Ambulance personnel perceptions of near misses and adverse events in pediatric patients

Prehospital Emergency Care

Volumn 14, Issue 4, 2010, Pages 477-484

  Cushman, Jeremy T ^a   Fairbanks, Rollin J ^a   O'Gara, Kevin G ^a,b   Crittenden, Crista N ^a   Pennington, Elliot C ^a,c   Wilson, Matthew A ^a   Chin, Nancy P ^a   Shah, Manish N ^a  

^a UNIVERSITY OF ROCHESTER   (United States)

^b ROCHESTER GENERAL HOSPITAL   (United States)

^c BOSTON MEDICAL CENTER   (United States)

Author keywords

Adverse events; Ambulance; Emergency medical services; Medical error; Near misses; Pediatrics

Indexed keywords

AMBULANCE; ARTICLE; CHILD; EMERGENCY HEALTH SERVICE; FEMALE; HUMAN; INFANT; INFORMATION PROCESSING; INTERVIEW; MALE; MEDICAL ERROR; PARAMEDICAL PERSONNEL; PRESCHOOL CHILD; PSYCHOLOGICAL ASPECT;

ALLIED HEALTH PERSONNEL; AMBULANCES; CHILD; CHILD, PRESCHOOL; EMERGENCY MEDICAL SERVICES; FEMALE; FOCUS GROUPS; HUMANS; INFANT; INTERVIEWS AS TOPIC; MALE; MEDICAL ERRORS;

EID: 77956389301     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903127.2010.497901     Document Type: Article

References (35)

1. Institute of Medicine. Future of Emergency Care Series, Emergency Care for Children: Growing Pains. Washington, DC: Institution of Medicine of the National Academies, June 2006.
2. Institute of Medicine. Future of Emergency Care Series, Emergency Medical Services at the Crossroads. Washington, DC: Institution of Medicine of the National Academies, June 2006.
3. Morey JC, Simon R, Jay GD, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res. 2002;37:1553-81.
4. Schenkel SM, Khare RK, Rosenthal MM, Sutcliffe KM, Lewton EL. Resident perceptions of medical errors in the emergency department. Acad Emerg Med. 2003;10:1318-24.
5. Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004;351:1838-48.
6. Woods D, Thomas E, Holl J, Altman S, Brennan T. Adverse events and preventable adverse events in children. Pediatrics. 2005;115:155-60.
7. Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285:2114-20.
8. Shah MN, JT Cushman, CO Davis, et al. The epidemiology of emergency medical services use by children: an analysis of the National Hospital Ambulatory Medical Care Survey. Prehosp Emerg Care. 2008;12:269-76.
9. Wang HE, Fairbanks RJ, Shah MN, Abo BN, Yealy DM. Tort claims from adverse events in emergency medical services. Ann Emerg Med. 2008;52:256-62.
10. Kothari R, Barsan W, Brott T, Broderick J, Ashbrock S. Frequency and accuracy of prehospital diagnosis of acute stroke. Stroke. 1995;26:937-41.
11. Hubble MW, Paschal KR, Sanders TA. Medication calculation skills of practicing paramedics. Prehosp Emerg Care. 2000;4:253-60.
12. Gausche M, Lewis RJ, Stratton SJ, et al. Effect of out-ofhospital pediatric endotracheal intubation on survival and neurological outcome: a controlled clinical trial. JAMA. 2000;283: 783-90.
13. Jemmett ME, Kendal KM, Fourre MW, Burton JH. Unrecognized misplacement of endotracheal tubes in a mixed urban to rural emergency medical services setting. Acad Emerg Med. 2003;10:961-5.
14. Fairbanks RJ, Crittenden CN, O'Gara KG, et al. EMS provider perceptions of the nature of adverse events and near misses in out-of-hospital care: an ethnographic view. Acad Emerg Med. 2008;15:633-40.
15. Hobgood C, Xie J, Weiner B, Hooker J. Error identification, disclosure, and reporting: practice patterns of three emergency medicine provider types. Acad Emerg Med. 2004;11: 196-9.
16. Joyce SM, Brown DE, Nelson EA. Epidemiology of pediatric EMS practice: a multistate analysis. Prehosp Disaster Med. 1996;11:180-7.
17. Stevens SL, Alexander JL. The impact of training and experience on EMS providers' feelings toward pediatric emergencies in a rural state. Pediatr Emerg Care. 2005;21:12-7.
18. Glaeser PW, Linzer J, Tunik MG, Henderson DP, Ball J. Survey of nationally registered emergency medical services providers: pediatric education. Ann Emerg Med. 2000;36:33-38.
19. Greenhalgh T, Taylor R. Papers that go beyond numbers (qualitative research). BMJ. 1997;315:740-3.
20. Bizovi KE, Wears R, Lowe RA. Researching quality in emergency medicine. Acad Emerg Med. 2002;9:1116-23.
21. Barbour RS. Checklists for improving rigour in qualitative research: a case of the tail wagging the dog? BMJ. 2001;322: 1115-7.
22. Pope K, Ziebland S, Mays N. Analyzing qualitative data. BMJ. 2000;320:114-6.
23. Reason J. Human Error. Cambridge, England: Cambridge University Press, 1990.
24. 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.NEng JMed. 1991;324:370-6.
25. Fairbanks RJ, Caplan S. Poor interface design and lack of usability testing facilitate medical error. Jt Comm J Qual Saf. 2004;30:579-84.
26. Handler JA, Gillam M, Sanders AB, Klasco R. Defining, identifying, and measuring error in emergency medicine. Acad Emerg Med. 2000;7:1183-8.
27. Hobgood C, Bowen JB, Brice JH, Overby B, Tamayo-Sarver JH. Do EMS personnel identify, report, and disclose medical errors? Prehosp Emerg Care. 2006;10:21-7.
28. American Academy of Pediatrics Committee on Pediatric Emergency Medicine. Patient safety in the pediatric emergency care setting. Pediatrics. 2007;120:1367-75.
29. Hicks RW, Becker SC. An overview of intravenous-related medication administration errors as reported to MEDMARX, a national medication error-reporting program. J Infus Nurs. 2006;29:20-7.
30. Dy SM, Shore AD, Hicks RW, Morlock LL. Medication errors with opioids: results from a national reporting system. J Opioid Manag. 2007;3:189-94.
31. Pierson S, Hansen R, Greene S, et al. Preventing medication errors in long-term care: results and evaluation of a large scale Web-based error reporting system. Qual Saf Health Care. 2007;16:297-302.
32. Rinke ML, Shore AD, Morlock L, Hicks RW, Miller MR. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110:186-95.
33. Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21:290-8.
34. Wolf ZR, Hicks R, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006;22:39-51.
35. Jones KJ, Cochran G, Hicks RW, Mueller KJ. Translating research into practice: voluntary reporting of medication errors in critical access hospitals. J Rural Health. 2004;20:335-43.