Reporting of adverse incidents is mandatory in Denmark. All reported adverse incidents are made anonymously, and stored in an encrypted database. It is the purpose of this descriptive study to describe the severity of adverse medication incidents caused by oral anticoagulants in hospitals. All moderate, severe and fatal reports concerning non-vitamin K antagonist oral anticoagulants were analyz...

PROBLEM The driver celeration behavior theory predicts that celerations are associated with incidents for which the driver has some responsibility in causing, but not other incidents. METHOD The hypothesis was tested in 25 samples of repeated measurements of bus drivers' celeration behavior against their incidents for two years. RESULTS The results confirmed the prediction; in 18 samples, t...

Lessons from the Otoya Shootings and Oslo Bombing Dr Solid, a Consultant in the Norwegian Ambulance and Dean of the Norwegian Air Ambulance Academy gave the keynote address; a candid and moving personal account of the tragic events that affected Norway in July 2011, claiming 77 lives. He described the difficulties faced and lessons learnt from dealing with the two sequential terrorist attacks; ...

Contamination of drinking water by microbiological and chemical agents can lead to adverse health effects. In England and Wales, the Chemicals Hazards and Poisons Division (CHaPD) of the Health Protection Agency provides expert advice on the consequences to public health of chemical contamination incidents affecting drinking water. In this study, we extracted data from the National Database on ...

Many disasters have occurred because organizations have ignored the warning signs of pre-cursor incidents or have failed to learn from the lessons of the past. Risk is inherent in many high technology systems, but society views the benefits of continuing to operate these systems as outweighing the cost of the occasional disaster. Must we continue to live with disasters? Normal accident theory s...

Organizations often record cyber security incidents to track employee workload, satisfy auditors, fulfil reporting requirements, or to analyze cyber risk. While security incident databases are often neglected, they contain invaluable information that can be leveraged to assess the threats, vulnerabilities, and impacts of cyber attacks, providing a detailed view of cyber risk in an organization....

Ian Clarke is a consultant in general adult psychiatry in the west of Glasgow (Arndale Resource Centre, 80–90 Kinfauns Drive, Drumchapel, Glasgow, G15 7TS, UK. Email: [email protected]). He is clinical lead for the Greater Glasgow and Clyde Patient Safety Group. He obtained a Masters in Business Administration in 2004 and is lead clinician for the west of Glasgow. Critical incidents in...

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...