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Vet Anaesth Analg. 2013 Nov;40(6):e3-8. doi: 10.1111/vaa.12065. Epub 2013 Jul 6.

Critical incidence reporting systems - an option in equine anaesthesia? Results from a panel meeting.

Author information

  • 1Section of Epidemiology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.

Abstract

OBJECTIVE:

To provide a brief introduction into Critical Incident Reporting Systems (CIRS) as used in human medicine, and to report the discussion from a recent panel meeting discussion with 23 equine anaesthetists in preparation for a new CEPEF-4 (Confidential Enquiry into Perioperative Equine Fatalities) study.

STUDY DESIGN:

Moderated group discussions, and review of literature.

METHODS:

The first group discussion focused on the definition of 'preventable critical incidents' and/or 'near misses' in the context of equine anaesthesia. The second group discussion focused on categorizing critical incidents according to an established framework for analysing risk and safety in clinical medicine.

RESULTS:

While critical incidents do occur in equine anaesthesia, no critical incident reporting system including systematic collection and analysis of critical incidents is in place.

CONCLUSIONS AND CLINICAL RELEVANCE:

Critical incident reporting systems could be used to improve safety in equine anaesthesia - in addition to other study types such as mortality studies.

KEYWORDS:

Swiss cheese model; active and latent errors; critical incident reporting systems; equine anaesthesia; safety culture

PMID:
23829714
DOI:
10.1111/vaa.12065
[PubMed - indexed for MEDLINE]
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