ED overcrowding is associated with an increased frequency of medication errors

American Journal of Emergency Medicine

Volumn 28, Issue 3, 2010, Pages 304-309

  Kulstad, Erik B ^a   Sikka, Rishi ^a   Sweis, Rolla T ^a   Kelley, Ken M ^a   Rzechula, Kathleen H ^a  

^a ADVOCATE CHRIST MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CORRELATION ANALYSIS; CROWDING; DISEASE SEVERITY; DRUG CONTRAINDICATION; DRUG DOSE; EMERGENCY WARD; HISTOGRAM; HUMAN; MEDICATION ERROR; METRIC SYSTEM; OUTCOME ASSESSMENT; PHARMACIST; PRIORITY JOURNAL; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; TREATMENT DURATION;

CROWDING; EMERGENCY SERVICE, HOSPITAL; HUMANS; MEDICATION ERRORS; PHARMACY SERVICE, HOSPITAL; PROSPECTIVE STUDIES; ROC CURVE;

EID: 77649214032     PISSN: 07356757     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajem.2008.12.014     Document Type: Article

References (57)

1. Sprivulis P.C., Da Silva J.A., Jacobs I.G., et al. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med J Aust 184 5 (2006) 208-212
2. Richardson D.B. Increase in patient mortality at 10 days associated with emergency department overcrowding. Med J Aust 184 5 (2006) 213-216
3. Derlet R.W., and Richards J.R. Emergency department overcrowding in Florida, New York, and Texas. South Med J 95 8 (2002) 846-849
4. Miro O., Antonio M.T., Jimenez S., et al. Decreased health care quality associated with emergency department overcrowding. Eur J Emerg Med 6 2 (1999) 105-107
5. Schull M.J., Vermeulen M., Slaughter G., et al. Emergency department crowding and thrombolysis delays in acute myocardial infarction. Ann Emerg Med 44 6 (2004) 577-585
6. Pines J.M., Hollander J.E., Localio A.R., et al. The association between emergency department crowding and hospital performance on antibiotic timing for pneumonia and percutaneous intervention for myocardial infarction. Acad Emerg Med 13 8 (2006) 873-878
7. Hoot N.R., and Aronsky D. Systematic review of emergency department crowding: causes, effects, and solutions. Ann Emerg Med (2008)
8. Identifying and preventing medication errors (2006), Institute of Medicine (U.S.) Committee on the Future of Emergency Care in the United States Health System, Washington, DC
9. Gordon J.A., Billings J., Asplin B.R., et al. Safety net research in emergency medicine: proceedings of the Academic Emergency Medicine Consensus Conference on "The Unraveling Safety Net. Acad Emerg Med 8 11 (2001) 1024-1029
10. Hwang U., and Concato J. Care in the emergency department: how crowded is overcrowded. Acad Emerg Med 11 10 (2004) 1097-1101
11. Fordyce J., Blank F.S., Pekow P., et al. Errors in a busy emergency department. Ann Emerg Med 42 3 (2003) 324-333
12. Horwitz L.I., Meredith T., Schuur J.D., et al. Dropping the Baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Ann Emerg Med (2008)
13. Bernstein S.L., Verghese V., Leung W., et al. Development and validation of a new index to measure emergency department crowding. Acad Emerg Med 10 9 (2003) 938-942
14. Wuerz R.C., Milne L.W., Eitel D.R., et al. Reliability and validity of a new five-level triage instrument. Acad Emerg Med 7 3 (2000) 236-242
15. Derlet R.W., and Richards J.R. Overcrowding in the nation's emergency departments: complex causes and disturbing effects. Ann Emerg Med 35 1 (2000) 63-68
16. Gilligan P., Winder S., Singh I., et al. The Boarders in the Emergency Department (BED) study. Emerg Med J 25 5 (2008) 265-269
17. Kellermann A.L. Crisis in the emergency department. N Engl J Med 355 13 (2006) 1300-1303
18. Kunz Howard P. Overcrowding: not just an emergency department issue. J Emerg Nurs 31 3 (2005) 227-228
19. Olshaker J.S., and Rathlev N.K. Emergency department overcrowding and ambulance diversion: the impact and potential solutions of extended boarding of admitted patients in the Emergency Department. J Emerg Med 30 3 (2006) 351-356
20. Steele R., and Kiss A. EMDOC (Emergency department overcrowding) Internet-based safety net research. J Emerg Med 35 1 (2008) 101-107
21. Trzeciak S., and Rivers E.P. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J 20 5 (2003) 402-405
22. Kohn L.T., Corrigan J.M., and Donaldson M.S. To Err Is Human: Building a Safer Health System (1999), National Academy Press: The Institute of Medicine, Washington, DC
23. Berk W.A., Welch R.D., Levy P.D., et al. The effect of clinical experience on the error rate of emergency physicians. Ann Emerg Med (2008)
24. Biros M.H., Adams J.G., and Wears R.L. Errors in emergency medicine: a call to action. Acad Emerg Med 7 11 (2000) 1173-1174
25. Burroughs T.E., Waterman A.D., Gallagher T.H., et al. Patient concerns about medical errors in emergency departments. Acad Emerg Med 12 1 (2005) 57-64
