Near-Miss Events Detected Using the Emergency Department Trigger Tool.

ABSTRACT:

Objectives

Near misses include conditions with potential for harm, intercepted medical errors, and events requiring monitoring or intervention to prevent harm. Little is reported on near misses or their importance for quality and safety in the emergency department (ED).

Methods

This is a secondary evaluation of data from a retrospective study of the ED Trigger Tool (EDTT) at an urban, academic ED (data from October 1, 2014, to October 31, 2015; 92,859 eligible visits). All patients 18 years and older completing a visit were eligible. We ran the EDTT, a computerized query for triggers on 13 months of ED visit data, reviewing 5582 selected records using a 2-tiered approach. Events were categorized by occurrence (ED vs present on arrival [POA]), severity, omission/commission, a

SUBMITTER: Griffey RT 

PROVIDER: S-EPMC9974611 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature