title: Patient safety and patient assessment in pre-hospital care: a study protocol.
abstract: BACKGROUND
  Patient safety issues in pre-hospital care are poorly investigated. The aim of the planned study is to survey patient safety problems in pre-hospital care in Sweden.
  
  
  METHODS
  The study is a retro-perspective structured medical record review based on the use of 11 screening criteria. Two instruments for structured medical record review are used: a trigger tool instrument designed for pre-hospital care and a newly development instrument designed to compare the pre-hospital assessment with the final hospital assessment. Three different ambulance organisations are participating in the study. Every month, one rater in each organisation randomly collects 30 medical records for review. With guidance from the review instrument, he/she independently reviews the record. Every month, the review team meet for a discussion of problematic reviews. The results will be analysed with descriptive statistics and logistic regression.
  
  
  CONCLUSIONS
  The findings will make an important contribution to knowledge about patient safety issues in pre-hospital care.
authors: Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, SE-501 90, Borås, Sweden. magnus.hagiwara@hb.se.
authors: Magnus Andersson
authors: MA
authors: Hagiwara
authors: Department of Anaesthesiology and Intensive Care, Linköping University, SE-581 85, Linköping, Sweden. lena.nilsson@regionostergotland.se.|Department of Medical and Health Sciences, Linköping University, SE-581 85, Linköping, Sweden. lena.nilsson@regionostergotland.se.
authors: Lena
authors: L
authors: Nilsson
authors: School of Health, Care and Social Welfare, Mälardalens högskola, Box 883, SE-721 23, Västerås, Sweden. anneli.stromsoe@mdh.se.
authors: Anneli
authors: A
authors: Strömsöe
authors: Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, SE-501 90, Borås, Sweden. christer.axelsson@hb.se.
authors: Christer
authors: C
authors: Axelsson
authors: Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, SE-501 90, Borås, Sweden. anna.kangstrom.@hb.se.
authors: Anna
authors: A
authors: Kängström
authors: Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, SE-501 90, Borås, Sweden. Johan.herlitz@hb.se.
authors: Johan
authors: J
authors: Herlitz
mesh_terms: D004632:Emergency Medical Services; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008485:Medical Audit; D061214:Patient Safety; D012107:Research Design; D012189:Retrospective Studies; D013548:Sweden; D014218:Triage