A traffic incident monitoring system based on incident characteristics

2020 ◽  
Vol 2 (1) ◽  
pp. 25-33
Author(s):  
Tang Lin
Keyword(s):  
Monitoring System ◽  
Traffic Incident ◽  
Incident Monitoring

Introduction of a Prehospital Critical Incident Monitoring System—Pilot Project Results

2008 ◽  
Vol 23 (2) ◽  
pp. 154-160 ◽  
Author(s):  
Julian Stella ◽  
Anna Davis ◽  
Paul Jennings ◽  
Bruce Bartley
Keyword(s):  
Monitoring System ◽  
Major Trauma ◽  
Pilot Project ◽  
Structured Interview ◽  
Prehospital Setting ◽  
Near Miss ◽  
High Yield ◽  
Successful Implementation ◽  
Monitoring Process ◽  
Incident Monitoring

AbstractBackground:Hospital medical incident monitoring improves preventable morbidity and mortality rates. Error management systems have been adopted widely in this setting. Data relating to incident monitoring in the prehospital setting is limited.Problem:Implementation of an incident monitoring process in a prehospital setting.Methods:This is a prospective, descriptive study of the pilot phase of the implementation of an incident monitoring process in a regional prehospital setting, with a focus on trauma care. Paramedics and emergency department staff submitted anonymous incident reports, and a chart review was performed on patients who met major trauma criteria. Selected trauma cases were analyzed by a structured interview/debriefing process to elucidate undocumented incidents.A project committee coded and logged all incidents and developed recommendations.Results:Of 4,429 ambulance responses, 41 cases were analyzed.Twenty-four (58.5%; 95% CI = 49.7–67.4%) were reported anonymously, and the rest were major trauma patients. A total of 77 incidents were identified (mean per case = 1.8; CI = 1.03–2.57). Anonymous cases revealed 26 incidents (mean = 1.1; CI = 0.98–1.22); eight trauma debriefings revealed 38 incidents (mean = 4.8; CI = 0.91–8.69) and nine trauma chart reviews revealed 13 incidents (mean = 1.6; CI = 1.04–2.16). A total of 56 of 77 (72.7%; CI = 65.5–80.0%) incidents related to system inadequacies, and 15 (57.7%; CI = 46.7–68.6%) anonymously reported incidents related to resource problems. A total of 35 of 77 (45.5%; CI = 40.4–50.5%) incidents had minimal or no impact on the patients' outcomes. Thirty-four of 77 (44.2%; CI = 39.3–49.1%) incidents were considered mitigated by circumstance. Incident monitoring led to generalized feedback in most cases (65 of 77; 84.4%; CI = 77.6–91.3%); in three cases (3.9%; CI = 3.7–4.1%), specific education occurred; two cases were reported to an external body (2.6%; CI = 2.5–2.7%); three cases resulted in remedial action (3.9%; CI = 3.7–4.1%); four for trend/further observation and analysis responses (5.2%; CI = 4.9–5.5%).Conclusions:The pilot project demonstrates successful implementation of an incident monitoring system within a regional, prehospital environment. The combination of incident detecting techniques has a high yield with potential to capture different error types.The large proportion of incidents in the “near miss” category allows analysis of incidents without patient harm. The majority of incidents were system related and many were mitigated by circumstance. The model used is appropriate for ongoing incident monitoring in this setting.

Review of the Australian Incident Monitoring System

2005 ◽  
Vol 75 (8) ◽  
pp. 657-661 ◽  
Author(s):  
Allan D. Spigelman ◽  
Judith Swan
Keyword(s):  
Monitoring System ◽  
Incident Monitoring

Experimentation of an Anaestesiologic Incident Monitoring System in Emilia-Romagna Region (Italy) Hospitals

2005 ◽  
Vol 20 (2) ◽  
pp. 61-65 ◽  
Author(s):  
Patrizio di Denia ◽  
Rita Maria Melotti ◽  
Francesca Bova ◽  
Vania Basini ◽  
Renata Cinotti
Keyword(s):  
Monitoring System ◽  
Emilia Romagna Region ◽  
Incident Monitoring

Monitoring des Arzneimittelmissbrauchs 2006 bei Klienten von Suchtberatungsstellen (PHAR-MON)

2007 ◽  
Vol 53 (7) ◽  
pp. 65-77 ◽  
Author(s):  
Susanne Roesner ◽  
Heinrich Küfner
Keyword(s):  
Monitoring System

<span class="fett">Hintergrund und Zielsetzung:</span> PHAR-MON ist ein Monitoring-System, das die auf dem deutschen Markt befindlichen Arzneimittel in ihrer Bedeutung für die Entwicklung von Missbrauch und Abhängigkeit in Suchtberatungsstellen überwacht. </p><p> <span class="fett">Methodik:</span> Klienten ambulanter Beratungsstellen werden im Rahmen der Standarddokumentation zu ihrem Arzneimittelkonsum befragt und Fälle eines abhängigen Konsums, eines schädlichen Gebrauchs oder eines Missbrauchs in PHAR-MON dokumentiert. </p><p> <span class="fett">Ergebnisse:</span> Im Jahr 2006 wurden insgesamt 448 Meldungen von 276 überwiegend alkohol- und drogenabhängigen Klienten in das Monitoring einbezogen. Tranquilizer vom Benzodiazepin-Typ wurden in allen Klientengruppen mit Anteilen zwischen 29,1 % und 35,3 % am häufigsten dokumentiert. An benzodiazepinabhängige Klienten werden zunehmend auch Nicht-Benzodiazepin-Hypnotika verordnet. Bei opioidabhängigen Klienten war im Zeitraum der letzten fünf Jahre ein Anstieg im missbräuchlichen Substitutionsmittelkonsum von 14,9 % auf 33,8 % zu verzeichnen. </p><p> <span class="fett">Schlussfolgerungen:</span> Das Risiko gefährlicher Wechselwirkungen zwischen Arzneimitteln mit Alkohol und Drogen sollte stärker als bisher in die ärztliche Verordnungsentscheidung einbezogen werden.

Commercial Drivers' Initial Attitudes toward an On-Board Monitoring System

2012 ◽  
Author(s):  
Yiyun Peng ◽  
Mahtab Ghazizadeh ◽  
Linda Ng Boyle ◽  
John D. Lee
Keyword(s):  
Monitoring System ◽  
Commercial Drivers ◽  
Board Monitoring
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