identify clinical risks in hospitals. All professions can report critical incidents anonymously, low-threshold, and without sanctions. Reported cases are processed to preventive measures that improve patient and staff safety. Clinical ethics consultations offer support for ethical conflicts but are dependent on the interaction with staff and management to be effective. The aim of this study was to investigate the rationale of integrating an ethical focus into CIRS. Methods A six-step approach combined the analysis of CIRS databases, potential cases, literature on clinical and organizational ethics, cases from ethics consultations, and experts’ experience to construct a framework for CIRS cases with ethical relevance and map the categories with principles of biomedical ethics. Results Four main categories of critical incidents with ethical relevance were derived: (1) patient-related communication; (2) consent, autonomy, and patient interest; (3) conflicting economic and medical interests; (4) staff communication and corporate culture. Each category was refined with different subcategories and mapped with case examples and exemplary related ethical principles to demonstrate ethical relevance. Conclusion The developed framework for CIRS cases with its ethical dimensions demonstrates the relevance of integrating ethics into the concept of risk-, quality-, and organizational management. It may also support clinical ethics consultations’ presence and effectiveness. The proposed enhancement could contribute to hospitals’ ethical infrastructure and may increase ethical behavior, patient safety, and employee satisfaction.

scholarly journals Survey to identify depth of penetration of critical incident reporting systems in Austrian healthcare facilities

2018 ◽  
Vol 55 ◽  
pp. 004695801774491 ◽  
Author(s):  
Gerald Sendlhofer ◽  
Harald Eder ◽  
Karina Leitgeb ◽  
Roland Gorges ◽  
Heidelinde Jakse ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Critical Incident ◽  
Critical Incidents ◽  
Health Care Facilities ◽  
Incident Reporting ◽  
Incident Reporting Systems ◽  
Care Facilities ◽  
Reporting Systems ◽  
Critical Incident Reporting

Incident reporting systems or so-called critical incident reporting systems (CIRS) were first recommended for use in health care more than 15 years ago. The uses of these CIRS are highly variable among countries, ranging from being used to report critical incidents, falls, or sentinel events resulting in death. In Austria, CIRS have only been introduced to the health care sector relatively recently. The goal of this work, therefore, was to determine whether and specifically how CIRS are used in Austria. A working group from the Austrian Society for Quality and Safety in Healthcare (ASQS) developed a survey on the topic of CIRS to collect information on penetration of CIRS in general and on how CIRS reports are used to increase patient safety. Three hundred seventy-one health care professionals from 274 health care facilities were contacted via e-mail. Seventy-eight respondents (21.0%) completed the online survey, thereof 66 from hospitals and 12 from other facilities (outpatient clinics, nursing homes). In all, 64.1% of the respondents indicated that CIRS were used in the entire health care facility; 20.6% had not yet introduced CIRS and 15.4% used CIRS only in particular areas. Most often, critical incidents without any harm to patients were reported (76.9%); however, some health care facilities also use their CIRS to report patient falls (16.7%), needle stick injuries (17.9%), technical problems (51.3%), or critical incidents involving health care professionals. CIRS are not yet extensively or homogeneously used in Austria. Inconsistencies exist with respect to which events are reported as well as how they are followed up and reported to health care professionals. Further recommendations for general use are needed to support the dissemination in Austrian health care environments.

National Critical Incident Reporting Systems Relevant to Anaesthesia

2014 ◽  
Vol 58 (5) ◽  
pp. 268
Author(s):  
S. Reed ◽  
D. Arnal ◽  
O. Frank ◽  
J. I. Gomez-Arnau ◽  
J. Hansen ◽  
...  
Keyword(s):  
Critical Incident ◽  
Incident Reporting ◽  
Incident Reporting Systems ◽  
Reporting Systems ◽  
Critical Incident Reporting

scholarly journals National critical incident reporting systems relevant to anaesthesia: a European survey

2014 ◽  
Vol 112 (3) ◽  
pp. 546-555 ◽  
Author(s):  
S. Reed ◽  
D. Arnal ◽  
O. Frank ◽  
J.I. Gomez-Arnau ◽  
J. Hansen ◽  
...  
Keyword(s):  
Critical Incident ◽  
Incident Reporting ◽  
European Survey ◽  
Incident Reporting Systems ◽  
Reporting Systems ◽  
Critical Incident Reporting

scholarly journals Medikationssicherheit im Home Care Bereich

Pflege ◽  
2016 ◽  
Vol 29 (5) ◽  
pp. 247-255 ◽  
Author(s):  
Carla Meyer-Massetti ◽  
Evelyne Krummenacher ◽  
Barbara Hedinger-Grogg ◽  
Stephan Luterbacher ◽  
Kurt E. Hersberger
Keyword(s):  
Home Care ◽  
Critical Incident ◽  
Incident Reporting ◽  
Incident Reporting Systems ◽  
Reporting Systems ◽  
Critical Incident Reporting

Zusammenfassung. Hintergrund: Obwohl medikationsassoziierte Probleme zu den häufigsten unerwünschten Ereignissen im Gesundheitswesen gehören, ist nur wenig über ihre Art und Prävalenz im Home Care Bereich bekannt. Die Verwendung eines Critical Incident Reporting Systems (CIRS) für eine kostengünstige und effiziente Erfassung von Medikationsfehlern zur späteren Trendanalyse ist in der stationären Versorgung etabliert, im ambulanten Bereich aber noch wenig verankert. Empfehlungen zum Format existieren kaum. Ziel: Das Ziel dieser Arbeit war, ein Fehlermeldesystem spezifisch für die Erfassung der Medikationssicherheit im Home Care Bereich zu realisieren. Methode: Am Beispiel einer Schweizer Spitex-Organisation wurde ein manuelles CIRS für den Home Care Bereich literaturbasiert entwickelt, pilotiert und implementiert. Resultate: Das finale Formular lieferte bei guter Akzeptanz durch die Mitarbeitenden und limitiertem Zeitaufwand erste qualitative Hinweise zu Medikationsfehlern im Home Care Umfeld. Am häufigsten erfolgten Meldungen zum Prozessschritt «Richten» (Vorbereiten der Medikamente) in Form von Unterlassung (30 %), falscher Dosierung (17,5 %) und falschem Zeitpunkt (15 %). Als Hauptursache für Fehler gaben die meldenden Personen die Arbeitsbedingungen an (37,9 %), wobei insbesondere Unaufmerksamkeit (68,2 %), Zeitdruck (22,7 %) und Unterbrechungen durch den Klienten (9,1 %) die Auslöser waren. Schlussfolgerungen: Diese Hinweise waren nützlich für eine Trendanalyse, um zukünftige Interventionen zu planen. Hinsichtlich des Systems ist die Weiterentwicklung zu einem elektronischen CIRS wünschenswert, um den Zeitaufwand für Erfassung und Auswertung zu optimieren und eine nationale Verknüpfung der Fehlermeldungen zu ermöglichen.

Sign in / Sign up

Export Citation Format

Share Document