Narrow Results Clear All
Search results for ""
Cases & Commentaries
- Spotlight Case
- Web M&M
Stephanie Mueller, MD, MPH; February 2019
To transfer a man with possible sepsis to a hospital with subspecialty and critical care, a physician was unaware of a formal protocol and called a colleague at the academic medical center. The colleague secured a bed, and the patient was sent over. However, neither clinical data nor the details of the patient's current condition were transmitted to the hospital's transfer center, and the receiving physician booked a general ward bed rather than an ICU bed. When the patient arrived, his mentation was altered and breathing was rapid. The nurse called the rapid response team, but the patient went into cardiac arrest.
Perspectives on Safety > Interview
Safety in Emergency Medical Systems, May 2019
Dr. Brice is Professor and Chair of the Department of Emergency Medicine at the University of North Carolina. She also serves as the Program Director for the Emergency Medical Services (EMS) Fellowship and was past-president of the National Association of EMS Physicians. We spoke with her about her experience working in emergency medical systems and safety concerns particular to this field.
Journal Article > Study
Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better?
Crocker M, Cato-Addison WB, Pushpananthan S, Jones TL, Anderson J, Bell BA. Br J Neurosurg. 2010;24:391-395.
This British study contends that the inability to reliably transmit CT and MRI images between hospitals for patients with possible neurosurgical emergencies is a potential source of diagnostic error and patient harm.
Journal Article > Review
Hains IM, Marks A, Georgiou A, Westbrook JI. Int J Qual Health Care. 2011;23:68-75.
This systematic review found that communication, efficiency, and appropriateness are key factors in ensuring high quality and safe non-emergency transport services.
Journal Article > Study
Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.
Misasi P, Keebler JR. Ther Adv Drug Saf. 2019;10:1–14.
This pre–post study reports a decline in medication error rates in prehospital emergency services following implementation of a human factors engineering approach. The providers implemented a team-based cross-check process using standardized communication for high-risk medications and found a significant reduction in medication errors.