Error reporting in the emergency department: do we do what we say we do?

Jeanmonod, Rebecca; Katz, Benjamin

doi:10.5847/wjem.j.issn.1920-8642.2012.04.004

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…Some have suggested chart-based educational training while others have recommended using workshops. There are studies [17][18][19] confirming that educational intervention can be an effective means of improving providers' behaviour regarding medical record documentation. Farzandipour et al [20] in 2013, found that one brief educational session was not an effective strategy to improve documentation.…”

Section: Discussionmentioning

confidence: 99%

“…Farzandipour et al [20] in 2013, found that one brief educational session was not an effective strategy to improve documentation. Tinsley et al [19] declared that documentation might be improved by education if it was reinforced with support of faculty and continued feedback to trainees about their charting quality. Our study somehow supported this result and confi rmed that 6 months after the intervention some documentation rates faded comparing to 1 month following the educational workshop.…”

Section: Discussionmentioning

confidence: 99%

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Impact of an educational intervention on medical records documentation

Vahedi

Mirfakhrai

Vahidi

et al. 2018

World Journal of Emergency Medicine

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BACKGROUND: Inaccurate and incomplete documentation can lead to poor treatment and medicolegal consequences. Studies indicate that teaching programs in this fi eld can improve the documentation of medical records. The study aimed to evaluate the effect of an educational workshop on medical record documentation by emergency medicine residents in the emergency department. METHODS: An interventional study was performed on 30 residents in their fi rst year of training emergency medicine (PGY1), in three tertiary referral hospitals of Tehran University of Medical Sciences. The essential information that should be documented in a medical record was taught in a 3-day-workshop. The medical records completed by these residents before the training workshop were randomly selected and scored (300 records), as was a random selection of the records they completed one (300 records) and six months (300 records) after the workshop. RESULTS: Documentation of the majority of the essential items of information was improved significantly after the workshop. In particular documentation of the patients' date and time of admission, past medical and social history. Documentation of patient identity, requests for consultations by other specialties, fi rst and fi nal diagnoses were 100% complete and accurate up to 6 months of the workshop. CONCLUSION: This study confirms that an educational workshop improves medical record documentation by physicians in training.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of an educational intervention on medical records documentation

Vahedi

Mirfakhrai

Vahidi

et al. 2018

World Journal of Emergency Medicine

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“…In some cases, providers aware of a medical error may choose not to report it,15 focusing instead on mitigating patient harm . Providers may feel they have fulfilled their ethical duty by addressing the harms immediately resulting from an error, be unaware of error reporting systems, believe that error reporting is not their responsibility, or fear that they may face negative repercussions from error reporting 15 16. However, reporting and subsequent steps are essential to prevent future harms to other patients resulting from repetition of similar errors.…”

Section: Case Descriptionmentioning

confidence: 99%

Heimlich valve orientation error leading to radiographic tension pneumothorax: analysis of an error and a call for education, device redesign and regulatory action

et al. 2015

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Medical errors are commonly multifactorial, with adverse clinical consequences often requiring the simultaneous failure of a series of protective layers, termed the Swiss Cheese model. Remedying and preventing future medical errors requires a series of steps, including detection, mitigation of patient harm, disclosure, reporting, root cause analysis, system modification, regulatory action, and engineering and manufacturing reforms. We describe this process applied to two cases of improper orientation of a Heimlich valve in a thoracostomy tube system, resulting in enlargement of an existing pneumothorax and the development of radiographic features of tension pneumothorax. We analyse elements contributing to the occurrence of the error and depict the implementation of reforms within our healthcare system and with regulatory authorities and the manufacturer. We identify features of the Heimlich valve promoting this error and suggest educational, design, and regulatory reforms for enhanced patient safety.

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