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Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error?

Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? J Emerg Med. 2023;65(3):e250-e255. doi:10.1016/j.jemermed.2023.05.005.

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October 11, 2023
Arastehmanesh D, Mangino A, Eshraghi N, et al. J Emerg Med. 2023;65(3):e250-e255.
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Characteristics inherent to the emergency department (ED), such as overcrowding and unfamiliar patients, make it susceptible to errors. This article describes a novel process for identification of ED errors by adding the question, "Would you have done something differently?" to the chart review process. Adding this question and requiring a detailed explanation of what they would have done differently allowed for differentiation between a true medical error and a judgment call that coincides with an adverse event. Near misses, adverse events, and adverse events attributable to error were significantly higher when reviewers would have done something differently.

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Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? J Emerg Med. 2023;65(3):e250-e255. doi:10.1016/j.jemermed.2023.05.005.

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