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Web Resource > Multi-use Website
11760 Atwood Road, Suite 5, Auburn, CA 95603.
The purpose of the Emergency Medicine Patient Safety Foundation is to identify issues affecting patient safety in the emergency department and develop methods to support the delivery of safe care by physicians, allied health care personnel, and hospitals.
Journal Article > Study
Henneman PL, Blank FSJ, Smithline HA, et al. J Patient Safety. 2005;1:126-132.
The investigators studied an incentive-based voluntary reporting system in an emergency department and found that approximately half of errors were recovered, mainly by nurses, and that unrecovered errors impacted patients, most often with a delay in hospital stay.
Journal Article > Study
Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure.
Wachter RM, Flanders SA, Fee C, Pronovost PJ. Ann Intern Med. 2008;149:29-32.
Efforts to improve the quality and safety of care are being driven in part by a growing focus on public reporting. This commentary shares the potential for the unintended consequences of reporting on flawed performance measures, using time to first antibiotic dose (TFAD) in patients with pneumonia as an example. The authors discuss the background data for this particular quality measure, how it was translated into a performance standard, and the response it generated from emergency departments as well as payers, regulators, and professional societies. The authors conclude with a number of lessons learned from this case example, including the tension that results from having providers balance their desire to do the right thing with the public's view of their quality of care when they are in conflict with each other. A past AHRQ WebM&M commentary discussed the unintended consequences of achieving a good report card on such measures.
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002.
Journal Article > Commentary
Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations.
Wagner MJ, Wolf S, Promes S, et al. J Emerg Med. 2010;39:348-355.
This commentary, by leaders in the emergency medicine field, discusses the implications of the Institute of Medicine's recommendations regarding resident work hours for emergency medicine residency training. Some, but not all, of the IOM's recommendations were included in the recently released duty hour proposal from the Accreditation Council for Graduate Medical Education.