Epidemiology of adverse events in air medical transport

Academic Emergency Medicine

Volumn 15, Issue 10, 2008, Pages 923-931

  MacDonald, Russell D ^a,b   Banks, Brie Ann ^b   Morrison, Merideth ^a  

^a UNIVERSITY OF TORONTO   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

Author keywords

Accident; Air ambulance; Medical error; Patient transfer

Indexed keywords

ADULT; ADVERSE OUTCOME; AIR MEDICAL TRANSPORT; ARTICLE; CAUSE OF DEATH; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MANDATORY REPORTING; MASS COMMUNICATION; MEDICAL INSTRUMENTATION; MEDICAL RECORD REVIEW; MOTOR VEHICLE; OBSERVATIONAL STUDY; PATIENT CARE; PATIENT SAFETY; PRIORITY JOURNAL; RETROSPECTIVE STUDY; WEATHER;

ACCIDENTS; ADULT; AIR AMBULANCES; FEMALE; HUMANS; INCIDENCE; MALE; MEDICAL ERRORS; MIDDLE AGED; ONTARIO; RETROSPECTIVE STUDIES; SAFETY MANAGEMENT;

EID: 56849131304     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2008.00241.x     Document Type: Article

References (51)

1. Kohn FT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Healthcare System. Washington, DC: National Academies Press, 1999.
2. Baker GR, Norton P. Making patients safer! Reducing error in Canadian healthcare. Healthc Pap. 2001; 2:10-31.
3. National Highway Traffic Safety Administration. Patient Safety in Emergency Medical Services. Washington, DC: NHTSA, 2002.
4. Levin A, Johnson K. Air ambulance crashes spur safety reviews. USA Today. 2005 Jan 14; Sect A:3(col.3).
5. Levin A, Johnson K. Surge in crashes scars air ambulance industry. USA Today. 2005 Jul 17. Available at: http://www.usatoday.com/news/nation/2005-07- 17-air-ambulance-crashes_x.htm. Accessed Jul 17, 2005.
6. Baker SP, Grabowski JG, Dodd RS, Shanahan DF, Lamb MW, Li GH. EMS helicopter crashes: what influences fatal outcome? Ann Emerg Med. 2006;47:351-6.
7. Holland J, Cooksley DG. Safety of helicopter aeromedical transport in Australia: a retrospective study. Med J Aust. 2005; 182:17-9.
8. Bledsoe BE, Smith MG. Medical helicopter accidents in the United States: a 10-year review. J Trauma. 2004; 56:1325-8.
9. National Transportation Safety Board. Safety Study - Commercial Emergency Medical Services Helicopter Operations. January 1988; PB88-017001: NTSB/SS-88/01.
10. MacDonald RD, Farquhar S. Transfer of intra-aortic balloon pump-dependant patients by paramedics. Prehosp Emerg Care. 2005; 9:449-53.
11. Paramedic Association of Canada. National Occupational Competency Profiles (NOCP). Available at: http://www.paramedic.ca/Content.aspx?ContentID= 4&ContentTypeID=2. Accessed August 26, 2008.
12. Ornge Transport Medicine. Decision Support Application. Available at: http://www.ornge.ca/newinquiries.html. Accessed Mar 18, 2007.
13. Quality Interagency Coordination Task Force. Doing What Counts for Patient Safety: Federal Actions to Reduce Medical Errors and Their Impact. Report to the President, February 2000. Available at: http://www.quic.gov/ report. Accessed Jun 25, 2005.
14. Chang A, Schyve PM, Croteau RJ, O'Leary DS, Loeb JM. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Int J Qual Health Care. 2005; 17:95-105.
15. Hendrie J, Sammartino L, Silvapulle MJ, Braithberg G. Experience in adverse events detection in an emergency department: nature of events. Emerg Med Australas. 2007; 19:9-15.
16. Wilson RM, Runciman WB, Gibbert RW, Harrison BT, Newby L, Hamilton JD. The quality in Australian health care study. Med J Aust. 1995; 163:458-71.
17. Leape LL, Brennan TY, Laird N, et al. The nature and adverse events in hospitalized patients: results of the Harvard medical Practice Study II. N Engl J Med. 1991; 324:377-84.
18. Wolff AM, Bourke J. Detecting and reducing adverse events in an Australian rural based hospital emergency department using medical records screening and review. Emerg Med J. 2002; 19:35-40.
19. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. Qual Saf Health Care. 2004; 13:145-52.
20. Davis P, Lay-Yee R, Briant R, Ali W, Scott A, Schug S. Adverse events in New Zealand public hospitals I: occurrence and impact. N Z Med J. 2002; 115:U271.
21. Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care. Crit Care Med. 2005; 33:1694-700.
22. Singh JM, MacDonald RD, Bronskill SE, Schull MJ. Interfacility transport of acutely-ill patients: incidence of in-transit critical events. Am J Respir Crit Care Med. 2007; 175(abstract issue):795.
