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Comparison Overview of Prehospital Errors Involving Road Traffic Fatalities in Victoria, Australia

Published online by Cambridge University Press:  28 June 2012

Malcolm J. Boyle
Malcolm J. Boyle*
Affiliation:
Monash University, Victoria, Australia
*
Department of Community Emergency Health and Paramedic PracticePO Box 527Frankston 3199Victoria, Australia E-mail: Mal.Boyle@med.monash.edu.au
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Abstract

Introduction:

Until early 2003, the Consultative Committee on Road Traffic Fatalities (CCRTF) in Victoria, Australia was the main body investigating and publishing data about prehospital errors resulting from road traffic fatalities. The objective of this study was to identify and interpret prehospital error rate trends associated with road traffic fatalities during a 10-year period of the CCRTF reports.

Methods:

This study is a review of the prehospital errors defined in Victorian CCRTF reports of preventable deaths of road traffic fatalities over a 10-year period.

Results:

Six CCRTF reports contained prehospital data for errors associated with road traffic fatalities. From 1992 to 1998, system errors decreased.However, over the same timeframe, management, technical, and diagnostic errors increased. There was a marked jump in system, technique, and diagnosis errors from 1998 to 2001–2003. However, management errors declined over the same timeframe. The jump in errors in the 1998 to 2001–2003 timeframe coincided with the introduction of advanced life support (ALS) for Victorian paramedics in 2000.The number of preventable deaths decreased from 1992 to 1998, however, there was an increase from 1999 onwards, coinciding with the introduction of the state trauma system and ALS for paramedics.

Conclusions:

This study demonstrates that there has been an increase in prehospital error rates, especially from 2000, which coincided with the introduction of ALS for paramedics and the state trauma system in Victoria, even though the state trauma system had an overall decrease in error rates.

Keywords

ambulancesemergency medical serviceemergency medical technicianerrorspreventable death studiesprehospitalroad traffic fatalities
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 24 , Issue 3 , June 2009 , pp. 254 - 261
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2009

