Journal article
A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department
Journal of patient safety, v 16(3), pp 211-215
Sep 2020
PMID: 27811598
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
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.
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.
A patient-reported approach to assess ED-patient safety yields important, complementary, and potentially actionable safety information.
Metrics
Details
- Title
- A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department
- Creators
- Seth W Glickman - From the Department of Emergency Medicine, University of North Carolina (UNC) School of MedicineAbhi Mehrotra - From the Department of Emergency Medicine, University of North Carolina (UNC) School of MedicineChristopher M Shea - UNC School of Public HealthCeleste Mayer - University of North Carolina Health CareJeffrey Strickler - From the Department of Emergency Medicine, University of North Carolina (UNC) School of MedicineSandra Pabers - From the Department of Emergency Medicine, University of North Carolina (UNC) School of MedicineJames Larson - From the Department of Emergency Medicine, University of North Carolina (UNC) School of MedicineBrian Goldstein - University of North Carolina Health CareLarry Mandelkehr - University of North Carolina Health CareCharles B Cairns - From the Department of Emergency Medicine, University of North Carolina (UNC) School of MedicineJesse M Pines - George Washington UniversityKevin A Schulman - Clinical Research Institute
- Publication Details
- Journal of patient safety, v 16(3), pp 211-215
- Publisher
- Lippincott
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000568895200025
- Scopus ID
- 2-s2.0-84994336837
- Other Identifier
- 991021448048904721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services