The Effect of Clinical Experience on the Error Rate of Emergency Physicians

Berk, William A.; Welch, Robert D.; Levy, Phillip D.; Jones, Jamira T.; Arthur, Crystal; Kuhn, Gloria J.; King, Jeffrey J.; Bock, Brooks F.; Sweeny, Padraic J.

doi:10.1016/j.annemergmed.2008.01.329

Cited by 25 publications

(22 citation statements)

References 7 publications

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“…3 Furthermore, inexperienced ED providers are more likely to make medical errors. 4 In order to further understand and thereby decrease medical errors, the Joint Commission mandates that hospitals identify sentinel events (serious medical errors or near misses) and determine the root causes so that quality improvements in health care delivery can be made. Three root cause categories have consistently been identified as major contributors to medical error: 5 1 Human factors errors include inadequate or inadequately skilled staff, lack of staff orientation to the workplace and equipment, inadequate supervision of staff and junior physicians, inadequate competency assessment or inappropriate credentialing, and workload issues such as fatigue and distraction.…”

Section: Performance Gaps In Emergency Medicinementioning

confidence: 99%

Simulation in emergency care

Ranniger

Littlewood

2014

Emergency Care and the Public's Health

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Section: Performance Gaps In Emergency Medicinementioning

confidence: 99%

Simulation in emergency care

Ranniger

Littlewood

2014

Emergency Care and the Public's Health

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“…Die Forderung nach Definition einer Mindestqualifikation durch die Deutschen Fachgesellschaften weist auf dieses Dilemma hin [18]. In diesem Zusammenhang zeigen Untersuchungen eine deutlich geringere Fehlerrate bei Mitarbeitern mit mindestens 1,5-jähriger Erfahrung in der ZNA im Vergleich zu weniger erfahrenen [5]. Die Bildung eines Personal-Pools erscheint auch für die ZNA sinnvoll.…”

Section: Personal-poolunclassified

Personalplanung in der zentralen Notaufnahme

et al. 2010

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In recent years the number of interdisciplinary emergency departments (ED) at hospitals in Germany has increased. The model of decentralized first contact units for each medical discipline has been abandoned, last but not least due to economic considerations. While decentralized units could be staffed with personnel from each discipline there is much controversy surrounding the question of which kind of doctor is best suited for a centralized ED. The development of programs providing the necessary qualification for German ED physicians in the future by working groups of several specialties is still nascent and has not yet produced concrete results. However, even without these special training programs, the management of critically ill or severely injured patients in the ED is paramount. The smooth operation of centralized EDs is therefore important. Therefore, taking into account economical aspects, qualification and number of available personnel, this article introduces a staffing concept as a rational basis for an optimized patient management in centralized EDs in Germany. Taking the patient characteristics, the specific treatment modalities and the number of admissions to the ED into account, this paper will determine treatment time per patient and the necessary number of physicians, as well as an optimized staffing model for EDs.

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“…Außer Zweifel steht allerdings, dass in der Notfallmedizin klinische Erfahrung im Sinne der Patientensicherheit eine unver zichtbare Voraussetzung ist [18], wenn gleich dies für die Qualität notärztlicher Diagnosen im Vergleich von Fachärzten und Weiterbildungsassistenten der Anäs thesie nicht nachgewiesen werden konn te [19].…”

Section: Introductionunclassified

Organisationsformen der Notfallmedizin aus Sicht der DGCH und des BDC

Bauer

Bruch²

2011

Chirurg

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Due to logistic, organizational and economic advantages, interdisciplinary emergency centers are gaining more and more acceptance compared to established, discipline-specific and independent emergency rooms. Organizational concepts for interdisciplinary emergency centers need to consider the mandate for comprehensive patient care and the consequential performance spectrum. Thus, the implementation of generally accepted guidelines and specifications is demanding.Currently developed concepts of the accordant interdisciplinary working groups try to fulfill these premises. Further fundamental criteria to be met are the quality and education of medical and nursing staff, which are predominantly doing their jobs within the interdisciplinary emergency centers. The concept of the German surgical societies and connected organizations is not the implementation of a new definition of the role of emergency specialized physicians but rather a substantial advancement of the existing and established regulations for further education. Therefore, a further advanced-training program for clinical emergency medicine has to be implemented in addition to the existing emergency education within the common trunk, which every physician has to pass through during discipline-specific education. Furthermore, this program should complement the existing pre-clinical emergency education, which can be acquired after specialization.The accordant criteria to be developed and the coordination with the German Medical Association (Bundesärztekammer) are currently prioritized on the agenda of the interdisciplinary working group. Due to reasons of compatibility with the regulations for further education, specific management skills for future heads and directors of such interdisciplinary emergency centers should not be stipulated within the advanced-training program for clinical emergency medicine but should be gained through specific course concepts beyond this program.

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The Effect of Clinical Experience on the Error Rate of Emergency Physicians

Cited by 25 publications

References 7 publications

Simulation in emergency care

Simulation in emergency care

Personalplanung in der zentralen Notaufnahme

Organisationsformen der Notfallmedizin aus Sicht der DGCH und des BDC

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