scholarly journals The reporting of adverse events in Johannesburg Academic Emergency Departments

2020 ◽  
Author(s):  
Matthew Gabriel Zoghby ◽  
Deidre Hoffman ◽  
Zeyn Mahomed
Keyword(s):  
Adverse Events ◽  
Emergency Departments

Syndromic surveillance of vaccine-associated adverse events in U.S. emergency departments

Vaccine ◽  
2021 ◽  
Author(s):  
Lakshmi Radhakrishnan ◽  
Zachary Stein ◽  
Jourdan DeVies ◽  
Amanda Smith ◽  
Michael Sheppard ◽  
...  
Keyword(s):  
Adverse Events ◽  
Emergency Departments ◽  
Syndromic Surveillance

Patient Safety Culture in Emergency Departments of Yemeni Public Hospitals: A Survey Study

2021 ◽  
Author(s):  
Mohammed Alsabri ◽  
Mervat Abdulaziz AlGhallabi ◽  
Farouk Abdulrahman Al-Qadasi ◽  
Asma Abdullah Yahya Zeeherah ◽  
Adekemi Ebo ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Emergency Departments ◽  
Patient Safety Culture ◽  
Public Hospitals ◽  
Survey Study ◽  
The Past ◽  
Important Challenge ◽  
University Degree

Introduction: Quality and safety is an important challenge in healthcare systems all over the world particularly in developing parts. Objective: This survey aimed to assess patient safety culture (PSC) in emergency departments (EDs) in Yemen and identify its associated factors. Methods: A questionnaire containing the Hospital Survey on Patient Safety Culture (HSOPSC) was distributed to ED physicians, nurses, and clinical, and non-clinical staff at three public teaching general hospitals. The percentages of positive responses on the 12 patient safety dimensions and the summation of PSC and two outcomes (overall patient safety grade and adverse events reported in the past year) were assessed. Factors associated with PSC aggregate score were analyzed. Results: finally, out of 400 questionnaires, 250 (64%) were analyzed. In total, 207 (82.3%) participants were nurses and physicians; 140 (56.0%) were male; 134 (53.6%) were less than 30 years old; and 134 (53.6%) had a university degree. Participants provided the highest ratings for the “teamwork within units” PSC composite (67%). The lowest rating was for “non-punitive response to error” (21.3%). A total of 120 (48.1%) participants did not report any events in the past year and 99 (39.7%) gave their hospital an “excellent/very good” overall patient safety grade. There were significant differences between the hospitals’ EDs in the rating of “handoffs and transitions” (p=0.016), “teamwork within units” (p=0.018), and “frequency of adverse events reported” (p=0.016). Staff working in intensive care units (8.4%, n=21) had lower patient safety aggregate scores. Conclusions: PSC ratings appear to be low in Yemen. This study emphasizes the need to create and maintain a PSC in EDs through the implementation of quality improvement strategies and environment of transparency, open communications, and continuous learning.

Estimates of medical device–associated adverse events from emergency departments

2004 ◽  
Vol 27 (3) ◽  
pp. 246-253 ◽  
Author(s):  
Brockton J. Hefflin ◽  
Thomas P. Gross ◽  
Thomas J. Schroeder
Keyword(s):  
Adverse Events ◽  
Medical Device ◽  
Emergency Departments

scholarly journals Non-traumatic Haemorrhagic Adverse Events: A Cross-sectional Study in Emergency Departments

2018 ◽  
Vol 08 (02) ◽  
Author(s):  
Lara Magro ◽  
Giovanna Stoppa ◽  
Mauro Venegoni ◽  
Claudio Pistorelli ◽  
Giorgio Ricci ◽  
...  
Keyword(s):  
Adverse Events ◽  
Emergency Departments ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Older Patients in Emergency Departments. Challenges from the health care providers’ perspective

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J Deutschbein ◽  
M Möckel ◽  
L Schenk
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Health Care Providers ◽  
Demographic Change ◽  
Health Care Professionals ◽  
Emergency Departments ◽  
Older Patients ◽  
Care Providers ◽  
Complex Needs ◽  
Prolonged Length

Abstract Background Patients aged 65 and above are the fastest growing patient population in Europe. This is one of greatest challenges for almost all health services providers, including acute hospitals and their Emergency Departments (ED). As of today, older patients represent up to 30% of all ED patients, it is estimated. However, it is largely unclear to what degree EDs are currently prepared for older patients and how they need to adjust. This study analyses the present situation from the perspective of health care professionals caring for older ED patients. Methods The study was embedded in a mixed methods design using qualitative expert interviews. N = 25 semi-structured, guided interviews were conducted with professional health care providers from 7 Berlin EDs (physicians, nurses), and adjacent health care sectors such as nursing homes, rehabilitation clinics, and medical practices. Interviewees were asked about their daily experiences with older ED patients and their ideas of health care deficits and potentials. Data was analyzed using content analysis and hermeneutics. Results Health care providers assess the ED care situation for older patients and the necessity of adjustments in different ways but mostly as deficient. EDs are described as not elderly-friendly and partly as hazardous: older patients are at risk of adverse events such as developing a delirium. Risk factors are prolonged length of stay, the busy and noisy ED setting, and falls hazards. In general, ED staffing is not adequate to care for older patients with complex needs. Conclusions Considering demographic change, German Eds need to concentrate on the growing number of oder patients and their specific needs. Further research and development of specific care concepts for older ED patients is strongly needed. Potential adjustments of ED structures and care concepts also need to involve patients’ experiences and subjective needs. However, data on the patient perspective is still missing. Key messages Older patients and demographic change represent great challenges for EDs. Care concepts need to be developed to meet older patients needs and to avoid risks of adverse events.

