Experience in adverse events detection in an emergency department: Incidence and outcome of events

Hendrie, James; Sammartino, L.; Silvapulle, Mervyn J.; Braitberg, George

doi:10.1111/j.1742-6723.2006.00896.x

Cited by 17 publications

(36 citation statements)

References 43 publications

(76 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One article was identified in the hand search. A total of ten publications, representing eight studies (two studies reported results in two publications each [20], [21], [22], [23]) were included in the review.…”

Section: Resultsmentioning

confidence: 99%

“…The included articles (Table 2 and Table S3) were prospective, observational studies: seven prospective cohort studies [9], [10], [20], [21], [24], [25], [26], [27] and one before-and-after interventional design [22], [23], [27]. Methodological quality was low to moderate with weaknesses in study group comparability, follow-up, and outcome ascertainment and reporting (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Particular weaknesses in outcome ascertainment and reporting included failure to clearly report methods used to determine AE causality, preventability and severity. Seven studies took place in urban, tertiary care academic hospitals in either Canada, the United States or Australia [9], [10], [21], [24], [25], [26], [27] and one study took place in a rural base hospital in Australia [22], [23]. A total of 38,702 patients were included in the eight studies, with a median of 1219 patients (range 201 [25] to 20,500 [22], [23]).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Adverse Events Related to Emergency Department Care: A Systematic Review

et al. 2013

View full text Add to dashboard Cite

ObjectiveTo systematically review the literature regarding the prevalence, preventability, severity and types of adverse events (AE) in the Emergency Department (ED).MethodsWe systematically searched major bibliographic databases, relevant journals and conference proceedings, and completed reference reviews of primary articles. Observational studies (cohort and case-control), quasi-experimental (e.g. before/after) studies and randomized controlled trials, were considered for inclusion if they examined a broad demographic group reflecting a significant proportion of ED patients and described the proportion of AE. Studies conducted outside of the ED setting, those examining only a subpopulation of patients (e.g. a specific entrance complaint or receiving a specific intervention), or examining only adverse drug events, were excluded. Two independent reviewers assessed study eligibility, completed data extraction, and assessed study quality with the Newcastle Ottawa Scale.ResultsOur search identified 11,624 citations. Ten articles, representing eight observational studies, were included. Methodological quality was low to moderate with weaknesses in study group comparability, follow-up, and outcome ascertainment and reporting. There was substantial variation in the proportion of patients with AE related to ED care, ranging from 0.16% (n = 9308) to 6.0% (n = 399). Similarly, the reported preventability of AE ranged from 36% (n = 250) to 71% (n = 24). The most common types of events were related to management (3 studies), diagnosis (2 studies) and medication (2 studies).ConclusionsThe variability in findings and lack of high quality studies on AE in the high risk ED setting highlights the need for research in this area. Further studies with rigorous, standardized outcome assessment and reporting are required.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Adverse Events Related to Emergency Department Care: A Systematic Review

et al. 2013

View full text Add to dashboard Cite

show abstract

“…They are defi ned as unintended injuries or complications caused by health care management, rather than by the patient's underlying disease and that lead to death, disability at the time of discharge or prolonged hospital stay [2]. While, 35 to 70% of AEs have been judged to be preventable [3][4][5], they appear to be responsible for 44,000 to 98,000 accidental deaths and over one million excess injuries each year [6,7]. The situation is thought to be more challenging in developing countries with higher risk of patient harm due to the limitation of resources and lack of adequate infrastructures [8].…”

Section: Introductionmentioning

confidence: 99%

Patient Safety Culture in a Tunisian Teaching Tertiary Care Hospital

Rejeb

2017

Arch Nursing Pract Care

View full text Add to dashboard Cite

Objectives: Our study aimed to investigate patient safety attitudes and perceptions amongst health care providers in Tunisian tertiary care hospitals. No signifi cant differences between physicians and nurses were found for all composites in our study. Methods Conclusion:Patient safety culture remains underdeveloped in our hospital. Leaders must implement a development strategy by creating the culture and commitment needed to identify and solve underlying systemic causes related to patient safety.

show abstract

“…The rest of the events occurred during the ED visit. Drug reactions and diagnostic issues were the most common types of events 11 12…”

Section: Discussionmentioning

confidence: 99%

Use of an electronic information system to identify adverse events resulting in an emergency department visit

Ackroyd‐Stolarz

MacKinnon

Zed

et al. 2010

BMJ Quality & Safety

View full text Add to dashboard Cite

Objective There is limited information about the nature of adverse events (AEs) that necessitate an emergency department (ED) visit. The objective of the current study was to demonstrate the feasibility of using routinely collected electronic data to identify AEs in patients presenting to EDs in one Canadian health authority. Methods This retrospective cross-sectional study occurred in EDs in two community hospitals, an outpatient community health centre and a tertiary care facility in the Capital District Health Authority in Nova Scotia, Canada between 1 November 2007 and 31 October 2008. The primary outcome was identification of an AE as the main reason for the ED visit. AEs were identified from electronic diagnostic data using previously validated screening criteria. Results There were 142 433 patient visits to the four EDs during the study period. A total of 1870 (1.3%) AEs were identified using the screening criteria. This included 1133 (0.8%) procedure-related, 673 (0.5%) drug-related, 63 (0.04%) device-related and one radiation-related AE. The AEs identified using this method were most likely the manifestation of treatment decisions made prior to the ED visit and/or related to care in other settings (eg, primary or long-term care, acute hospital care) including previous ED visits. Interpretation Although the use of electronic data significantly underestimates AEs treated in the ED, for relatively low cost, it provides new information on AEs arising from a variety of care settings that may otherwise not be captured. Significant and clinically important differences in healthcare utilisation underscore the value in identifying these AEs.

show abstract

Experience in adverse events detection in an emergency department: Incidence and outcome of events

Abstract: In conclusion, the Quality in Australian Health Care Study methodology has been utilized to provide data on incidents and AE in an ED.

Cited by 17 publications

References 43 publications

Adverse Events Related to Emergency Department Care: A Systematic Review

Adverse Events Related to Emergency Department Care: A Systematic Review

Patient Safety Culture in a Tunisian Teaching Tertiary Care Hospital

Use of an electronic information system to identify adverse events resulting in an emergency department visit

Contact Info

Product

Resources

About