Emergency Medicine Quality Improvement and Patient Safety Curriculum

Kelly, John; Thallner, Elaine; Broida, Robert I.; Cheung, Dickson; Meisl, Helmut; Hamedani, Azita G.; Klauer, Kevin; Welch, Shari J.; Beach, Christopher

doi:10.1111/j.1553-2712.2010.00897.x

Cited by 13 publications

(12 citation statements)

References 52 publications

(52 reference statements)

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“…Similarly, earlier studies have shown that care professionals' work experience combined with clear instructions contribute to high quality emergency care. [13,15,25] Instructions significantly influence the success of the initial assessment and of the entire emergency care pathway. [36] They can also help in the effort to reach evidence-based, good practices.…”

Section: Discussionmentioning

confidence: 99%

“…Their experiences will be valuable when seeking to detect risks and prevent human errors. [24,25] Studying care professionals' experiences of the work environment, equipment and factors that affect patient safety can also help to develop the quality of emergency care. [26] Aims The paper discusses factors that influence care quality and patient safety in out-of-hospital emergency care as experienced by emergency care professionals.…”

Section: Introductionmentioning

confidence: 99%

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Emergency health care professionals’ experiences of factors that influence care quality and safety

Salminen‐Tuomaala

Leikkola

Paavilainen³

2015

Clinical Nursing Studies

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Introduction: More research is required on care quality and patient safety, especially from the care provider perspective. Aims and objectives: The study describes factors that affect the quality of emergency care as experienced by nurses, paramedics, hospital and ambulance attendants and practical nurses in out-of-hospital emergency medical services. Methods: Data were collected in October 2013 by semi-structured interviews (n = 15) in Finland and analysed using inductive content analysis.Results: High quality emergency care is patient-centred, equal, professional, individualized and holistic. It encompasses the following areas: prompt emergency care on site; prevention of patient deterioration; individualized holistic care; arranging safe follow-up care; supporting the coping of patients and families and; securing the safety of patients and staff on site and in ambulance. The care quality care is affected by professionals' theoretical and practical competence and personal qualities, by the availability of equipment, co-operation, contextual factors, personnel policy and by the outcome of consultation with a doctor. Conclusions: Emergency care staff will be expected to provide increasingly extensive, holistic care on site. All stages of the care pathway should be evaluated and comparative international studies conducted to detect development needs. Relevance to clinical practice: Consistent practices and instructions are indicated. Management needs to promote staff coping and motivation by means of education, focusing on the care of older patients and clients affected by multiple diseases, and on psychosocial and social problems of people affected by alcoholism or social exclusion.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Emergency health care professionals’ experiences of factors that influence care quality and safety

Salminen‐Tuomaala

Leikkola

Paavilainen³

2015

Clinical Nursing Studies

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“…[5] Welch, Slovis, Jensen, Chan, & Davidson, 2006 proposed a quality improvement curriculum for emergency medicine residents that is multi-faceted and encompasses many broad topics including performance metrics, operations management, information technology, and patient safety. [6] Finally, in 2010, Kelly et al [7] published an emergency medicine quality improvement and patient safety curriculum with the goal of providing education to ensure the delivery of high quality (safe, effective, efficient, equitable, timely, and patient-centered) emergency care. While these studies helped to establish directions for future curriculums, there are currently limited additional resources available to aid programs in the development of an administrative curriculum.…”

Section: Discussionmentioning

confidence: 99%

Emergency medicine residencies structure of trainees’ administrative experience: A cross-sectional survey

Williamson

Branzetti

Cheema

et al. 2018

World Journal of Emergency Medicine

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BACKGROUND: While the Accreditation Council for Graduate Medical Education (ACGME) mandates that emergency medicine residencies provide an educational curriculum that includes administrative seminars and morbidity and mortality conference, there is significant variation as to how administrative topics are implemented into training programs. We seek to determine the prevalence of dedicated administrative rotations and details about the components of the curriculum. METHODS:In this descriptive study, a 12-question survey was distributed via the CORD listserv; each member program was asked questions concerning the presence of an administrative rotation and details about its components. These responses were then analyzed with simple descriptive statistics. RESULTS:A total of 114 of the 168 programs responded, leading to a 68% response rate. Of responders, 73% have a dedicated administrative rotation (95% CI 64.0 to 80.4). The content areas covered by the majority of programs with a dedicated program include performance improvement (n=68), patient safety (n=64), ED operations (n=58), patient satisfaction (n=54), billing and coding (n=47), and inter-professional collaboration (n=43). Experiential learning activities include review of patient safety reports (n=66) and addressing patient complaints (n=45). Most of the teaching on the rotation is either in-person (n=65) and/or self-directed reading assignments (n=48). The most commonly attended meetings during the rotation include performance improvement (n=60), ED operations (n=59), and ED faculty (n=44). CONCLUSION:This paper provides an overview of the most commonly covered resident administrative experiences that can be a guide as we work to develop an ideal administrative curriculum for EM residents.

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“…It is clear that systematic action is required to recognize risks and to prevent human error [26,27]. It may be added in this context that a conceptual model has been proposed [28], suggesting that the safety and quality of patient care, as well as the occupational safety of care providers, can be assessed in terms of structure, process or outcome of care.…”

Section: Introductionmentioning

confidence: 99%

Patient and Staff Safety Incidents and Near Misses in Out-Of-Hospital Emergency Care

P¹

2014

Emergency Medicine

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Objectives: The purpose of this qualitative study is to describe patient and staff safety incidents and near misses in out-of-hospital emergency care with the aim of providing new knowledge that can be useful in preventing and decreasing risks in emergency care. Research Methodology and setting: The data consisted of voluntary, anonymous reports collected online from emergency care staff in 2013 in one hospital district that serves a population of 200,000 in Finland. A total of 45 incident descriptions of adverse incidents, risks and near misses were accrued, all of which were analyzed using inductive content analysis.Results: The results reveal that threats to patient safety are associated with the patient's psychological and physical status, medication, care equipment and context. In occupational safety of emergency care providers, the patient's mental ill-being and aggression, the context, care equipment and emergency driving constitute potential sources of risks.Conclusion: As only a limited number of incidents were reported, staff should be encouraged to use the reporting system as an essential part of quality management in emergency services. More attention needs to be paid to assessing the overall emergency situation from the viewpoint of safety and the level and reliability of information before starting diagnostic procedures and treatment. Education and study of earlier safety incidents can help prevent risks.

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Emergency Medicine Quality Improvement and Patient Safety Curriculum

Cited by 13 publications

References 52 publications

Emergency health care professionals’ experiences of factors that influence care quality and safety

Emergency health care professionals’ experiences of factors that influence care quality and safety

Emergency medicine residencies structure of trainees’ administrative experience: A cross-sectional survey

Patient and Staff Safety Incidents and Near Misses in Out-Of-Hospital Emergency Care

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