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- Communication Improvement 2
- Culture of Safety 1
- Education and Training 3
- Error Reporting and Analysis
- Logistical Approaches 1
- Quality Improvement Strategies 1
- Specialization of Care 1
- Teamwork 1
- Technologic Approaches 1
Search results for "Error Reporting"
Journal Article > Commentary
Steen S, Jaeger C, Price L, Griffen D. BMJ Qual Improv Rep. 2017;6:u223876.w5716.
Technical and psychological factors can affect adverse event reporting. This quality improvement report highlights an effort to enhance resident reporting in an emergency department. Residents were educated about incident reporting and participated in feedback sessions every 2 months to improve their familiarity with the reporting system as well as augment their knowledge regarding how and what should be reported. The number and quality of reports increased following the intervention.
Journal Article > Review
What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives.
Wright B, Faulkner N, Bragge P, Graber M. Diagnosis (Berl). 2019 May 22; [Epub ahead of print].
Journal Article > Study
Crimmins AC, Wong AH, Bonz JW, et al. Simul Healthc. 2018;13:107-116.
A patient-centered safety culture requires that errors are disclosed to patients. This prospective cohort study simulated a medication overdose that resulted in an adverse event and observed how medical trainees and attending physicians disclosed the error. Disclosure technique was deficient even among the senior practitioners, highlighting the importance of training health care providers in communication.
Cases & Commentaries
- Spotlight Case
- Web M&M
Lisa M. Bellini, MD; February 2004
Housestaff evaluate and admit a severely ill patient with lupus, suspect a viral syndrome, and do not initiate antibiotics. Despite discovery of the correct diagnosis in the morning by the attending, the patient dies.