Paramedic intubation errors: isolated events or symptoms of larger problems?

Henry E Wang; Judith Lave; Carl A Sirio; Donald M Yealy

Study

Paramedic intubation errors: isolated events or symptoms of larger problems?

March 15, 2006

Wang HE, Lave J, Sirio CA, et al. Health Aff (Millwood). 2006;25(2):501-9.

View more articles from the same authors.

The investigators found that errors occur in 22% of emergency intubation attempts. They question whether this finding illustrates a larger problem concerning the safety and quality of out-of-hospital emergency care.

PubMed citation

Available at

Related Resources From the Same Author(s)

Outcomes after out-of-hospital endotracheal intubation errors.

February 18, 2009

Tort claims and adverse events in emergency medical services.

May 7, 2008

Identification of adverse events in ground transport emergency medical services.

September 14, 2011

Reporting trends in a regional medication error data-sharing system.

May 12, 2010

Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.

July 1, 2009

The need for organizational change in patient safety initiatives.

August 9, 2006

Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium.

September 2, 2015

Medication errors resulting from computer entry by nonprescribers.

May 6, 2009

The association between EMS workplace safety culture and safety outcomes.

October 19, 2011

The Emergency Medical Services Safety Attitudes Questionnaire.

February 24, 2010

Designing a strategy to promote safe, innovative off-label use of medications.

August 2, 2006

Variation in emergency medical services workplace safety culture.

November 10, 2010

Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial.

January 17, 2018

What 'patient-centered' should mean: confessions of an extremist.

June 3, 2009

Diagnostic excellence through the lens of patient-centeredness.

December 8, 2021

The science of improvement.

March 19, 2008

Disseminating innovations in health care.

March 27, 2005

User's manual for the IOM's 'Quality Chasm' report.

March 27, 2005

Health for life. Keys to safer hospitals.

December 21, 2005

An interview with Donald Berwick.

November 29, 2006

Improving patient care. My right knee.

March 6, 2005

A new frontier in patient safety.

June 1, 2011

Five years after 'To Err is Human': what have we learned?

May 18, 2005

The science of safety improvement: learning while doing.

June 8, 2011

Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes.

May 4, 2016

On the trail of quality and safety in health care.

January 23, 2008

What practices will most improve safety? Evidence-based medicine meets patient safety.

April 12, 2006

Implementation of a colour-coded universal protocol safety initiative in Guatemala.

August 8, 2018

Patient safety at the crossroads.

May 4, 2016

Measuring patient safety in real time: an essential method for effectively improving the safety of care.

December 6, 2017

Ambulance stretcher adverse events.

June 17, 2009

The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality.

January 25, 2006

Safety of patients isolated for infection control.

March 27, 2005

Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors.

January 14, 2015

COVID-19: patient safety and quality improvement skills to deploy during the surge.

June 24, 2020

Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.

June 8, 2005

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

December 22, 2010

The business case for quality: case studies and an analysis.

March 6, 2005

Emergency department visits for medical device–associated adverse events among children.

September 15, 2010

Children's Hospital investigated five patient deaths from deadly fungal disease in 2009.

April 30, 2014

Transforming concepts in patient safety: a progress report.

August 1, 2018

Toward learning from patient safety reporting systems.

January 10, 2007

Governing the safety of artificial intelligence in healthcare.

May 8, 2019

Imitating incidents: how simulation can improve safety investigation and learning from adverse events.

June 27, 2018

Remembering to learn: the overlooked role of remembrance in safety improvement.

December 7, 2016

Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety.

June 5, 2019

The problem with incident reporting.

October 28, 2015

Early warnings, weak signals and learning from healthcare disasters.

April 9, 2014

Learning from patient safety incidents: creating participative risk regulation in healthcare.

February 27, 2008

Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change.

May 11, 2005

Nurses: the patient's first—and perhaps last—line of defense.

June 24, 2009

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

May 6, 2009

Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience.

July 10, 2019

Can we import improvements from industry to healthcare?

May 1, 2019

Systematic biases in group decision-making: implications for patient safety.

November 5, 2014

Human and organizational biases affecting the management of safety.

October 12, 2011

Does the concept of safety culture help or hinder systems thinking in safety?

January 22, 2014

A secondary care nursing perspective on medication administration safety.

September 26, 2007

Medication administration errors: understanding the issues.

April 26, 2006

Learning from failure: the need for independent safety investigation in healthcare.

