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

Br J Anaesth. 2014 Mar;112(3):546-55. doi: 10.1093/bja/aet406. Epub 2013 Dec 5.

Abstract

Background: Critical incident reporting is a key tool in the promotion of patient safety in anaesthesia.

Methods: We surveyed representatives of national incident reporting systems in six European countries, inviting information on scope and organization, and intelligence on factors determining success and failure.

Results: Some systems are government-run and nationally conceived; others started out as small, specialty-focused initiatives, which have since acquired a national reach. However, both national co-ordination and specialty enthusiasts seem to be necessary for an optimally functioning system. The role of reporting culture, definitional issues, and dissemination is discussed.

Conclusions: We make recommendations for others intending to start new systems and speculate on the prospects for sharing patient safety lessons relevant to anaesthesia at European level.

Keywords: anaesthesia; clinical audit; critical incident technique; incident reporting, hospital; patient safety.

Publication types

  • Historical Article
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anesthesia / history
  • Anesthesia / methods*
  • Anesthesiology / history
  • Anesthesiology / methods*
  • Anesthesiology / standards
  • Denmark
  • Europe
  • Finland
  • Germany
  • Health Care Surveys
  • History, 20th Century
  • History, 21st Century
  • Humans
  • Information Dissemination
  • Patient Safety
  • Spain
  • Surveys and Questionnaires
  • Switzerland
  • Task Performance and Analysis*
  • United Kingdom