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PSNet: Patient Safety Network
Journal Article

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. BMC emergency medicine. 2014;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.