Welcome!

PROVIDED BY:
Welcome to the EMS Voluntary Event Notification Tool
(E.V.E.N.T.)!
This is an aggregate report of the patient safety events reported to
E.V.E.N.T. in calendar year 2017. We want to thank all of our
organizational site partners. For a complete listing of site partners,
see page 4.

E.V.E.N.T. is a tool designed to improve the safety, quality and

consistent delivery of Emergency Medical Services (EMS). It collects
data submitted anonymously by EMS practitioners. The data collected
will be used to develop policies, procedures and training programs to
improve the safe delivery of EMS. A similar system used by airline
pilots has led to important airline system improvements based upon
pilot reported "near miss" situations and errors. IN PARTNERSHIP WITH:

Any individual who encounters or recognizes a situation in which an

EMS safety event occurred, or could have occurred, is strongly
encouraged to submit a report by completing the appropriate
E.V.E.N.T. Notification Tool. The confidentiality and anonymity of this
reporting tool is designed to encourage EMS practitioners to readily
report EMS safety events without fear of repercussion.

“Arrived on scene at police request to find subject and officer in

a tussle. Subject was trying to get the officer's weapon and
medics moved in to assist. The subject was high on
methamphetamines and other drugs, was tased two times
without effect… paramedic received scratches on the arm from
the subject, who was bleeding freely and shared it with all
parties. Once the subject was controlled and handcuffed, he
expressed he 'might' have Hepatitis B or HIV...he didn't know..…”
– 2H2017 EVENT Violence Report #2

This is the aggregate Patient Safety E.V.E.N.T.

summary report for calendar year 2017.

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E.V.E.N.T. EMS Patient Safety Event Report

Patient Safety Event

Reports Sorted
Quarterly As you review the data
contained in this report,
please consider helping
2014 2015 2016 2017 us advertise the
availability of 

the report by pointing your
Jan - Mar 30 19 15 10
colleagues to
Apr - Jun 29 18 24 12 www.emseventreport.com.

Jul - Sep 24 12 9 7

Oct - Dec 30 4 16 11
Total 117 53 64 40

E.V.E.N.T. Quarterly/Annual
EMS Patient Report CLIR Notified of Reports
Safety Event Completed EMS Error Generated
Online

When an anonymous E.V.E.N.T report is submitted, our team is notified by email. In the United States, the
anonymous Patient Safety Event Report is shared with the state EMS office of the state in which the event
was reported to have occurred. The state name in the report is then removed and the record is shared
through our Google Group and kept for this summary report. Canadian records have the Province name
removed, and then the reports are shared through the Paramedic Chiefs of Canada, and kept for inclusion in
aggregate reports.

Quarterly Patient Safety Events by Country



CAN
1

USA
40

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 E.V.E.N.T. EMS Patient Safety Event Report

Patient Safety Events Reported by State (United States of America)

0
Arkansas

Kansas

Pennsylvania
Alabama
Alaska
Arizona

Georgia
Hawaii
Idaho
Illinois

Montana

New Mexico

Ohio
Oklahoma
California
Colorado

Delaware
District of Columbia
Florida

Indiana
Iowa

Kentucky

Maine
Louisiana

Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri

Nebraska

Texas

Vermont
Nevada
New Hampshire
New Jersey

Oregon

Rhode Island
South Carolina
South Dakota
Connecticut

New York

Tennessee

Utah

Virginia
Washington
West Virginia
Wisconsin
Wyoming
North Carolina
North Dakota

Thanks to the Alaska, California, Colorado, Connecticut, Indiana, Kansas, Minnesota, New Hampshire,
Ohio, Pennsylvania, Texas, Vermont and Wisconsin agencies and practitioners for supporting this body
of knowledge! If your EMS agency has an internal reporting system for patient safety events, we
encourage you to have your staff member that receives those reports to also enter them into our
anonymous system.

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E.V.E.N.T. EMS Patient Safety Event Report

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 10
20
30
40

12

0
3
6
9
2016
Medical Control/Protocol Occurred
Safety Event

2017
Vehicle/Aircraft
Year Reported Patient

Dispatch/Response

0
2
5
7
9

Ja
nu
Training ar
Fe y
b ru
ar
M y
E.V.E.N.T. EMS Patient Safety Event Report

Judgement/Human Error ar
ch
Ap
ril
Procedure/Operations M
ay
Ju
ne
Caused by Another Provider Ju
ly
Type of Patient Safety Event

Au
gu
Se st
Medication pt
em
O ber
ct
ob
Equipment Failure/Problem N er
ov
em
b
Month of Reported Patient Safety Event

D
ec er
em
be
r

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 15
23
30

0
8

10
13

0
3
7
3

Witness
Unknown if patient harmed

16
Near Miss-Event had potential to harm
Involvement in Safety Event

21

Directly Involved Not Directly Involved

Experienced harm as a result of event
E.V.E.N.T. EMS Patient Safety Event Report

Safety Event
12
16

0
4
8

EMS Practitioner
Patient Result of Patient EMS System Chief/Administrator
Patient died as a result of the event
Community Paramedicine Provider
Flight Crew
Physician - ED
Physician that received patient

Other Agency Medical Director

Role of Person

Medical Command Physician

Reporting Incident

Nurse or Allied Health Provider

Other

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