Critical incidence reporting systems - an option in equine anaesthesia? Results from a panel meeting.

Hartnack, Sonja; Bettschart-Wolfensberger, Regula; Driessen, Bernd; Pang, Daniel; Wohlfender, Franziska (2013). Critical incidence reporting systems - an option in equine anaesthesia? Results from a panel meeting. Veterinary anaesthesia and analgesia, 40(6), e3-e8. Blackwell Science 10.1111/vaa.12065

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OBJECTIVE To provide a brief introduction into Critical Incident Reporting Systems (CIRS) as used in human medicine, and to report the discussion from a recent panel meeting discussion with 23 equine anaesthetists in preparation for a new CEPEF-4 (Confidential Enquiry into Perioperative Equine Fatalities) study. STUDY DESIGN Moderated group discussions, and review of literature. METHODS The first group discussion focused on the definition of 'preventable critical incidents' and/or 'near misses' in the context of equine anaesthesia. The second group discussion focused on categorizing critical incidents according to an established framework for analysing risk and safety in clinical medicine. RESULTS While critical incidents do occur in equine anaesthesia, no critical incident reporting system including systematic collection and analysis of critical incidents is in place. CONCLUSIONS AND CLINICAL RELEVANCE Critical incident reporting systems could be used to improve safety in equine anaesthesia - in addition to other study types such as mortality studies.

Item Type:

Journal Article (Original Article)


05 Veterinary Medicine > Department of Clinical Research and Veterinary Public Health (DCR-VPH) > Veterinary Public Health Institute

UniBE Contributor:

Wohlfender, Franziska


600 Technology > 630 Agriculture




Blackwell Science


Susanne Portner

Date Deposited:

08 Aug 2014 07:57

Last Modified:

14 Oct 2015 11:33

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Swiss cheese model, active and latent errors, critical incident reporting systems, equine anaesthesia, safety culture




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