A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department.
J Patient Saf
; 16(3): 211-215, 2020 09.
Article
in En
| MEDLINE
| ID: mdl-27811598
ABSTRACT
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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Medical Errors
/
Emergency Service, Hospital
/
Patient Safety
/
Patient Reported Outcome Measures
Type of study:
Prognostic_studies
Aspects:
Patient_preference
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Patient Saf
Journal subject:
SERVICOS DE SAUDE
Year:
2020
Document type:
Article
Publication country:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA