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Tytuł pozycji:

Identifying trigger concepts to screen emergency department visits for diagnostic errors.

Tytuł:
Identifying trigger concepts to screen emergency department visits for diagnostic errors.
Autorzy:
Mahajan P; Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Pai CW; Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Cosby KS; Department of Emergency Medicine, Cook County Hospital (Stroger), Rush Medical College, Chicago, IL, USA.
Mollen CJ; Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Shaw KN; Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Chamberlain JM; Division of Pediatric Emergency Medicine, Department of Pediatrics, Children's National Medical Center, Washington, DC, USA.
El-Kareh R; UCSD Health Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, USA.
Ruddy RM; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Alpern ER; Division of Pediatric Emergency Medicine, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Epstein HM; Board of Directors, Brightpoint Care, New York, NY, USA (Subsidiary, Sun River Health, Peekskill, NY, USA).
Giardina TD; Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX, USA.
Graber ML; Society to Improve Diagnosis in Medicine, RTI International, Plymouth, MA, USA.
Medford-Davis LN; Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA.
Medlin RP; Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Upadhyay DK; Division of Quality, Safety and Patient Experience, Geisinger, Danville, PA, USA.
Parker SJ; Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Singh H; Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, TX, USA.
Źródło:
Diagnosis (Berlin, Germany) [Diagnosis (Berl)] 2020 Nov 13; Vol. 8 (3), pp. 340-346. Date of Electronic Publication: 2020 Nov 13 (Print Publication: 2021).
Typ publikacji:
Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.; Review
Język:
English
Imprint Name(s):
Original Publication: Berlin ; Boston : de Gruyter, [2014]-
MeSH Terms:
Emergency Medical Services*
Emergency Service, Hospital*
Diagnostic Errors ; Electronic Health Records ; Humans ; Safety Management
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Grant Information:
R01 HS024953 United States HS AHRQ HHS; R01 HS027363 United States HS AHRQ HHS; C8640/A23385 United Kingdom CRUK_ Cancer Research UK
Contributed Indexing:
Keywords: diagnostic error; emergency department; patient safety; trigger concepts
Entry Date(s):
Date Created: 20201112 Date Completed: 20211015 Latest Revision: 20211015
Update Code:
20240105
DOI:
10.1515/dx-2020-0122
PMID:
33180032
Czasopismo naukowe
Objectives: The diagnostic process is a vital component of safe and effective emergency department (ED) care. There are no standardized methods for identifying or reliably monitoring diagnostic errors in the ED, impeding efforts to enhance diagnostic safety. We sought to identify trigger concepts to screen ED records for diagnostic errors and describe how they can be used as a measurement strategy to identify and reduce preventable diagnostic harm.
Methods: We conducted a literature review and surveyed ED directors to compile a list of potential electronic health record (EHR) trigger (e-triggers) and non-EHR based concepts. We convened a multidisciplinary expert panel to build consensus on trigger concepts to identify and reduce preventable diagnostic harm in the ED.
Results: Six e-trigger and five non-EHR based concepts were selected by the expert panel. E-trigger concepts included: unscheduled ED return to ED resulting in hospital admission, death following ED visit, care escalation, high-risk conditions based on symptom-disease dyads, return visits with new diagnostic/therapeutic interventions, and change of treating service after admission. Non-EHR based signals included: cases from mortality/morbidity conferences, risk management/safety office referrals, ED medical director case referrals, patient complaints, and radiology/laboratory misreads and callbacks. The panel suggested further refinements to aid future research in defining diagnostic error epidemiology in ED settings.
Conclusions: We identified a set of e-trigger concepts and non-EHR based signals that could be developed further to screen ED visits for diagnostic safety events. With additional evaluation, trigger-based methods can be used as tools to monitor and improve ED diagnostic performance.
(© 2020 Walter de Gruyter GmbH, Berlin/Boston.)

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