Deployment of Critical Incident Reporting System (CIRS) in public Styrian hospitals: a five year perspective.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
    • Abstract:
      Background: To increase patient safety, so-called Critical Incident Reporting Systems (CIRS) were implemented. For Austria, no data are available on how CIRS is used within a healthcare facility. Therefore, the aim of this study was to present the development of CIRS within one of the biggest hospital providers in Austria.
      Methods: In the province of Styria, CIRS was introduced in 2012 within KAGes (holder of public hospitals) in 22 regional hospitals and one tertiary university hospital. CIRS is available in all of these hospitals using the same software solution. For reporting a CIRS case an overall guideline exists.
      Results: As of 2013, 2.504 CIRS cases were reported. Predominantly, CIRS-cases derived from surgical and associated disciplines (ranging from 35 to 45%). According to the list of hazards (also called "risk atlas"), errors in patient identification (ranging from 7 to 12%), errors in management of medicinal products (ranging from < 5 to 9%), errors in management of medical devices (ranging from < 5 to 10%) and errors in communication (ranging from < 5 to 6%) occurred most frequently. Most often, a CIRS case was reported due to individual error-related reasons (48%), followed by errors caused by organization, team factors, communication or documentation failures (34%).
      Conclusions: In summary, CIRS has been used for 5 years and 2.504 CIRS-cases were reported. There is a steady increase of reported CIRS cases per year. It became also obvious that disregarding guidelines or standards are a very common reason for reporting a CIRS case. CIRS can be regarded as a helpful supportive tool in clinical risk management and supports organizational learning and thereby collective knowledge management.
    • References:
      BMJ. 2009 Mar 12;338:b814. (PMID: 19282436)
      BMJ Qual Saf. 2016 Feb;25(2):92-9. (PMID: 26217037)
      World J Emerg Med. 2016;7(2):90-6. (PMID: 27313802)
      Int J Qual Health Care. 2018 Nov 01;30(9):660-677. (PMID: 29788273)
      Intensive Care Med. 2000 Jan;26(1):69-74. (PMID: 10663283)
      BMJ Qual Saf. 2016 Feb;25(2):71-5. (PMID: 26347519)
      BMC Health Serv Res. 2014 Feb 08;14:61. (PMID: 24507747)
      Z Evid Fortbild Qual Gesundhwes. 2016;114:48-57. (PMID: 27566269)
      Crit Care. 2011;15(5):R232. (PMID: 21958492)
      J Clin Nurs. 2019 Apr;28(7-8):1242-1250. (PMID: 30554434)
      J Eval Clin Pract. 2018 Apr;24(2):362-368. (PMID: 29148154)
      Inquiry. 2018 Jan-Dec;55:46958017744919. (PMID: 29310496)
      BMJ Qual Saf. 2017 Feb;26(2):150-163. (PMID: 26902254)
      J Clin Nurs. 2019 Mar;28(5-6):912-919. (PMID: 30357973)
      PLoS One. 2018 Sep 6;13(9):e0203544. (PMID: 30188955)
    • Contributed Indexing:
      Keywords: Critical incident; Incident reporting; Patient safety; Safety
    • Publication Date:
      Date Created: 20190626 Date Completed: 20190918 Latest Revision: 20231012
    • Publication Date:
      20240105
    • Accession Number:
      PMC6591923
    • Accession Number:
      10.1186/s12913-019-4265-0
    • Accession Number:
      31234858