23. Findlay GP, Spittal MJ, Radcliff JJ. The recognition of critical incidents: quantification of monitor effectiveness. Anaesthesia. 1998; 53:595-8.
24. Dewhurst AT, Farrar D, Walker C, Mason P, Beven P, Goldstone JC. Medical repatriation via fixed-wing aircraft air ambulance: a review of patient characteristics and adverse events. Anaesthesia. 2001; 56:882-7.
25. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977; 33:159-74.
26. Kunac DL, Reith DM, Kennedy J, Austin NC, Williams SM. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Qual Saf Health Care. 2006; 15:196-201.
27. King WJ, Paice N, Rangrej J, Forestell GJ, Swartz R. The effect of computerized physician order entry on medical errors and adverse drug events in pediatric inpatients. Pediatrics. 2003; 112(3 Pt 1):506-9.
28. Gurwitx JH, Field TS, Avorn J, et al. Incidence and preventability of adverse drug events in nursing homes. Am J Med. 2000; 109:87-94.
29. Simpson KR, Knox GE. Adverse perinatal outcomes: recognizing, understanding, and preventing common types of accidents. AWHONN Lifelines. 2003; 7:224-35.
30. Errors in general practice: development of an error classification and pilot study of a method for detecting errors. Qual Saf Health Care. 2003; 12:443-7.
31. Joint Commission on Accreditation of Healthcare Organizations. Preventing infant death and injury during delivery. Sentinel Event Alert. 2004; 30:1-3.
32. Helmreich RL. On error management: lessons from aviation. BMJ. 2000; 320:781-5.
33. Stout RJ, Salas E, Fowlkes JE. Enhancing teamwork in complex environments through team training. Group Dynamics: Theor Res Pract. 1997; 1:169-82.
34. Risser DT, Rice MM, Salisbury ML, Simon R, Jay GD, Bern SD. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg Med. 1999; 34:373-83.
35. Grogan EL, Stiles RA, France DJ, et al. The impact of aviation-based teamwork training on the attitudes of health-care professionals. J Am Coll Surg. 2004; 199:843-48.
36. Thomas EJ, Helmreich RL. Will airline safety models work in medicine. in: Rosenthal MM, Sutcliffe KM (eds). Medical Errors: What Do We Know? What Do We Do? San Francisco, CA: Jossey-Bass, 2002, pp 217-34.
37. Reason J, Mycielska K. Absent-minded? The psychology of mental lapses and everyday errors. Englewood Cliffs, NJ: Prentice Hall, 1982.
38. Leape L. Errors in medicine. JAMA. 1994; 272:1851-7.
39. Joint Commission on Accreditation of Healthcare Organizations. In sentinel events: evaluating cause and planning improvement. Oakbook, IL: JCAHO, 1988.
40. Roberts K. Some characteristics of high-reliability organizations. Organiz Sci. 1990; 1:160-77.
41. Gaba DM. Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. Calif Manage Rev. 2000;43:83-102.
42. Phillips K. The power of health care teams: strategies for success. Oakbrook, IL: JCAHO, 1997.
43. Smith I, Fleming S, Cernaianu A. Mishaps during transport from the intensive care unit. Crit Care Med. 1990; 18:278-81.
44. Hurst JM, Davis K Jr, Johnson DJ, Branson RD, Campbell RS, Branson PS. Cost and complications during in-hospital transport of critically ill patients: a prospective cohort study. J Trauma. 1992; 33:582-5.
45. Gillman L, Leslie G, Williams T, Fawcett K, Bell R, McGibbon V. Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. Emerg Med J. 2006; 23:858-61.
46. Rhee KJ, Holmes EM, Moecke HP, Thomas FO. A comparison of emergency medical helicopter accident rates in the United States and the Federal Republic of Germany. Aviat Space Environ Med. 1990; 61:750-2.
47. Holland J, Cooksley DG. Safety of helicopter aeromedical transport in Australia: a retrospective study. Med J Aust. 2005; 182:17-9.
48. Leape LL, Berwick DM. Five years after "To Err is Human": what have we learned? JAMA. 2005; 293:2384-90.
49. Hogbood C, Xie Jipan, Weiner B, Hooker J. Error identification, disclosure, and reporting: practice patterns of three emergency medicine provider types. Acad Emerg Med. 2004; 11:196-9.
50. Hogbood C, Barnes Bowen J, Brice JH, Overby B, Tamayo-Sarver JH. Do EMS personnel identify, report, and disclose medical errors? Prehosp Emerg Care. 2006; 10:21-7.
51. Canadian Helicopters. EMS Flight Safety. April 2003. Available at: http://www.canadianhelicopters.ca/frame/ems_2.html. Accessed Dec 17, 2006.