A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department
| Autor: | Jesse M. Pines, Sandra Pabers, Christopher M. Shea, Jeffrey Strickler, Celeste Mayer, Brian P. Goldstein, Larry Mandelkehr, Charles B. Cairns, Kevin A. Schulman, Seth W. Glickman, James Larson, Abhi Mehrotra |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Leadership and Management MEDLINE Near miss 03 medical and health sciences Patient safety Young Adult 0302 clinical medicine Phone Medicine Humans 030212 general & internal medicine Patient Reported Outcome Measures Adverse effect Response rate (survey) Medical Errors business.industry Public Health Environmental and Occupational Health 030208 emergency & critical care medicine Emergency department Middle Aged medicine.disease Survey data collection Female Medical emergency Patient Safety business Emergency Service Hospital |
| Zdroj: | Journal of patient safety. 16(3) |
| ISSN: | 1549-8425 |
| Popis: | Objective Medical errors in the emergency department (ED) occur frequently. Yet, common adverse event detection methods, such as voluntary reporting, miss 90% of adverse events. Our objective was to demonstrate the use of patient-reported data in the ED to assess patient safety, including medical errors. Methods Analysis of patient-reported survey data collected over a 1-year period in a large, academic emergency department. All patients who provided a valid e-mail or cell phone number received a brief electronic survey within 24 hours of their ED encounter by e-mail or text message with Web link. Patients were asked about ED safety-related processes. Results From Aug 2012 to July 2013, we sent 52,693 surveys and received 7103 responses (e-mail response rate 25.8%), including 2836 free-text comments (44% of respondents). Approximately 242 (8.5%) of 2836 comments were classified as potential safety issues, including 12 adverse events, 40 near-misses, 23 errors with minimal risk of harm, and 167 general safety issues (eg, gaps in care transitions). Of the 40 near misses, 35 (75.0%) of 40 were preventable. Of the 52 adverse events or near misses, 5 (9.6%) were also identified via an existing patient occurrence reporting system. Conclusions A patient-reported approach to assess ED-patient safety yields important, complementary, and potentially actionable safety information. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|