Analysis of risk factors for patient safety events occurring in the emergency department.

Mohamed Alsabri; Zoubir Boudi; Taoufik Zoubeidi; Ibrahim Abdalla Alfaki; Phillip D. Levy; Churchill Oneyji; Liu Shan; Carlos A. Camargo; Philippe Michel; Karim Tazarourte; Said Hachimi-Idrissi; Shamai A. Grossman; Abdelouahab Bellou

Study

Analysis of risk factors for patient safety events occurring in the emergency department.

October 7, 2020

Alsabri M, Boudi Z, Zoubeidi T, et al. J Patient Saf. 2022;18(1):e124-e135.

View more articles from the same authors.

In this retrospective study, researchers used electronic health record and quality assurance issue (QAI) data to analyze risk factors associated with patient safety events in the emergency department (ED). Multivariable analyses showed several potential risk factors for safety events – including length of time in the ED, which increased the odds of a safety event by 4.5% for each hour spent in the ED.

PubMed citation

Available at

Related Resources From the Same Author(s)

Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review.

January 26, 2022

Assessing resident and attending error and adverse events in the emergency department.

March 2, 2022

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.

November 24, 2021

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

A review of adverse event reports from emergency departments in the Veterans Health Administration.

March 18, 2020

Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration.

November 17, 2021

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.

September 29, 2021

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation.

October 20, 2021

A machine learning approach to reclassifying miscellaneous patient safety event reports.

July 29, 2020

Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients.

August 24, 2022

Usability and accessibility of publicly available patient safety databases.

June 1, 2022

Factors associated with malpractice claim payout: an analysis of closed emergency department claims.

July 13, 2022

Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals.

November 17, 2021

Expert consensus on currently accepted measures of harm.

September 9, 2020

What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports.

May 18, 2022

Developing and aligning a safety event taxonomy for inpatient psychiatry.

July 13, 2022

Critical care simulation education program during the COVID-19 pandemic.

November 10, 2021

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association.

March 25, 2020

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department.

July 27, 2022

The use of anatomical side markers in general radiology: a systematic review of the current literature.

August 26, 2020

The impact of adverse events on clinicians: what's in a name?

November 22, 2017

Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare.

October 20, 2021

Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers, and office-based settings.

December 16, 2020

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.

March 3, 2021

Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety.

December 23, 2020

Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients.

October 12, 2022

A description of medical malpractice claims involving advanced practice providers.

July 15, 2020

Predictors of serious opioid-related adverse drug events in hospitalized patients.

July 8, 2020

Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care.

October 21, 2020

Collaborative case review: a systems-based approach to patient safety event investigation and analysis.

March 30, 2022

Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?

August 25, 2021

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.

March 4, 2009

Emergency physician perceptions of electronic health record usability and safety.

May 12, 2021

Understanding the "Swiss cheese model" and its application to patient safety.

July 21, 2021

In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments.

June 22, 2022

Teamwork before and during COVID-19: the good, the same, and the ugly….

August 24, 2022

Association between physician burnout and self-reported errors: meta-analysis.

January 26, 2022

Antibiotic prescribing errors in patients discharged from the pediatric emergency department.

March 30, 2022

Disparities in adverse event reporting for hospitalized children.

August 3, 2022

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review.

December 14, 2022

The National Emergency Department Safety Study: study rationale and design.

January 9, 2008

A systems approach to analyzing and preventing hospital adverse events.

June 24, 2020

Allergic adverse drug events after alert overrides in hospitalized patients.

September 21, 2022

Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review.

November 3, 2021

A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.

March 2, 2022

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.

October 5, 2022

High-risk medication in home care nursing: a Delphi study.

September 7, 2022

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

October 21, 2020

Inpatient patient safety events in vulnerable populations: a retrospective cohort study.

November 18, 2020

Data collection for adverse events reporting by US dental schools.

September 30, 2020

Is there a mismatch between the perspectives of patients and regulators on healthcare quality? A survey study.

October 6, 2021

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.

August 18, 2021

Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse.

April 20, 2022

Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study.

February 10, 2021

Errors during resuscitation: the impact of perceived authority on delivery of care.

March 25, 2020

A safe practice standard for barcode technology.

