The concept of reliability in emergency medicine

American Journal of Medical Quality

Volumn 22, Issue 1, 2007, Pages 50-58

  Welch, Shari ^a   Jensen, Kirk ^b  

^a LDS HOSPITAL   (United States)

^b Institute for Healthcare Improvement   (United States)

Author keywords

Emergency medicine; High reliability organizations; Medical error; Patient safety; Performance improvement; Reliability; Variation

Indexed keywords

EMERGENCY MEDICINE; HEALTH CARE QUALITY; HUMAN; NONBIOLOGICAL MODEL; ORGANIZATION AND MANAGEMENT; REVIEW; STANDARD; UNITED STATES;

EFFICIENCY, ORGANIZATIONAL; EMERGENCY MEDICINE; HUMANS; MODELS, ORGANIZATIONAL; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 33845964971     PISSN: 10628606     EISSN: 1555824X     Source Type: Journal    
DOI: 10.1177/1062860606296385     Document Type: Review

References (24)

1. Leape LL. Error in medicine. JAMA. 1994 ; 272: 1851-1857.
2. New Joint Commission report warns: sentinel events most likely in the ED. ED Management. 2002 ; 14: 133-135.
3. Mehta RH, Eagle KA. Missed diagnosis of acute coronary syndrome in the emergency room-continuing challenges. N Engl J Med. 2000 ; 342: 1207-1210.
4. Nolan T, Resar R, Haraden C, Griffin F. Improving the reliability of health care. Innovation Series 2004 Whitepaper, Institute for Healthcare Improvement. Available at: http://www.ihi.org/IHI/Results/WhitePapers/ ImprovingtheReliabilityofHealthCare.htm. Accessed December 12, 2005.
5. Weick K, Sutcliffe K. Managing the Unexpected, Assuring High Performance in an Age of Complexity. The University of Michigan Business School Management Series. San Francisco: Jossey-Bass ; 2001.
6. Langley GJ, Nolan KM, Nolan TW, Norman L, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. San Francisco: Jossey-Bass ; 1996.
7. Baker GR, Norton PG, Flinntoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospitalized patients in Canada. Can Med Assoc J. 2004 ; 170: 1678-1686.
8. Davis P, Lay-Yee R, Briant R, Ali W, Scott A, Schugs S. Adverse events in New Zealand public hospitals I: occurrence and impact. N Z Med J. 2002 ; 115: U271 - U271.
9. Amalberti R, Arroy Y, Berwick D, Barach P. Five system barriers to achieving ultrasafe healthcare. Ann Intern Med. 2005 ; 42: 756-764.
10. Leonard M, Frankel A, Simmonds T, Vega A. Achieving Safe and Reliable Healthcare: Strategies and Solutions. Chicago: Health Administration Press ; 2004.
11. Resar R, Huddleston J, Jain M, Townsend S. Opportunities to improve healthcare using reliability concepts. Minicourse presented at the Institute for Healthcare Improvement National Forum, December 2005, Orlando, Fla.
12. Resar R. Why we need to learn standardization. Aust Fam Physician. 2005 ; 34: 1-2.
13. Sexton J, Thomas J, Helmreich L. Error, stress and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2000 ; 320: 745-749.
14. Wears RL, Leape LL. Human error in emergency medicine. Ann Emerg Med. 1999 ; 34: 370-372.
15. Botwinick L, Griffin FA, Haraden C, et al. Leadership guide to patient safety: resources and tools for establishing and maintaining patient safety. 2005 Whitepaper, Institute for Healthcare Improvement. Available at: http://www.ihi.org/IHI/Results/WhitePapers/ LeadershipGuidetoPatientSafetyWhitePaper.htm. Accessed June 13, 2006.
16. Carnall D. Error in medicine. BMJ. 2000 ; 320: 811-811.
17. Nolan T. System changes to improve patient safety. BMJ. 2000 ; 320: 770-775.
18. Testing changes. IHI Web resources. Available at: http://www.ncbi.nlm. nih.gov/entrez/query.fcgi?orig_db=PubMed&db=PubMed&cmd=Search&term= %22ED+management+%3A+the+monthly+update+on+emergency+department+ management%22%5BJour%5D+AND+133%5Bpage%5D+AND+2002%5Bpdat%5D. Accessed June 13, 2006.
19. Welch SJ, Augustine J, Camargo C, Reese C. Performance measures for benchmarking in emergency medicine: a consensus statement. Acad Emerg Med. In press.
20. Graff L, Stevens C, Spaite D, Foody J. Measuring and improving quality in emergency medicine. Acad Emerg Med. 2002 ; 9: 1091-1107.
21. Lindsay P, Schull M, Bronskill S, Anderson G. The development of indicators to measure the quality of clinical care in EDs following the modified-Delphi approach. Acad Emerg Med. 2002 ; 9: 1131-1139.
22. Thomson RG. Consensus publication guidelines: the next step in the science of quality improvement? Qual Saf Health Care. 2005 ; 14: 317-318.
23. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press ; 2001.
24. Espinosa J, Nolan T. Reducing errors made by emergency physicians in interpreting radiographs: longitudinal study. BMJ. 2000 ; 320: 737-740.