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Related Experiment Videos

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
Summary

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.

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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.

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  • 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.