November 19, 2014

A case of mistaken identity: staff input on patient ID errors.

April 22, 2009

Conducting root cause analysis with nursing students: best practice in nursing education.

June 9, 2010

On the quest for Six Sigma.

April 3, 2005

Preventing overdiagnosis: how to stop harming the healthy.

June 27, 2012

Teaching but not learning: how medical residency programs handle errors.

October 25, 2006

Weight estimation for drug dose calculations in the prehospital setting - a systematic review.

September 6, 2023

The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.

May 22, 2013

Inpatient suicide: preventing a common sentinel event.

March 25, 2009

Using an interactive voice response system to improve patient safety following hospital discharge.

August 1, 2007

"It's not our ass": medical resident sense-making regarding lawsuits.

July 19, 2006

Improving hospital performance: culture change is not the answer.

May 4, 2005

Review of the Australian Incident Monitoring System.

August 17, 2005

The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials.

September 20, 2017

Medication errors in critical care: risk factors, prevention and disclosure.

May 13, 2009

The association between organizational culture and the ability to benefit from "just culture" training.

March 6, 2019

Improving patient care. The cognitive psychology of missed diagnoses.

April 21, 2005

System failure versus personal accountability--the case for clean hands.

July 26, 2006

The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis.

August 14, 2019

The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis.

September 20, 2017

Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes.

April 10, 2013

Duplication of surgical site marking.

September 19, 2012

Improving heparin safety: a multidisciplinary invited conference.

July 23, 2008

The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis.

April 8, 2020

Work-arounds observed by fourth-year nursing students.

November 19, 2014

Learning in action: developing safety improvement capabilities through action learning.

September 25, 2013

Implementing AORN recommended practices for prevention of retained surgical items.

February 15, 2012

Workarounds in the workplace: a second look.

August 12, 2015

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting.

May 20, 2009

Bar code technology and medication administration error.

June 9, 2010

Investigating the mediating effect of patient self-efficacy on the relationship between patient safety engagement and patient safety in healthcare professionals.

March 22, 2023

Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review.

September 8, 2021

Measuring safety of healthcare: an exercise in futility?

January 15, 2020

Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative.

June 29, 2016

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

September 7, 2011

A narrative review of high-quality literature on the effects of resident duty hours reforms.

October 21, 2015

Content analysis of patient complaints.

October 29, 2008

Learning from accidents—what more do we need to know?

May 12, 2010

A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety.

August 16, 2023

Evaluating the accuracy of electronic pediatric drug dosing rules.

April 23, 2014

Multi-professional patterns and methods of communication during patient handoffs.

February 3, 2010

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Factors associated with diagnostic error: an analysis of closed medical malpractice claims.

April 19, 2023

Factors associated with malpractice claim payout: an analysis of closed emergency department claims.

July 13, 2022

Preventing and mitigating radiology system failures: a guide to disaster planning.

February 2, 2022

Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims.

November 10, 2021

When disasters strike the emergency department: a case series and narrative review.

November 10, 2021

Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri.

February 10, 2021

Textbook of Patient Safety and Clinical Risk Management.

January 20, 2021

Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died.

December 16, 2020

Making communication and resolution programmes mission critical in healthcare organisations.

November 11, 2020

Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.

July 22, 2020

Medication Overload: America's Other Drug Problem.

June 19, 2019

Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes.

December 7, 2016

Learning from lawsuits: using malpractice claims data to develop care transitions planning tools.

August 31, 2016

Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children.

August 17, 2016

Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care.

August 3, 2016

Medication complexity, medication number, and their relationships to medication discrepancies.

July 27, 2016

Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review.

June 1, 2016

Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge.

December 17, 2014

A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors.

September 24, 2014

Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest.

June 11, 2014

Adverse drug event–related emergency department visits associated with complex chronic conditions.

June 11, 2014

Redesigning surgical decision making for high-risk patients.

April 23, 2014

Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample.

April 23, 2014

Critical events during land-based interfacility transport.

February 12, 2014

Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice.

November 20, 2013

Impact of electronic health record systems on information integrity: quality and safety implications.

November 13, 2013

October 16, 2013

See More About The Topic

Ambulatory Care

Risk Managers

Quality and Safety Professionals

Emergency Medicine

Paramedic intubation errors: isolated events or symptoms of larger problems?

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Paramedic intubation errors: isolated events or symptoms of larger problems?

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site