26. Cosby K.S. A framework for classifying factors that contribute to error in the emergency department. Ann Emerg Med 42 6 (2003) 815-823
27. Croskerry P., Shapiro M., Campbell S., et al. Profiles in patient safety: medication errors in the emergency department. Acad Emerg Med 11 3 (2004) 289-299
28. Croskerry P., and Sinclair D. Emergency medicine: a practice prone to error. Can J Emerg Med 3 (2001) 271-276
29. Feldman J.A. Medical errors and emergency medicine: will the difficult questions be asked, and answered?. Acad Emerg Med 10 8 (2003) 910-911
30. Handler J.A., Gillam M., Sanders A.B., et al. Defining, identifying, and measuring error in emergency medicine. Acad Emerg Med 7 11 (2000) 1183-1188
31. Hobgood C., Xie J., Weiner B., et al. Error identification, disclosure, and reporting: practice patterns of three emergency medicine provider types. Acad Emerg Med 11 2 (2004) 196-199
32. Holliman C.J., Wuerz R.C., and Meador S.A. Decrease in medical command errors with use of a "standing orders" protocol system. Am J Emerg Med 12 3 (1994) 279-283
33. Jenkins G., Johnston P.E., Patel N.R., et al. The epidemiology of medication prescribing errors in the emergency department. AMIA Annu Symp Proc (2006) 968
34. Kozer E., Berkovitch M., and Koren G. Medication errors in children. Pediatr Clin North Am 53 6 (2006) 1155-1168
35. Kyriacou D.N., and Coben J.H. Errors in emergency medicine: research strategies. Acad Emerg Med 7 11 (2000) 1201-1203
36. Leape L.L., Bates D.W., Cullen D.J., et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA 274 1 (1995) 35-43
37. Leape L.L., Brennan T.A., Laird N., et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 324 6 (1991) 377-384
38. Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 367 e361-2.
39. McCarter T.G., Centafont R., Daly F.N., et al. Reducing medication errors: a regional approach for hospitals. Drug Saf 26 13 (2003) 937-950
40. Moskop J.C., Geiderman J.M., Hobgood C.D., et al. Emergency physicians and disclosure of medical errors. Ann Emerg Med 48 5 (2006) 523-531
41. O'Neill K.A., Shinn D., Starr K.T., et al. Patient misidentification in a pediatric emergency department: patient safety and legal perspectives. Pediatr Emerg Care 20 7 (2004) 487-492
42. Oren E., Shaffer E.R., and Guglielmo B.J. Impact of emerging technologies on medication errors and adverse drug events. Am J Health Syst Pharm 60 14 (2003) 1447-1458
43. Peth Jr. H.A. Medication errors in the emergency department: a systems approach to minimizing risk. Emerg Med Clin North Am 21 1 (2003) 141-158
44. Risser D.T., Rice M.M., Salisbury M.L., et al. The potential for improved teamwork to reduce medical errors in the emergency department. The MedTeams Research Consortium. Ann Emerg Med 34 3 (1999) 373-383
45. Schenkel S. Promoting patient safety and preventing medical error in emergency departments. Acad Emerg Med 7 11 (2000) 1204-1222
46. Chisholm C.D., Collison E.K., Nelson D.R., et al. Emergency department workplace interruptions: are emergency physicians "interrupt-driven" and "multitasking. Acad Emerg Med 7 11 (2000) 1239-1243
47. Wears R., and Leape L.L. Human error in emergency medicine. Ann Emerg Med 34 3 (1999) 370-372
48. Wears R.L. The error of counting "errors". Ann Emerg Med 52 (2008) 502-503
49. Wears R.L., Janiak B., Moorhead J.C., et al. Human error in medicine: promise and pitfalls, part 2. Ann Emerg Med 36 2 (2000) 142-144
50. Wears R.L., Janiak B., Moorhead J.C., et al. Human error in medicine: promise and pitfalls, part 1. Ann Emerg Med 36 1 (2000) 58-60
51. Patterson E.S., and Wears R.L. Beyond "communication failure". Ann Emerg Med (2008) Aug 21, [E-pub ahead of print].
52. Jones S.S., Allen T.L., Flottemesch T.J., et al. An independent evaluation of four quantitative emergency department crowding scales. Acad Emerg Med (2006)
53. Epstein S.K., and Tian L. Development of an emergency department work score to predict ambulance diversion. Acad Emerg Med 13 4 (2006) 421-426
54. Weiss S.J., Ernst A.A., and Nick T.G. Comparison of the National Emergency Department Overcrowding Scale and the Emergency Department Work Index for quantifying emergency department crowding. Acad Emerg Med 13 5 (2006) 513-518
55. Jones S.S., Allen T.L., Flottemesch T.J., et al. An independent evaluation of four quantitative emergency department crowding scales. Acad Emerg Med 13 11 (2006) 1204-1211
56. McCarthy ML, Aronsky D, Jones ID, et al. The emergency department occupancy rate: a simple measure of emergency department crowding? Ann Emerg Med. 2008;51(1):15-24, 24 e11-2.
57. Fee C, Weber EJ, Maak CA, et al. Effect of emergency department crowding on time to antibiotics in patients admitted with community-acquired pneumonia. Ann Emerg Med. 2007;50(5):501-9, 509 e501.