Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process.
Jepson ZK, Darling CE, Kotkowski KA, et al. Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. BMC Emerg Med. 2014;14:20. doi:10.1186/1471-227X-14-20.
To characterize patient safety incidents in a tertiary care emergency department, researchers investigated incident reports using a standardized peer review process over a 2-year period. Analysis of the data revealed that most emergency department patient safety incidents were primarily attributable to system flaws.