National critical incident reporting systems relevant to anaesthesia: a European survey

Reed, S. ; Arnal, D. ; Frank, O. ; Gomez-Arnau, J. I. ; Hansen, J. ; Lester, O. ; Mikkelsen, K. L. ; Rhaiem, T. ; Rosenberg, P. H. ; St. Pierre, M. ; Schleppers, A. ; Staender, S. ; Smith, A. F. ; Myles, P. S. ; Myles, P. S.

In: British Journal of Anaesthesia, 2014, vol. 112, no. 3, p. 546-555

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    Summary
    Background Critical incident reporting is a key tool in the promotion of patient safety in anaesthesia. Methods We surveyed representatives of national incident reporting systems in six European countries, inviting information on scope and organization, and intelligence on factors determining success and failure. Results Some systems are government-run and nationally conceived; others started out as small, specialty-focused initiatives, which have since acquired a national reach. However, both national co-ordination and specialty enthusiasts seem to be necessary for an optimally functioning system. The role of reporting culture, definitional issues, and dissemination is discussed. Conclusions We make recommendations for others intending to start new systems and speculate on the prospects for sharing patient safety lessons relevant to anaesthesia at European level