Prehosp Emerg Care 2006 Jan-Mar;10(1):21-7
Department of Emergency Medicine, UNC School of Medicine, Chapel Hill, NC 27599, USA.
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Acad Emerg Med 2004 Feb;11(2):196-9
Department of Emergency Medicine (CH), The University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA.
Objectives: To gather preliminary data on how the three major types of emergency medicine (EM) providers, physicians, nurses (RNs), and out-of-hospital personnel (EMTs), differ in error identification, disclosure, and reporting.
Methods: A convenience sample of emergency department (ED) providers completed a brief survey designed to evaluate error frequency, disclosure, and reporting practices as well as error-based discussion and educational activities.
Results: One hundred sixteen subjects participated: 41 EMTs (35%), 33 RNs (28%), and 42 physicians (36%). Read More
Acad Emerg Med 2006 Apr 10;13(4):443-51. Epub 2006 Mar 10.
Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Objectives: To determine if the three types of emergency medicine providers--physicians, nurses, and out-of-hospital providers (emergency medical technicians [EMTs])--differ in their identification, disclosure, and reporting of medical error.
Methods: A convenience sample of providers in an academic emergency department evaluated ten case vignettes that represented two error types (medication and cognitive) and three severity levels. For each vignette, providers were asked the following: 1) Is this an error? 2) Would you tell the patient? 3) Would you report this to a hospital committee? To assess differences in identification, disclosure, and reporting by provider type, error type, and error severity, the authors constructed three-way tables with the nonparametric Somers' D clustered on participant. Read More
Acad Emerg Med 2006 Aug 6;13(8):886-92. Epub 2006 Jul 6.
Division of Emergency Medicine, Children's Mercy Hospital, Kansas City, MO 64108, USA.
Background: Approximately 16,000 children are transported by ambulances each day, and there are an estimated 4,500 ambulance crashes each year. Information about emergency medical services (EMS) provider knowledge, opinions, and behaviors regarding occupant restraint is lacking.
Objectives: To measure the knowledge, opinions, and behaviors of EMS personnel regarding child and provider restraint use in ambulances. Read More
Med Care 2010 Nov;48(11):955-61
School of Public Health, Division of Health Policy and Administration, University of Illinois, Chicago, IL, USA.
Background: Although strongly favored by patients and ethically imperative for providers, the disclosure of medical errors to patients remains rare because providers fear that it will trigger lawsuits and jeopardize their reputation. To date little is known how patients might respond to their providers' disclosure of a medical error even when paired with an offer of remediation.
Research Design: A representative sample of Illinois residents was surveyed in 2008 about their knowledge about medical errors, their confidence that their providers would disclose medical errors to them, and their propensity to sue and recommend providers that disclose medical errors and offer to remedy them. Read More