PMID- 20702443
OWN - NLM
STAT- MEDLINE
DCOM- 20110406
LR  - 20181201
IS  - 1475-3901 (Electronic)
IS  - 1475-3898 (Linking)
VI  - 19
IP  - 6
DP  - 2010 Dec
TI  - Use of an electronic information system to identify adverse events resulting in 
      an emergency department visit.
PG  - e53
LID - 10.1136/qshc.2010.040378 [doi]
AB  - OBJECTIVE: There is limited information about the nature of adverse events (AEs) 
      that necessitate an emergency department (ED) visit. The objective of the current 
      study was to demonstrate the feasibility of using routinely collected electronic 
      data to identify AEs in patients presenting to EDs in one Canadian health 
      authority. METHODS: This retrospective cross-sectional study occurred in EDs in 
      two community hospitals, an outpatient community health centre and a tertiary 
      care facility in the Capital District Health Authority in Nova Scotia, Canada 
      between 1 November 2007 and 31 October 2008. The primary outcome was 
      identification of an AE as the main reason for the ED visit. AEs were identified 
      from electronic diagnostic data using previously validated screening criteria. 
      RESULTS: There were 142,433 patient visits to the four EDs during the study 
      period. A total of 1870 (1.3%) AEs were identified using the screening criteria. 
      This included 1133 (0.8%) procedure-related, 673 (0.5%) drug-related, 63 (0.04%) 
      device-related and one radiation-related AE. The AEs identified using this method 
      were most likely the manifestation of treatment decisions made prior to the ED 
      visit and/or related to care in other settings (eg, primary or long-term care, 
      acute hospital care) including previous ED visits. INTERPRETATION: Although the 
      use of electronic data significantly underestimates AEs treated in the ED, for 
      relatively low cost, it provides new information on AEs arising from a variety of 
      care settings that may otherwise not be captured. Significant and clinically 
      important differences in healthcare utilisation underscore the value in 
      identifying these AEs.
FAU - Ackroyd-Stolarz, Stacy
AU  - Ackroyd-Stolarz S
AD  - Department of Emergency Medicine, Dalhousie University, Queen Elizabeth II Health 
      Sciences Centre, Halifax, Nova Scotia, Canada. stacy.ackroyd@dal.ca
FAU - MacKinnon, Neil J
AU  - MacKinnon NJ
FAU - Zed, Peter J
AU  - Zed PJ
FAU - Murphy, Nancy
AU  - Murphy N
LA  - eng
GR  - Canadian Institutes of Health Research/Canada
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20100810
PL  - England
TA  - Qual Saf Health Care
JT  - Quality & safety in health care
JID - 101136980
MH  - Adult
MH  - Cross-Sectional Studies
MH  - Emergency Service, Hospital/*statistics & numerical data
MH  - Feasibility Studies
MH  - Female
MH  - Hospital Information Systems/*statistics & numerical data
MH  - Hospitals, Community
MH  - Humans
MH  - Male
MH  - Medical Errors/classification/*trends
MH  - Middle Aged
MH  - Nova Scotia
MH  - Retrospective Studies
EDAT- 2010/08/13 06:00
MHDA- 2011/04/07 06:00
CRDT- 2010/08/13 06:00
PHST- 2010/08/13 06:00 [entrez]
PHST- 2010/08/13 06:00 [pubmed]
PHST- 2011/04/07 06:00 [medline]
AID - qshc.2010.040378 [pii]
AID - 10.1136/qshc.2010.040378 [doi]
PST - ppublish
SO  - Qual Saf Health Care. 2010 Dec;19(6):e53. doi: 10.1136/qshc.2010.040378. Epub 
      2010 Aug 10.