German critical incident reporting system database of prehospital emergency medicine: Analysis of reported communication and medication errors between 2005–2015  

作　　者：Christian Hohenstein Thomas Fleischmann Peter Rupp Dorothea Hempel Sophia Wilk Johannes Winning 

机构地区：[1]Department of Emergency Medicine, University Hospital Jena [2]Department of Emergency Medicine, Westküstenklinikum Heide [3]Department of Emergency Medicine, Ubbo-Emmius-Klinik [4]Department of Gastroenterology, University Hospital Jena [5]Department of Anaesthesiology and Intensive Care Medicine, University Hospital Jena

出　　处：《World Journal of Emergency Medicine》2016年第2期90-96,共7页世界急诊医学杂志（英文）

摘　　要：BACKGROUND: Communication failure in prehospital emergency medicine can affect patient safety as it does in other areas of medicine as well. We analyzed the database of the critical incident reporting system for prehospital emergency medicine in Germany retrospectively regarding communication errors.METHODS: Experts of prehospital emergency medicine and risk management screened the database for verbal communication failure, non-verbal communication failure and missing communication at all.RESULTS: Between 2005 and 2015, 845 reports were analyzed, of which 247 reports were considered to be related to communication failure. An arbitrary classifi cation resulted in six different kinds: 1) no acknowledgement of a suggestion; 2) medication error; 3) miscommunication with dispatcher; 4) utterance heard/understood improperly; 5) missing information transfer between two persons; and 6) other communication failure.CONCLUSION: Communication defi cits can lead to critical incidents in prehospital emergency medicine and are a very important aspect in patient safety.BACKGROUND： Communication failure in prehospital emergency medicine can affect patient safety as it does in other areas of medicine as well. We analyzed the database of the critical incident reporting system for prehospital emergency medicine in Germany retrospectively regarding communication errors. METHODS： Experts of prehospital emergency medicine and risk management screened the database for verbal communication failure, non-verbal communication failure and missing communication at all. RESULTS： Between 2005 and 2015, 845 reports were analyzed, of which 247 reports were considered to be related to communication failure. An arbitrary classification resulted in six different kinds： 1） no acknowledgement of a suggestion; 2） medication error; 3） miscommunication with dispatcher; 4） utterance heard/understood improperly; 5） missing information transfer between two persons; and 6） other communication failure. CONCLUSION： Communication deficits can lead to critical incidents in prehospital emergency medicine and are a very important aspect in patient safety.

关 键 词：Critical incident reporting system Prehospital emergency medicine Communication error Medication error 

分 类 号：R459.7[医药卫生—急诊医学]