Patient Safety - Relevant in Emergency Medical Services?

被引:3
作者
Marung, H. [1 ,3 ]
Wirtz, S. [2 ,3 ]
Oppermann, S. [1 ,3 ]
Moecke, H. [1 ,4 ]
机构
[1] Asklepios Kliniken Hamburg, Inst Notfallmed, Hamburg, Germany
[2] Asklepios Klin Barmbek, Abt Anasthesiol & Operat Intens Med, Hamburg, Germany
[3] Vorstand Arbeitsgemeinschaft Norddeutschland Tati, Hamburg, Germany
[4] Asklepios Kliniken Hamburg, Konzernbereich Med & Wissensch, Hamburg, Germany
来源
NOTARZT | 2011年 / 27卷 / 06期
关键词
patient safety; error; training concepts; risk management; safety culture; emergency medical director; RAPID-SEQUENCE INTUBATION; TUBE CUFF PRESSURES; CARE; MANAGEMENT; HANDOVER; TEAMWORK;
D O I
10.1055/s-0031-1276907
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Aspects of patient safety have gained a growing interest in acute patient care since the late nineties. Structured concepts for patient safety and risk management have not yet been widely established in German emergency medical services (EMS). Discussed below are the results of a survey among a sample of emergency medical physicians and technicians with a great amount of professional experience. Relevance of the topic, potential sources of error and implementation of patient safety measures were evaluated. Both occupational groups regarded actions at EMS' interfaces, e. g. emergency medical dispatching and patient handover in hospitals as error prone. Almost one half of the sample rated communication and teamwork as critical for the occurrence of error. Issues of patient safety were considered as having major importance. Establishing standardised dispatch protocols was regarded the most important step towards patient safety. Results are compared to the few existing data and proposals for improvement in this area are illustrated.
引用
收藏
页码:258 / 265
页数:8
相关论文
共 46 条
[1]  
Aktionsbundnis Patientensicherheit, 2010, AG PAT
[2]  
Altemeyer KH, 2008, NOTFALL RETTUNGSMED, V11, P419, DOI 10.1007/s10049-008-1105-x
[3]   Endotracheal Tube Intracuff Pressure During Helicopter Transport [J].
Bassi, Marco ;
Zuercher, Mathias ;
Erne, Jean-Jacques ;
Ummenhofer, Wolfgang .
ANNALS OF EMERGENCY MEDICINE, 2010, 56 (02) :89-93
[4]  
Bergrath S, 2011, ANAESTHESIST, V60, P221, DOI 10.1007/s00101-010-1790-y
[5]  
Bost Nerolie, 2010, Int Emerg Nurs, V18, P210, DOI 10.1016/j.ienj.2009.11.006
[6]  
Campbell JE, 2009, PRAKLINISCHE TRAUMAT
[7]   Endotracheal tube cuff pressures in patients intubated before transport [J].
Chapman, Jacob ;
Pallin, Daniel ;
Ferrara, Larisa ;
Mortell, Sarah ;
Pliakas, John ;
Shear, Melissa ;
Thomas, Stephen .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2009, 27 (08) :980-982
[8]   Prospective observational measurement of tracheal tube cuff pressures in the emergency department [J].
Chopra, Michelle ;
Jones, Lewis ;
Boulanger, Carole ;
Benger, Jonathan ;
Higginson, Ian ;
Williamson, Dominic ;
Younge, Paul ;
Lloyd, Gavin .
EMERGENCY MEDICINE JOURNAL, 2010, 27 (04) :270-271
[9]   The impact of hypoxia and hyperventilation on outcome after paramedic rapid sequence intubation of severely head-injured patients [J].
Davis, DP ;
Dunford, JV ;
Poste, JC ;
Ochs, M ;
Holbrook, T ;
Fortlage, D ;
Size, MJ ;
Kennedy, F ;
Hoyt, DB .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2004, 57 (01) :1-8
[10]   The effect of paramedic rapid sequence intubation on outcome in patients with severe traumatic brain injury [J].
Davis, DP ;
Hoyt, DB ;
Ochs, M ;
Fortlage, D ;
Holbrook, T ;
Marshall, LK ;
Rosen, P .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2003, 54 (03) :444-453