OBJECTIVE To explore contributing factors (CF) associated to related critical patients safety incidents. DESIGN SYREC study pos hoc analysis. SETTING A total of 79 Intensive Care Departments were involved. PATIENTS The study sample consisted of 1.017 patients; 591 were affected by one or more incidents. MAIN VARIABLES The CF were categorized according to a proposed model by the National...

OBJECTIVE The purpose of this study was to describe homicides of infants (children <2 years of age) in the U.S. METHODS Cases were derived from the National Violent Injury Statistics System; 71 incidents involving 72 infant homicides were in the data set. Type 1 involved beating/shaking injuries inflicted by a caretaker; type 2 involved all other homicides (including neonaticide, intimate par...

The response to a potential disaster can require the evacuation of personnel from a specified area. Generally, such efforts are restricted to the orderly mass departure of individuals across pre-planned and well maintained transportation routes. In the U.S., evacuations of up to 1,000 subjects take place every two to three weeks, with more extreme evacuations involving two million or more every...

OBJECTIVES To examine incidents, contributory factors, treatment and outcomes associated with oxygen desaturation during anesthesia practice in Thailand. MATERIAL AND METHOD Relevant data were extracted from the Thai Anesthesia Incidents Study (THAI Study) database between February 1, 2003 and January 31, 2004 and analyzed by using mainly descriptive statistics. RESULTS Four hundred and nin...

Process safety, as well as the safe storage and transportation of hazardous or reactive chemicals, has been a topic of increasing interest in the last few decades. The increased interest in improving the safety of operations has been driven largely by a series of recent catastrophes that have occurred in the United States and the rest of the world. A continuous review of past incidents and disa...

Intrusion response systems aim to provide a systematic procedure to respond to incidents. However, with different type of response options, an automatic response system is designed to select appropriate response options automatically in order to act fast to respond to only true and critical incidents as well as minimise their impact. In addition, incidents also can be prioritised into different...

INTRODUCTION The aim of this study is to analyse changes in the incidents reported after the implementation of a new model, and study its results on patient safety. PATIENTS AND METHODS In 2012 an observational study with prospective collection of incidents reported between 2007 and 2011 was conducted. In May 2012 a model change was made in order to increase the number of reports, analyse the...

INTRODUCTION This study reports our experience of audit and critical incidents observed by paediatric anaesthetics from 2000 to 2010 at a paediatric teaching hospital in Singapore. METHODS Data pertaining to patient demographics, practices and critical incidents during anaesthesia and in the perioperative period were prospectively collected via an audit form and retrospectively analysed there...