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- Diagnostic Errors
- Discontinuities, Gaps, and Hand-Off Problems
- Error Analysis
- Medication Errors/Preventable Adverse Drug Events
Journal Article > Study
Smits M, Groenewegen PP, Timmermans DRM, van der Wal G, Wagner C. BMC Emerg Med. 2009;9:16.
Emergency department (ED) patients are particularly vulnerable to adverse events, and a prior study of closed malpractice claims implicated systems factors such as poor teamwork in adverse patient outcomes. This study used root cause analysis of incident reports to identify the types and causes of errors and unanticipated events in the ED. Incidents included poor communication and teamwork, particularly with other departments, but medication errors and diagnostic errors were also noted. The authors recommend that organizations integrate the ED into hospital-wide safety improvement efforts.
Journal Article > Review
Bigham BL, Buick JE, Brooks SC, Morrison M, Shojania KG, Morrison LJ. Prehosp Emerg Care. 2012;16:20-35.
This systematic review found that the literature base on patient safety issues in prehospital care is still quite small, limiting emergency medical services providers' ability to identify and address systematic problems in care.