CRITICAL INCIDENT ANALYSIS: A DECADE'S EXPERIENCES

Background: In the late '80s, our poison center initiated its 'Critical Incident Studies' (CIS) to provide yet another needs assessment for CE functions. As we reported in 1995, the process proved effective. We sought to reassess its value as we adopted Toxicall[R]-electronic documentation. Method: At the end of each shift, each staff member was asked to note what-if any-'gnawing question or concern' remained with him or her. Group totals were tallied, categorized and carefully reviewed. Results: The 222 responses collected pre- and post-Toxicall were compared to prior categorizations as follows:
1987 1994 1997 % (N = 330) % (N = 93) % (N = 222) 1. Treatment Issues 46 73 26 2. Administrative Matters 25 16 35 3. Facility Problems [...]