Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[First experience with a critical incident reporting system in surgery].

A Missbach-Kroll1, P Nussbaumer, M Kuenz

  • 1Kantonsspital Chur, Schweiz.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|June 25, 2005
PubMed
Summary

A critical incident reporting system (CIRS) in surgery helps identify system errors before patient harm occurs. Regular review of reported incidents led to improved treatment quality and safety.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

In vivo Doppler sonographic examination of temperature-related reactions of the facial artery.

International journal of oral and maxillofacial surgery·2025
Same author

In vivo imaging of dorsal root ganglia in the mouse: from ex vivo MR-microscopy towards quantitative in vivo MRI.

Brain research·2025
Same author

Epigenome-wide association study of DNA methylation in maternal blood leukocytes with BMI in pregnancy and gestational weight gain.

International journal of obesity (2005)·2024
Same author

Minimally invasive plate osteosynthesis (MIPO) for scapular fractures.

Operative Orthopadie und Traumatologie·2023
Same author

Combining skin and olfactory α-synuclein seed amplification assays (SAA)-towards biomarker-driven phenotyping in synucleinopathies.

NPJ Parkinson's disease·2023
Same author

Analgesic Medication in Fibromyalgia Patients: A Cross-Sectional Study.

Pain research & management·2022

Area of Science:

  • Medical Safety
  • Healthcare Quality Improvement
  • Systems Engineering in Medicine

Context:

  • Critical incident reporting systems (CIRS), originating in aeronautics, are increasingly adopted in healthcare.
  • Surgical departments can utilize CIRS to proactively identify and address system vulnerabilities.
  • Implementing a CIRS requires standardized documentation and regular review processes.

Purpose:

  • To evaluate the preliminary experience and effectiveness of a critical incident reporting system (CIRS) in a surgical department.
  • To detect system-related problems and errors before they cause patient complications.
  • To foster a culture of open discussion and continuous improvement in patient safety.

Summary:

  • Over three years, 424 incidents were reported, with 22% causing reversible patient damage and 13% classified as "near misses."

Related Experiment Videos

  • Medication prescription and administration were implicated in 36% of incidents.
  • Near misses frequently highlighted system errors impacting therapeutic procedures (85%).

    • Impact:

    • The CIRS implementation positively impacted the surgical department, leading to the identification of significant system errors.
    • Open discussion of incidents resulted in revised internal procedures, enhancing treatment quality and patient safety.
    • The system facilitates prompt communication and implementation of changes to improve healthcare delivery.