Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11543
Title: National Coroners Information System: a valuable source of lessons for emergency medicine.
Authors: Curran, Justin;McD Taylor, David
Affiliation: Emergency Department, Austin Health, Heidelberg, VIC 3084, Australia.
Issue Date: 1-Jun-2012
Citation: Emergency Medicine Australasia : Ema 2012; 24(4): 442-50
Abstract: To interrogate the National Coroners Information System (NCIS) to determine the recurrent themes among coroners' recommendations that aimed to increase the safety of ED care.This was a retrospective analysis of NCIS closed cases, from Queensland, New South Wales, Tasmania, Victoria, Australian Capital Territory, South Australia and North Territory, entered since its inception in 2000. The keyword 'emergency department' returned 1645 cases, of which 180 were found to be relevant. The primary outcomes were the number and nature of cases where recommendations for improvements in ED care had been made and the recurrent themes of these recommendations that could inform education initiatives.Of the 180 cases, 108 (60.0%) were of deceased men and subject age ranged from 2 days to 91 years. The commonest causes of death were trauma (26.7%), infection (24.4%), cardiac events (15.0%) and poisoning (8.9%). No coronial recommendations were required in 19 cases. For the remainder, recommendation themes related to issues of risk management/medico-legal, diagnostic/therapeutic error, education, documentation/communication and re-presentation. The themes associated with the different doctor designations (consultant, registrar, resident/intern) were similar, although registrars and residents/interns tended towards more diagnostic/therapeutic errors. The themes associated with hospital type (referral, urban, regional/rural) were also similar. Although theme analysis is important, some individual cases were particularly instructive.The NCIS data theme analysis identifies important high-risk patients and presenting complaints. These should be incorporated into emergency physician training. EDs should review the coronial recommendations to ensure that, where possible, they have been adopted.
Internal ID Number: 22862763
URI: http://ahro.austin.org.au/austinjspui/handle/1/11543
DOI: 10.1111/j.1742-6723.2012.01575.x
URL: http://www.ncbi.nlm.nih.gov/pubmed/22862763
Type: Journal Article
Subjects: Adolescent
Adult
Aged
Aged, 80 and over
Attitude of Health Personnel
Australia
Child
Child, Preschool
Clinical Audit
Coroners and Medical Examiners
Emergency Service, Hospital.standards
Female
Humans
Infant
Infant, Newborn
Male
Management Information Systems
Middle Aged
Retrospective Studies
Young Adult
Appears in Collections:Journal articles

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