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Journal Article > Commentary
Benjamin L, Frush K, Shaw K, Shook JE, Snow SK; American Academy of Pediatrics; American College of Emergency Physicians; Emergency Nurses Association. Ann Emerg Med. 2018;71:e17-e24.
Emergency departments harbor conditions that can hinder safe medication administration for pediatric patients. This policy statement identifies and prioritizes improvements such as implementing kilogram-only weight-based dosing, involving pharmacists in frontline emergency care, and utilizing computerized provider order entry and clinical decision support systems.
Journal Article > Study
Weiner SG, Baker O, Poon SJ, et al. Ann Emerg Med. 2017;70:799-808.e1.
This pre–post study examined the effect of a change in emergency department opioid prescribing guidelines in Ohio in 2012. The quantity of opioid prescriptions from emergency departments and the duration of opioid prescriptions declined. The authors attribute these declines to the more stringent prescribing guideline and advocate for spreading such policies to improve opioid safety.
Journal Article > Review
Patterson PD, Higgins JS, Van Dongen HPA, et al. Prehosp Emerg Care. 2018;22(suppl 1):89-101.
Journal Article > Study
Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service.
Lord K, Parwani V, Ulrich A, et al. Am J Emerg Med. 2018;36:1246–1248.
Overcrowding in the emergency department (ED) may adversely impact patient safety. Less is known about the relationship between extended boarding time in the ED and patient outcomes. This observational study found that patients boarding for more than 4 hours in the ED did not experience worse outcomes in the first 24 hours of admission compared to patients transferred out of the ED to an inpatient service in under 4 hours.
DeMarco P. Globe Magazine. November 3, 2018.
This magazine article reports on the preventable death of a patient during an acute asthma attack. Written by the patient's husband, the article outlines the failures that led to her death despite the fact that she was at the door of a hospital emergency department and on the phone with an emergency dispatcher. Factors discussed include overreliance on poorly functioning technology, communication failures, and lack of fail-safes.
Palmer J. Patient Saf Qual Healthc. May/June 2019.
Organizations must learn from adverse events to prevent similar incidents. Reporting on lessons to be learned from the cascade of failures connected with the preventable death of a patient during an acute asthma attack at the door of a hospital emergency department, this magazine article outlines the importance of effective signage, appropriate security staff placement, and acceptance of the responsibility for failure.