PMID- 25102938 OWN - NLM STAT- MEDLINE DCOM- 20160809 LR - 20150828 IS - 1476-4954 (Electronic) IS - 1476-4954 (Linking) VI - 28 IP - 10 DP - 2015 Jul TI - Adverse events during air and ground neonatal transport: 13 years' experience from a neonatal transport team in Northern Sweden. PG - 1231-7 LID - 10.3109/14767058.2014.949664 [doi] AB - OBJECTIVE: To study the prevalence of adverse events (AEs) associated with neonatal transport, and to categorize, classify and assess the risk estimation of these events. METHODS: Written comments in 1082 transport records during the period 1999-2011 were reviewed. Comments related to events that infringed on patient and staff safety were included as AEs, and categorized and further classified as complaint, imminent risk of incident/negative event, actual incident or actual negative event. AEs were also grouped into emergency or planned transports, and risk estimation was calculated according to a risk assessment tool and defined as low, intermediate, high or extreme risk. RESULTS: AEs (N = 883) were divided into five categories: logistics (n = 337), organization (n = 177), equipment (n = 165), vehicle (n = 129) and medical/nursing care (n = 75). Eighty-five percent of AEs were classified as incidents or negative events. The majority of AEs were estimated to be of low or intermediate risk in both planned and emergency transports. AEs estimated to be of high or extreme risk were significantly more frequent in emergency transports (OR = 10.1; 95% CI: 5.0-20.9; p < 0.001). CONCLUSION: AEs are common in both planned and emergency neonatal transport, often related to imperfect transport logistics or equipment failure. AEs of high or extreme risk were more frequent in emergency transports. FAU - van den Berg, Johannes AU - van den Berg J AD - a Department of Pediatrics , Institution of Clinical Sciences and. FAU - Olsson, Linn AU - Olsson L FAU - Svensson, Amelie AU - Svensson A FAU - Hakansson, Stellan AU - Hakansson S LA - eng PT - Journal Article DEP - 20140827 PL - England TA - J Matern Fetal Neonatal Med JT - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JID - 101136916 SB - IM MH - Emergency Medical Services/*statistics & numerical data MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - Organization and Administration MH - Patient Safety/*statistics & numerical data MH - Risk Assessment MH - Sweden MH - Transportation of Patients/methods/*statistics & numerical data OTO - NOTNLM OT - Incidents OT - logistics OT - patient safety OT - risk assessment EDAT- 2014/08/12 06:00 MHDA- 2016/08/10 06:00 CRDT- 2014/08/09 06:00 PHST- 2014/08/09 06:00 [entrez] PHST- 2014/08/12 06:00 [pubmed] PHST- 2016/08/10 06:00 [medline] AID - 10.3109/14767058.2014.949664 [doi] PST - ppublish SO - J Matern Fetal Neonatal Med. 2015 Jul;28(10):1231-7. doi: 10.3109/14767058.2014.949664. Epub 2014 Aug 27.