June 3, 2015

Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study.

September 23, 2020

Intersystem medical error discovery: a document analysis of ethical guidelines.

January 12, 2022

The morbidity and mortality conference: opportunities for enhancing patient safety.

February 9, 2022

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.

November 30, 2022

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident.

July 22, 2020

Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: a systematic review and meta-synthesis.

August 25, 2021

Identifying health information technology usability issues contributing to medication errors across medication process stages.

July 7, 2021

Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities.

October 26, 2022

Postdischarge adverse events among neonates admitted to the neonatal intensive care unit.

September 7, 2022

Triggers contributing to health care clinicians' disruptive behaviors.

September 16, 2020

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events.

May 25, 2022

Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population.

August 3, 2022

Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.

June 16, 2021

Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support.

May 18, 2022

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.

December 2, 2020

Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: a review of the qualitative evidence.

August 17, 2022

Frequency and nature of communication and handoff failures in medical malpractice claims.

April 6, 2022

Simulation-based education enhances patient safety behaviors during central venous catheter placement.

September 15, 2021

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.

June 8, 2022

Safety in pediatric hospice and palliative care: a qualitative study.

September 23, 2020

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.

October 12, 2022

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.

November 17, 2021

Absence or presence: silent discourse in the operating room and impact on surgical team action.

November 11, 2020

"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation.

December 9, 2020

Implementing high-reliability organization principles into practice: a rapid evidence review.

November 11, 2020

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?

January 8, 2020

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement.

June 1, 2022

Adverse event reporting priorities: an integrative review.

June 29, 2022

Patient safety and legal regulations: a total-scale analysis of the scientific literature.

October 19, 2022

Monitoring preventable adverse events and near misses: number and type identified differ depending on method used.

June 29, 2022

Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

December 9, 2020

Using community detection techniques to identify themes in COVID-19-related patient safety event reports.

December 7, 2022

Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study.

April 7, 2021

Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety.

August 4, 2021

Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system.

February 2, 2022

Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit.

September 16, 2020

Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room.

July 27, 2022

A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.

September 22, 2021

The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record.

September 7, 2022

Long-term impacts faced by patients and families after harmful healthcare events.

December 15, 2021

Related Resources

WebM&M Cases

Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures

March 27, 2024

Overnight stay in the emergency department and mortality in older patients.

November 29, 2023

WebM&M Cases

Delayed Evaluation of Abdominal Pain in an Elderly Patient.

September 27, 2023

WebM&M Cases

Walking Out of a Hospital After Attempted Suicide

September 27, 2023

Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being.

August 23, 2023

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.

June 28, 2023

WebM&M Cases

The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.

June 14, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

I like what you are saying, but only if I feel safe: psychological safety moderates the relationship between voice and perceived contribution to healthcare team effectiveness.

May 24, 2023

Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Reducing diagnostic errors in the emergency department at the time of patient treatment.

March 29, 2023

Near-miss events detected using the emergency department trigger tool.

March 15, 2023

Misdiagnosis in the emergency department: time for a system solution.

February 8, 2023

Patient and hospital characteristics associated with delayed diagnosis of appendicitis.

February 1, 2023

"Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations.

February 1, 2023

Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.

December 7, 2022

Perspective

Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions

November 16, 2022

Interview

In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD

November 16, 2022

Patient Safety Innovations

Journal Article

Study

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

November 16, 2022

Barcode medication administration software technology use in the emergency department and medication error rates.

August 31, 2022

Emergency department adverse events detected using the emergency department trigger tool.

August 24, 2022

Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.

August 17, 2022

In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments.

June 22, 2022

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department.

May 25, 2022

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.

May 18, 2022

Interview

In Conversation With... Remle P. Crowe, PhD

May 16, 2022

Perspective

Identifying Safety Events in the Prehospital Setting

May 16, 2022

Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care.

May 11, 2022

Psychological safety during the test of new work processes in an emergency department.

April 6, 2022

See More About The Topic

Emergency Departments

Quality and Safety Professionals

Emergency Medicine

Emergency Nursing

Medication Errors/Preventable Adverse Drug Events

Analysis of risk factors for patient safety events occurring in the emergency department.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Analysis of risk factors for patient safety events occurring in the emergency department.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site