Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16582
Full metadata record
DC FieldValueLanguage
dc.contributor.authorHendrie, James-
dc.contributor.authorYeoh, Michael J-
dc.contributor.authorRichardson, Joanna R-
dc.contributor.authorBlunt, Andrew-
dc.contributor.authorDavey, Peter-
dc.contributor.authorTaylor, David McD-
dc.contributor.authorUgoni, Antony-
dc.date2017-01-24-
dc.date.accessioned2017-02-28T23:46:41Z-
dc.date.available2017-02-28T23:46:41Z-
dc.date.issued2017-04-
dc.identifier.citationEmergency Medicine Australasia : EMA 2017; 29(2): 149-157en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/16582-
dc.description.abstractOBJECTIVE: To detect and analyse incidents (Is) and adverse events (AEs) in the ED. We hypothesised that I/AE are associated with patient load. METHODS: We undertook a case-control study in a tertiary level hospital ED (from 1 April 2012 to 31 March 2013). Three percent of patients were randomly selected and screened for I/AEs. I/AEs were adjudicated by consensus of four FACEMs. Controls were matched to cases 2:1. Logistic regression was used to analyse the data. RESULTS: We sampled 2167 patients. After exclusions, 217 I/AEs were detected and analysed. The I and AE rates were 6.0 and 4.1%, respectively. The serious AE rate was 0.8% and 30 day mortality was 0.1%. Diagnostic error occurred in 3.7% of all patients and adverse drug reactions in 2.5%. Seventy-seven percent of the I/AEs were judged preventable. ED occupancy of <35 patients was the reference group. Compared with this group, if 36-40 or 41-45 patients were in the ED, I/AEs were more likely to occur (odds ratio [OR] 2.37 [95% confidence interval (CI) 1.40-4.01, P < 0.0] and 1.8 [95% CI 1.03-3.15, P = 0.04], respectively) but not when there were >46 patients (OR 1.7, 95% CI 1.0-3.1). Higher hospital occupancy (90-99%) was a protective factor for sustaining an I/AE (OR 0.57, 95% CI 0.35-0.92, P = 0.02). CONCLUSION: I/AEs are common in the ED and a large proportion is preventable. Strategies for prevention are required. The relationship with patient load needs further clarification, since our data suggests increased I/AE rates with higher occupancy but not highest occupancy.en_US
dc.subjectDiagnostic erroren_US
dc.subjectDrug-related side-effects and adverse drug reactionen_US
dc.subjectEmergency service hospitalen_US
dc.subjectHumanen_US
dc.subjectMedical erroren_US
dc.titleCase-control study to investigate variables associated with incidents and adverse events in the emergency departmenten_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleEmergency Medicine Australasia : EMAen_US
dc.identifier.affiliationEmergencyen_US
dc.identifier.affiliationDepartment of Medicine, The University of Melbourne, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australiaen_US
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/28118693en_US
dc.identifier.doi10.1111/1742-6723.12736en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0002-8986-9997en_US
dc.type.austinJournal Articleen_US
local.name.researcherTaylor, David McD
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairetypeJournal Article-
crisitem.author.deptEmergency-
crisitem.author.deptEmergency-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

18
checked on Mar 28, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.