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References

1.McDermott, F, Cordner, S, Tremayne, A: Evaluation of the Emergency and Clinical Management of Road Traffic Fatalities in Victoria 1992–1993. Melbourne: Consultative Committee on Road Traffic Fatalities in Victoria, 1994.Google Scholar
2.McDermott, F, Cordner, S, Tremayne, A: Evaluation of the Emergency and Clinical Management of Road Traffic Fatalities in Victoria 1993–1994. Melbourne: Consultative Committee on Road Traffic Fatalities in Victoria, 1995.Google Scholar
3.McDermott, F, Cordner, S, Tremayne, A: Evaluation of the Emergency and Clinical Management of Road Traffic Fatalities in Victoria January–March 1996. Melbourne: Consultative Committee on Road Traffic Fatalities in Victoria, 1996.Google Scholar
4.McDermott, F, Cordner, S, Tremayne, A: Evaluation of the Emergency and Clinical Management of Road Traffic Fatalities in Victoria 1996–1997. Melbourne: Consultative Committee on Road Traffic Fatalities in Victoria, 1997.Google Scholar
5.McDermott, F, Cordner, S, Tremayne, A: Evaluation of the Emergency and Clinical Management of Road Traffic Fatalities in Victoria 1997. Melbourne: Consultative Committee on Road Traffic Fatalities in Victoria, 1998.Google Scholar
6.McDermott, F, Cordner, S, Tremayne, A: Evaluation of the Emergency and Clinical Management of Road Traffic Fatalities in Victoria 1998. Melbourne: Consultative Committee on Road Traffic Fatalities in Victoria, 1999.Google Scholar
7.McDermott, F, Cordner, S, Tremayne, A: A “Before and After” Assessment of the Influence of the New Victorian Trauma Care System (1997–1998 vs 2001–2003) on the Emergency and Clinical Management of Road Traffic Fatalities in Victoria. Melbourne: Consultative Committee on Road Traffic Fatalities in Victoria, 2003.Google Scholar
8.McDermott, FT, Cooper, GJ, Hogan, PL, Cordner, SM, Tremayne, AB: Evaluation of the prehospital management of road traffic fatalities in Victoria, Australia. Prehospital Disast Med 2005;20(4):219–227.CrossRefGoogle ScholarPubMed
9.Boyle, MJ, Smith, E, Archer, F: Trauma incidents attended by EMS in Victoria, Australia. Prehospital Disast Med 2008;23(1):20–28.CrossRefGoogle ScholarPubMed
10.Boyle, M, Smith, E, Archer, F: A review of patients who suddenly deteriorate in the presence of paramedics. BMC Emerg Med 2008;8:9.CrossRefGoogle ScholarPubMed
11.Gaba, DM: The future vision of simulation in health care. Qual Saf Health Care 2004;13(suppl 1):i2–i10.CrossRefGoogle ScholarPubMed
12.Wright, MC, Taekman, JM, Endsley, MR: Objective measures of situation awareness in a simulated medical environment. Qual Saf Health Care 2004;13(suppl 1):i65–i71.CrossRefGoogle Scholar
13.Boyle, M, O'Meara, P: From roadside to hospital: An investigation of the factors influencing the time taken to deliver trauma patients to a regional hospital. Journal of Emergency Primary Health Care. In press.Google Scholar
14.Birk, HO, Henriksen, LO: Prehospital interventions: on-scene-time and ambulance-technicians' experience. Prehospital Disast Med 2002;17(3):167–169.CrossRefGoogle ScholarPubMed
15.Donovan, PJ, Cline, DM, Whitley, TW, Foster, C, Outlaw, M: Prehospital care by EMTs and EMT-Is in a rural setting: Prolongation of scene times by ALS procedures. Ann Emerg Med 1989;18(5):495–500.CrossRefGoogle Scholar
16.Kelly, AM, Currell, A: Do ambulance crews with one advanced paramedic skills officer have longer scene times than crews with two? Emerg Med J 2002;19(2):152–154.CrossRefGoogle ScholarPubMed
17.Windsor, JA, Pong, J: Laparoscopic biliary injury: More than a learning curve problem. Aust N Z J Surg 1998;68(3):186–189.CrossRefGoogle ScholarPubMed
18.Cooper, DJ, McDermott, FT, Cordner, SM, Tremayne, AB:Quality assessment of the management of road traffic fatalities at a level I trauma center compared with other hospitals in Victoria, Australia. Consultative Committee on Road Traffic Fatalities in Victoria. J Trauma 1998;45(4):772–779.CrossRefGoogle Scholar
19.McDermott, FT, Cordner, SM, Tremayne, AB: Evaluation of the medical management and preventability of death in 137 road traffic fatalities in Victoria, Australia: An overview. Consultative Committee on Road Traffic Fatalities in Victoria. J Trauma 1996;40(4):520–533; Discussion 533–535.CrossRefGoogle ScholarPubMed
20.McDermott, FT, Cordner, SM, Tremayne, AB: Consultative Committee on Road Traffic Fatalities: Trauma audit methodology. Aust NZ J Surg 2000;70(10):710–721.CrossRefGoogle ScholarPubMed
21.Collopy, BT, Tulloh, BR, Rennie, GC, Fink, RL, Rush, JH, Trinca, GW: Correlation between injury severity scores and subjective ratings of injury severity: A basis for trauma audit. Injury 1992;23(7):489–492.CrossRefGoogle ScholarPubMed
22.Goldman, RL: The reliability of peer assessments of quality of care. JAMA 1992;267(7):958–960.CrossRefGoogle ScholarPubMed
23.Jones, JM, Redmond, AD, Templeton, J: Uses and abuses of statistical models for evaluating trauma care. J Trauma 1995;38(1):89–93.CrossRefGoogle ScholarPubMed
24.Kelly, A-M, Epstein, J: Preventable death studies: An inappropriate tool for evaluating trauma systems. ANZ J Surg 1997;67(9):591–592.Google ScholarPubMed
25.MacKenzie, EJ, Steinwachs, DM, Bone, LR, Floccare, DJ, Ramzy, AI: Interrater reliability of preventable death judgments. The Preventable Death Study Group. J Trauma 1992;33(2):292–302.Google ScholarPubMed
26.Sampalis, JS, Boukas, S, Nikolis, A, Lavoie, A: Preventable death classification: Interrater reliability and comparison with ISS-based survival probability estimates. Accid Anal Prev 1995;27(2):199–206.CrossRefGoogle ScholarPubMed
27.Wilson, DS, McElligott, J, Fielding, LP: Identification of preventable trauma deaths: Confounded inquiries? J Trauma 1992;32(1):45–51.CrossRefGoogle ScholarPubMed
28.Brennan, T, Leape, L, Laird, N, Herbert, L, Localio, A, Lawthers, A, Newhouse, JP, Weiler, PC, Hiatt, HH: Incidence of adverse events and negligence in hospitalised patients: Results of the Harvard Medical Practice Study I. N Engl J Med 1991;324(6):370–376.CrossRefGoogle ScholarPubMed
29.Leape, L, Brennan, T, Laird, N, Lawthers, A, Localio, A, Barnes, BA, Hebert, L, Newhouse, JP, Weiler, PC, Hiatt, H:The nature of adverse events in hospitalised patients: Results of the Harvard Medical Practice Study II. N Engl J Med 1991;324(6):377–384.CrossRefGoogle ScholarPubMed
30.Localio, AR, Lawthers, AG, Brennan, TA, Laird, NM, Hebert, LE, Peterson, LM, Newhouse, JP, Weiler, PC, Hiatt, HH: Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. N Engl J Med 1991;325(4):245–251.CrossRefGoogle ScholarPubMed
31.Thomas, EJ, Studdert, DM, Burstin, HR, Orav, EJ, Zeena, T, Williams, EJ, Howard, KM, Weiler, PC, Brennan, TA: Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000;38(3):261–271.CrossRefGoogle ScholarPubMed
32.Wilson, RM, Runciman, WB, Gibberd, RW, Harrison, BT, Hamilton, JD: Quality in Australian health care study. Med J Aust 1996;164(12):754.CrossRefGoogle ScholarPubMed