scholarly journals Adverse events related to herbal products used by patients presenting at emergency departments

2021 ◽  
Vol 4 (2) ◽  
pp. 101-106
Author(s):  
Sunanta Tangnitipong ◽  
Supat Jiranusornkul ◽  
Pathomwat Wongrattanakamon
Keyword(s):  
Adverse Events ◽  
Emergency Departments ◽  
Herbal Products

scholarly journals Adverse events and preventive measures related to COVID-19 vaccines

2021 ◽  
Vol 8 (3) ◽  
pp. 153-159
Author(s):  
Tae Kyu Ahn ◽  
Soo Kang ◽  
Jin Hui Paik ◽  
Young Ho Seo
Keyword(s):  
Adverse Events ◽  
Small Proportion ◽  
Emergency Departments ◽  
Adverse Reactions ◽  
Preventive Measures ◽  
Adenovirus Vector ◽  
Emergency Physicians ◽  
Manufacturing Technique ◽  
Life Threatening

The coronavirus disease 2019 (COVID-19) vaccines are categorized according to the manufacturing technique, including mRNA vaccines and adenovirus vector vaccines. According to previous studies, the reported efficacy of the COVID-19 vaccine is excellent regardless of the type of vaccine, and the majority of studies have shown similar results for safety. Most of the adverse reactions after vaccination were mild or moderate grade, and severe reactions were reported in a very small proportion. However, the adverse reactions that might occur after nationwide vaccinations can contribute to crowding of emergency departments, and this can further lead to significant obstacles to providing necessary treatment for life-threatening conditions. Therefore, as emergency physicians, we would like to present some concerns and suggestions to prevent these predictable problems.

scholarly journals MP59: Exploring adverse events in boarded psychiatric patients in Calgary zone adult emergency departments

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S64-S64
Author(s):  
D. Major ◽  
S. VandenBerg
Keyword(s):  
Adverse Event ◽  
Adverse Events ◽  
Emergency Departments ◽  
Psychiatric Patients ◽  
Retrospective Chart Review ◽  
Physical Assault ◽  
Convenience Sample ◽  
Time Period ◽  
Self Harm ◽  
Staff Psychiatrist

Introduction: Adult Emergency Departments (EDs) in Calgary are facing a crisis of boarded patients admitted to psychiatric in-patient units. In psychiatric emergency care, “boarding” describes the holding of patients in the ED after the decision to admit has been made by a staff psychiatrist and a bed request has been submitted. Literature review suggests psychiatric patients face exorbitantly higher boarding times than any other service in the hospital however little is published on the nature of these adverse events. Examples of adverse patient events from a psychiatric perspective could include: the need to initiate mechanical and/or chemical restraints after admission and while still in the ED, attempts to self-harm, and verbal and physical assault on ED staff. Methods: This study quantifies the incidence of adverse events experienced by psychiatric patients while boarded in the ED. It uses a retrospective chart review of all adult psychiatric patients, age 18 - 55yo, who presented to one of four adult EDs and who were admitted to a psychiatric in-patient unit in the Calgary Zone between January 1, 2019 and May 15, 2019. A randomly generated convenience sample identified 200 patients, 50 from each site, for in-depth review. Results: During the study time period, 1862 adult patients were admitted from emergency departments to the psychiatry service across all four sites. Of the 200 charts reviewed, patients ranged in age from 26-41 (average 34). 52.5% were male with the majority being admitted to a non-high observation bed. The average boarding time was 23.5 hours with an average total ED length of stay of 31 hours for all comers. Those who experienced an adverse event while boarded in the ED experienced a significantly prolonged average boarding time (35 hours) compared to those who did not experience an adverse event (6.5 hours) (p = 0.005). Significant adverse events were associated with the specific hospital site and the type of admission bed needed (high observation versus normal versus short stay) (p < 0.05). Conclusion: Psychiatric patients boarded in Calgary EDs experience a number of significant adverse events. The importance of understanding the reality of the conditions that psychiatric ED patients face while waiting for in-patient placement cannot be overstated. This study is important to emergency medicine as it will allow for deeper understanding of the patient experience while in the ED and identifies areas that may require further advocacy amongst ED staff and our psychiatry colleagues.

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