PMID- 21816967
OWN - NLM
STAT- MEDLINE
DCOM- 20120716
LR  - 20120314
IS  - 1555-824X (Electronic)
IS  - 1062-8606 (Linking)
VI  - 27
IP  - 2
DP  - 2012 Mar-Apr
TI  - Identification of adverse events in ground transport emergency medical services.
PG  - 139-46
LID - 10.1177/1062860611415515 [doi]
AB  - The purpose of this study was to develop a method to define and rate the severity 
      of adverse events (AEs) in emergency medical services (EMS) safety research. They 
      used a modified Delphi technique to develop a consensus definition of an AE. The 
      consensus definition was as follows: "An adverse event in EMS is a harmful or 
      potentially harmful event occurring during the continuum of EMS care that is 
      potentially preventable and thus independent of the progression of the patient's 
      condition." Physicians reviewed 250 charts from 3 EMS agencies for AEs. The 
      authors examined physician agreement using kappa, Fleiss's kappa, and corresponding 95% 
      confidence intervals (CIs). Overall physician agreement on presence of an AE per 
      chart was fair (kappa = 0.24; 95% CI = 0.19, 0.29). These findings should serve as a 
      basis for refining and implementing an AE evaluation instrument.
FAU - Patterson, P Daniel
AU  - Patterson PD
AD  - Department of Emergency Medicine, University of Pittsburgh School of Medicine, 
      Pittsburgh, PA 15261, USA. pattersond@upmc.edu
FAU - Weaver, Matthew D
AU  - Weaver MD
FAU - Abebe, Kaleab
AU  - Abebe K
FAU - Martin-Gill, Chris
AU  - Martin-Gill C
FAU - Roth, Ronald N
AU  - Roth RN
FAU - Suyama, Joseph
AU  - Suyama J
FAU - Guyette, Francis X
AU  - Guyette FX
FAU - Rittenberger, Jon C
AU  - Rittenberger JC
FAU - Krackhardt, David
AU  - Krackhardt D
FAU - Arnold, Robert
AU  - Arnold R
FAU - Yealy, Donald M
AU  - Yealy DM
FAU - Lave, Judith
AU  - Lave J
LA  - eng
GR  - KL2 RR024154/RR/NCRR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20110804
PL  - Netherlands
TA  - Am J Med Qual
JT  - American journal of medical quality : the official journal of the American 
      College of Medical Quality
JID - 9300756
SB  - IM
MH  - *Ambulances/standards
MH  - Delphi Technique
MH  - Emergency Medical Services/standards
MH  - Humans
MH  - Medical Audit
MH  - *Medical Errors/statistics & numerical data
MH  - Quality Indicators, Health Care
EDAT- 2011/08/06 06:00
MHDA- 2012/07/17 06:00
CRDT- 2011/08/06 06:00
PHST- 2011/08/06 06:00 [entrez]
PHST- 2011/08/06 06:00 [pubmed]
PHST- 2012/07/17 06:00 [medline]
AID - 1062860611415515 [pii]
AID - 10.1177/1062860611415515 [doi]
PST - ppublish
SO  - Am J Med Qual. 2012 Mar-Apr;27(2):139-46. doi: 10.1177/1062860611415515. Epub 
      2011 Aug 4.