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Real-time Digital Imaging of Leukocyte-endothelial Interaction in Ischemia-reperfusion Injury IRI of the Rat Cremaster Muscle
Published on: August 5, 2012
[Critical Incident Reporting System in Risk Management at the Eye Center in Freiburg]
Jan Luebke1, Stefan J Lang1, Thomas Reinhard1
1Klinik für Augenheilkunde, Universitätsklinikum Freiburg.
Abstract:
Background With the help of reporting systems, errors that occur in medical settings can be documented and can lead to an improved workflow. We, herein, present data from our reporting system that we have used since 2012. Materials and Methods All reports since 2012 were evaluated and analyzed regarding the annual rate of reportings, who reported and what reasons were suspected to be causative for the reported errors. Results Over the last five years a mean of 33 reports were given annually. While mostly doctors reported in the first year, the following years showed almost balanced reports from medical assistant staff and doctors. Not all of these reports resulted in actions. The most often stated reason for errors or critical situations was miscommunication between the staff. Conclusion Our data show that a constant number of reports can be obtained over at least five years from doctors as well as medical assistant staff. The main reason for critical situations seems to be miscommunication. With the increased experience with reporting systems, such as CIRS, we can expect more comparative data.
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