Adverse events in patients with return emergency department visits

BMJ Quality and Safety

Volumn 24, Issue 2, 2015, Pages 142-148

  Calder, Lisa ^a,b   Pozgay, Anita ^a   Riff, Shena ^c   Rothwell, David ^b   Youngson, Erik ^b   Mojaverian, Naghmeh ^b   Cwinn, Adam ^a   Forster, Alan ^d  

^a UNIVERSITY OF OTTAWA   (Canada)

^b OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

^c Queensway Carleton Hospital   (Canada)

^d UNIVERSITY OF OTTAWA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ADVERSE OUTCOME; ARTICLE; DISABILITY; DISEASE SEVERITY; EMERGENCY CARE; EMERGENCY PHYSICIAN; EMERGENCY WARD; FEMALE; HOSPITAL ADMISSION; HUMAN; MALE; NURSE; PREDICTIVE VALUE; AGED; HOSPITAL EMERGENCY SERVICE; MEDICAL ERROR; MIDDLE AGED; PROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA;

ADULT; AGED; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MEDICAL ERRORS; MIDDLE AGED; PROSPECTIVE STUDIES;

EID: 84921644597     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs-2014-003194     Document Type: Article

References (24)

1. Forster AJ, Rose NGW, van Walraven C, et al. Adverse events following an emergency department visit. Qual Saf Health Care 2007;16:17-22.
2. Ross MA, Hemphill RR, Abramson J, et al. The recidivism characteristics of an emergency department observation unit. Ann Emerg Med 2010;56:34-41.
3. Pierce JM, Kellerman AL, Oster C. "Bounces": an analysis of short-term return visits to a public hospital emergency department. Ann Emerg Med 1990;19:752-7.
4. Wu CL, Wang FT, Chiang YC, et al. Unplanned emergency department revisits within 72 hours to a secondary teaching referral hospital in Taiwan. J Emerg Med 2010;38:512-17.
5. Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency department: what can patients tell us? CJEM 2008;10:421-7.
6. Kuan WS, Mahadevan M. Emergency unscheduled returns: can we do better? Singapore Med J 2009;50:1068-71.
7. Nunez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care 2006;15:102-8.
8. Chern CH, How CK, Wang LM, et al. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. Ann Emerg Med 2005;45:15-23.
9. Jones J, Clark W, Bradford J, et al. Efficacy of a telephone follow-up system in the emergency department. J Emerg Med 1988;6:249-54.
10. Griffin FA, Resar RK. IHI Global trigger tool for measuring adverse events (Second Edition). IHI innovation series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement, 2009. http://www.ihi.org/knowledge/Pages/IHIWhitePapers/IHIGlobalTriggerToolWhitePaper.aspx (accessed 9 Jul 2013).
11. Resar RK, Rozich JD, Classen D. Methodology and rationale for the measurement of harm with trigger tools. Qual Saf Health Care 2003;12(Suppl 2):ii39-45.
12. Schull MJ, Guttman A, Leaver CA, et al. Prioritizing performance measurement for emergency department care: consensus on evidence-based quality of care indicators. CJEM 2011;13:300-9.
13. Calder LA, Forster A, Nelson M, et al. Adverse events among patients registered in high-acuity areas of the emergency department: a prospective cohort study. CJEM 2010;12:421-30.
14. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practices Study I. NEJM 1991;324:370-6.
15. World Health Organization. The Conceptual Framework for the International Classification for Patient Safety, Version 1.1 Final Technical Report. 2009. http://www.who.int/patientsafety/implementation/taxonomy/icps-download/en/ (accessed 9 Jul 2013).
16. Bullard MJ, Unger B, Spence J, et al. CTAS National Working Group. Revisions to the Canadian Emergency Department Triage and Acuity Scale (CTAS) adult guidelines. CJEM 2008;10:136-51.
17. Rosen AK, Mull HJ, Kaafarani H, et al. Applying trigger tools to detect adverse events associated with outpatient surgery. J Patient Saf 2011;7:45-59.
18. Hendrie J, Sammartino L, Silvapulle MJ, et al. Experience in adverse events detection in an emergency department: nature of events. Emerg Med Australas 2007;19:9-15.
19. Wolff AM, Bourke J. Detecting and reducing adverse events in an Australian rural base hospital emergency department using medical record screening and review. Emerg Med J 2002;19:35-40.
20. Baker GR, Norton PG, Flintoft V, et al. The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada. CMAJ 2004;170:1678-86.
21. Croskerry P, Cosby KS, Schenkel S, et al. Patient Safety in Emergency Medicine. Philadelphia: Lippincott Williams & Wilkins, 2009.
22. Forster AJ, Asmis TR, Clark HD, et al. Ottawa hospital patient safety study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. CMAJ 2004;170:1235-40.
23. Martin-Gill C, Reiser RC. Risk factors for 72-hour admission to the ED. Am J Emerg Med 2004;22:448-53.
24. Lawrence LM, Jenkins CA, Zhou C, et al. The effect of diagnosis-specific computerized discharge instructions on 72-hour return visits to the pediatric emergency department. Pediatr Emerg Care 2009;25:733-8.