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- W3003643851 abstract "The emergency department (ED) is the natural venue for the provision of acute unscheduled care. However, little is known about the nature and proportion of this care that goes to addressing adverse events (AEs)—physical injury to a patient due to health care that requires some intervention—that are present on arrival (POA) to the ED. Described here are AEs that are POA, and population prevalence estimates for these events.This retrospective observational study tested the ED Trigger Tool, using data from an urban academic medical center. Patients aged ≥18 completing an ED visit were eligible (N = 92,859). A total of 5,582 visits with triggers (findings that increase the likelihood of an AE) were reviewed using the two-tier trigger approach. AEs were categorized by severity, type, and whether they were POA. POA AEs, and sociodemographic and trigger associations with AEs are described.Of 1,181 AEs identified, 718 (60.8%) were POA to the ED. Patients with POA AEs were more often white (51.1% vs. 39.7%, p < 0.001) and older (median age 62 vs. 50, p < 0.001). The majority of POA AEs were medication-related and patient care–related events. In the population at this center, POA AEs account for an estimated 7.6% of ED visits (95% confidence interval = 6.9%–8.2%).In this single-center study, the majority of AEs detected using the ED Trigger Tool were POA. These findings highlight the importance of the ED as a safety net for harm occurring across the health system." @default.
- W3003643851 created "2020-02-07" @default.
- W3003643851 creator A5062218026 @default.
- W3003643851 date "2020-01-01" @default.
- W3003643851 modified "2023-09-30" @default.
- W3003643851 title "Establishing Physician Well-Being as a National Priority" @default.
- W3003643851 cites W3142492581 @default.
- W3003643851 doi "https://doi.org/10.1016/j.jcjq.2020.01.006" @default.
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- W3003643851 hasPublicationYear "2020" @default.
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