title: Adverse events during air and ground neonatal transport: 13 years' experience from a neonatal transport team in Northern Sweden.
abstract: 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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: a Department of Pediatrics , Institution of Clinical Sciences and.
authors.forename: Johannes
authors.initials: J
authors.lastname: van den Berg
authors.forename: Linn
authors.initials: L
authors.lastname: Olsson
authors.forename: Amelie
authors.initials: A
authors.lastname: Svensson
authors.forename: Stellan
authors.initials: S
authors.lastname: Håkansson
mesh_terms: D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009934:Organization and Administration; D061214:Patient Safety / Q000706:statistics & numerical data*; D018570:Risk Assessment; D013548:Sweden; D014187:Transportation of Patients / Q000379:methods / Q000706:statistics & numerical data*
keywords: Incidents; logistics; patient safety; risk assessment