Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11543
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dc.contributor.authorCurran, Justinen
dc.contributor.authorTaylor, David McDen
dc.date.accessioned2015-05-16T01:09:25Z
dc.date.available2015-05-16T01:09:25Z
dc.date.issued2012-06-01en
dc.identifier.citationEmergency Medicine Australasia : EMA 2012; 24(4): 442-50en
dc.identifier.govdoc22862763en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/11543en
dc.description.abstractTo 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.en
dc.language.isoenen
dc.subject.otherAdolescenten
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherAttitude of Health Personnelen
dc.subject.otherAustraliaen
dc.subject.otherChilden
dc.subject.otherChild, Preschoolen
dc.subject.otherClinical Auditen
dc.subject.otherCoroners and Medical Examinersen
dc.subject.otherEmergency Service, Hospital.standardsen
dc.subject.otherFemaleen
dc.subject.otherHumansen
dc.subject.otherInfanten
dc.subject.otherInfant, Newbornen
dc.subject.otherMaleen
dc.subject.otherManagement Information Systemsen
dc.subject.otherMiddle Ageden
dc.subject.otherRetrospective Studiesen
dc.subject.otherYoung Adulten
dc.titleNational Coroners Information System: a valuable source of lessons for emergency medicine.en
dc.typeJournal Articleen
dc.identifier.journaltitleEmergency Medicine Australasia : EMAen
dc.identifier.affiliationEmergency Department, Austin Health, Heidelberg, VIC 3084, Australiaen
dc.identifier.doi10.1111/j.1742-6723.2012.01575.xen
dc.description.pages442-50en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/22862763en
dc.type.austinJournal Articleen
item.grantfulltextnone-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
crisitem.author.deptEmergency-
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