Incident reporting in acute XXXX management.

@entity1 @entity1337 @entity158 @entity282 @entity2798
Incident reporting is an effective tool for continuous quality improvement in clinical practice. A prospective study on @entity2798 reporting in @entity158 management was conducted at a major teaching hospital in Hong Kong. Over a 12-month period, 53 incidents were reported in 1275 @entity1 who received @entity158 relief treatments which were supervised by the acute @entity158 service. The majority of the incidents were first detected by the @entity158 team. The most common incidents involved delivery circuits, delivery pump and drug administration. A large proportion (81.4%) of the incidents were thought to be preventable. @entity1 factors were involved in 41.9% of the @entity1 reported, most commonly associated with unfamiliar technique/inexperience, inattention and inadequate communication. Four @entity1 developed major morbidity of which two were attributed to inadequate @entity1337 , while three others had major physiological changes without morbidity. Strategies have been formulated to prevent further occurrence of these incidents. We propose that incident reporting is a potentially useful tool in identifying and preventing adverse events in @entity282 management.
