Evidence map›Paper›PMID 26759657›Full record

ArticleThe western journal of emergency medicine2015

Voluntary Medical Incident Reporting Tool to Improve Physician Reporting of Medical Errors in an Emergency Department.

Nnaemeka G Okafor, Pratik B Doshi, Sara K Miller, James J McCarthy, Nathan R Hoot, Bryan F Darger, Roberto C Benitez, Yashwant G Chathampally

Abstract read
In one paragraph

Article in The western journal of emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Fast does not imply flawed: Analyzing emergency physician productivity and medical errors.Journal of the American College of Emergency Physicians open · 2022
    Article
  2. Article
  3. Incident reporting reduction during the COVID-19 pandemic in a tertiary Italian hospital: A retrospective analysis.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nnaemeka G OkaforUniversity of Texas Health Science Center, Department of Emergency Medicine, Houston, Texas.
Pratik B DoshiUniversity of Texas Health Science Center, Department of Emergency Medicine, Houston, Texas.
Sara K MillerUniversity of Texas Health Science Center, Department of Emergency Medicine, Houston, Texas.
James J McCarthyUniversity of Texas Health Science Center, Department of Emergency Medicine, Houston, Texas.
Nathan R HootUniversity of Texas Health Science Center, Department of Emergency Medicine, Houston, Texas.
Bryan F DargerUniversity of Texas Health Science Center, Department of Emergency Medicine, Houston, Texas.
Roberto C BenitezUniversity of Texas Health Science Center, Department of Emergency Medicine, Houston, Texas.
Yashwant G ChathampallyUniversity of Texas Health Science Center, Department of Emergency Medicine, Houston, Texas.

Funding

AHRQ Training Program in Patient Safety and QualityT32HS017586 · AHRQ · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SITTIG, DEAN F. · 2008 to 2012
$1.6M
AHRQ HHS T32 HS017586AHRQ HHS T32HS017586
6 · The paper itself

Abstract

introductionMedical errors are frequently under-reported, yet their appropriate analysis, coupled with remediation, is essential for continuous quality improvement. The emergency department (ED) is recognized as a complex and chaotic environment prone to errors. In this paper, we describe the design and implementation of a web-based ED-specific incident reporting system using an iterative process.

methodsA web-based, password-protected tool was developed by members of a quality assurance committee for ED providers to report incidents that they believe could impact patient safety.

resultsThe utilization of this system in one residency program with two academic sites resulted in an increase from 81 reported incidents in 2009, the first year of use, to 561 reported incidents in 2012. This is an increase in rate of reported events from 0.07% of all ED visits to 0.44% of all ED visits. In 2012, faculty reported 60% of all incidents, while residents and midlevel providers reported 24% and 16% respectively. The most commonly reported incidents were delays in care and management concerns.

conclusionError reporting frequency can be dramatically improved by using a web-based, user-friendly, voluntary, and non-punitive reporting system.

Indexed as

Emergency MedicineEmergency Service, HospitalHumansInternetMedical ErrorsPatient SafetyProfessional PracticeQuality Assurance, Health CareRisk ManagementSafety ManagementUser-Computer Interface

Identifiers

PMID26759657
PMCPMC4703179

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.