کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3246712 1589146 2013 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Factors Associated with Adverse Events Resulting From Medical Errors in the Emergency Department: Two Work Better Than One
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Factors Associated with Adverse Events Resulting From Medical Errors in the Emergency Department: Two Work Better Than One
چکیده انگلیسی

BackgroundThe Emergency Department (ED) is an environment at risk for medical errors.ObjectiveOur aim was to determine the factors associated with the adverse events resulting from medical errors in the ED among patients who were admitted.MethodsThis was a prospective observational study. For a 1-month period, we included all ED patients who were subsequently admitted to the medical ward. Detection of medical errors was made by the admitting physician and then validated by two experts who reviewed all available data and medical charts pertaining to the patient’s hospital stay, including the first review from the ward physician. Related adverse events resulting from medical errors were then classified by type and severity. Adverse events were defined as medical errors that needed an intervention or caused harm to the patient. Univariate analysis examined relationships between characteristics of both patients and physicians and the risk of adverse events.ResultsFrom 197 analyzed patients, 130 errors were detected, of these, 34 were categorized as adverse events among 19 patients (10%). Seventy-six percent of these were categorized as proficiency errors. The only factors associated with a lower risk of adverse events were the transition of care involving a handoff within the ED (0% vs. 19%; p = 0.03) and the involvement of a resident (junior doctor) in addition to the senior physician (37% vs. 67%; p < 0.01).ConclusionsIn our study, the involvement of more than one physician was associated with a lower risk of adverse events.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 45, Issue 2, August 2013, Pages 157–162
نویسندگان
, , , , , , , , , , ,