Incidence and causes of critical incidents in emergency departments: A comparison and root cause analysis

Emergency Medicine Journal

Volumn 25, Issue 6, 2008, Pages 346-350

  Thomas, Martin ^a   Mackway Jones, K ^b  

^a HOPE HOSPITAL   (United Kingdom)

^b MANCHESTER ROYAL INFIRMARY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ADVERSE OUTCOME; ARTICLE; CLINICAL PROTOCOL; COMPARATIVE STUDY; CONTROLLED STUDY; EMERGENCY WARD; FEMALE; GENERAL HOSPITAL; HEALTH CARE DELIVERY; HEALTH CARE ORGANIZATION; HOSPITAL MANAGEMENT; HUMAN; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; PATIENT ATTITUDE; PRIORITY JOURNAL; ROOT CAUSE ANALYSIS; SEMI STRUCTURED INTERVIEW; TEACHING HOSPITAL; THERAPEUTIC ERROR; UNITED KINGDOM;

ADULT; EMERGENCY SERVICE, HOSPITAL; ENGLAND; FEMALE; HUMANS; INCIDENCE; MALE; MEDICAL ERRORS; OBSERVER VARIATION; ORGANIZATIONAL CULTURE; RISK FACTORS; RISK MANAGEMENT; TASK PERFORMANCE AND ANALYSIS;

EID: 45149127860     PISSN: 14720205     EISSN: None     Source Type: Journal    
DOI: 10.1136/emj.2007.054528     Document Type: Article

References (20)

1. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients. N Engl J Med 1991;324:370-6.
2. Wilson RMcL, Runciman RW, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust 1995;163:458-71.
3. Kadzombe EA, Coals J. Complaints against doctors in an accident and emergency department: a 10-year analysis. Arch Emerg Med 1992;9:134-42.
4. Hulbert DC, Riddle WL, Longstaff PM, et al. An audit of litigation costs in four accident and emergency departments. J Accid Emerg Med 1996;13:400-1.
5. Gwynne A, Barber P, Tavener F. A review of 105 negligence claims against accident and emergency departments. J Accid Emerg Med 1997;14:243-5.
6. McCallion WA, Templeton PA, McKinney LA, et al. Missed myocardial ischaemia in the accident and emergency department: E.C.G. a need for audit? Arch Emerg Med 1991;8:102-7.
7. Gillespie NF, Brett CTF, Morrison WG, et al. Interpretation of the emergency electrocardiogram by junior hospital doctors. J Accid Emerg Med 1996;13:395-7.
8. Dudley M, Channer KS. Assessment of the value of technician reporting of electrocardiographs in an accident and emergency department. J Accid Emerg Med 1997;14:307-10.
9. Vincent C, Driscoll PA, Audley RJ, et al. Accuracy of detection of radiographic abnormalities by junior doctors. Arch Emerg Med 1988;5:101-9.
10. McLaughlan CAJ, Jones K, Guly HR. Interpretation of trauma radiographs by junior doctors in accident and emergency departments: a cause for concern? J Accid Emerg Med 1997;14:295-8.
11. van Vuuren W, Shea CE, van der Schaaf TW. The development of an incident analysis tool for the medical field. Report EUT/BDK/85. Eindhoven: Eindhoven University of Technology, Faculty of Technology Management, 1997.
12. Shea CE. The organisation of work in a complex and dynamic environment: the accident and emergency department. PhD Thesis, University of Manchester, 1996.
13. van Vuuren W. Incidents in accident and emergency and anaesthesia. Report EUT/BDK/82. Eindhoven: Eindhoven University of Technology, Faculty of Technology Management, 1996.
14. Kaplan HS, Battles JB, Van der Schaaf TW, et al. Identification and classification of the causes of events in transfusion medicine. Transfusion 1998;38:1071-81.
15. Reason J. Human error: models and management. BMJ 2000; 320:768-70.
16. National Patient Safety Agency. Incidence investigation and root cause analysis toolkit. http://www.npsa.nhs.uk/health/resources/ root_cause_analysis.
17. Bland JM, Altman DG. Multiple significance tests: the Bonferroni method. BMJ 1995;310:710.
18. Sakr M, Angus J, Perrin J, et al. Care of minor injuries by emergency nurse practitioners or junior doctors: a randomised controlled trial. Lancet 1999;354:1321-6.
19. Stella D, Hendrie J, Smythe J, et al. Critical incident monitoring is a useful quality improvement tool for the emergency department. Emerg Med 1996;8:215-9.
20. Fordyce J, Blank FSJ, Pekow P, et al. Errors in a busy Emergency Department. Ann Emerg Med 2003;42:324-33.