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Defining, identifying, and measuring error in emergency medicine.

J A Handler1, M Gillam, A B Sanders

  • 1Division of Emergency Medicine, Northwestern University Medical School, Chicago, IL 60611, USA. jah505@nwu.edu

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|November 10, 2000
PubMed
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A consensus committee recommends standardizing medical error terms and reporting systems in emergency medicine (EM). Key steps include establishing patient safety boards to improve error identification and measurement in EM.

Area of Science:

  • Medical error research
  • Patient safety
  • Emergency medicine

Background:

  • Defining and measuring medical error is crucial for improving patient safety.
  • Existing literature on error measurement in medicine requires analysis and standardization.
  • Emergency medicine (EM) faces unique challenges in error identification and reporting.

Purpose of the Study:

  • To present findings from a consensus committee on defining, measuring, and identifying medical error in EM.
  • To review and analyze the literature on error measurement in medicine.
  • To provide recommendations for initial steps EM should take to address medical error.

Main Methods:

  • Convened a consensus committee to address medical error in EM.
  • Reviewed and analyzed existing literature on error measurement in medicine.

Related Experiment Videos

  • Discussed issues related to error identification and reporting systems.
  • Main Results:

    • Recommended adopting a standard set of terms from the medical error literature.
    • Addressed pros and cons of mandatory reporting, voluntary reporting, and surveillance systems.
    • Considered error reporting at clinician, hospital, and oversight group levels.

    Conclusions:

    • EM should take specific initial steps to address medical error.
    • Recommended the establishment of patient safety boards at each institution.
    • Standardizing terminology and reporting mechanisms is essential for enhancing patient safety in EM.