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Patient Safety in Emergency Departments: Improvement Is Possible

Received: 25 February 2022     Accepted: 12 March 2022     Published: 23 March 2022
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Abstract

Emergency services have a high potential risk for adverse events. The working conditions are sometimes conducive to making mistakes. There are few studies that have shown improvements in specific aspects of patient safety in the emergency department, but none in the overall incidence. The general objective is to improve patient safety in our emergency services by implementing improvement actions. This is a quasi-experimental study carried out in 8 hospital emergency services. The methodology is mainly based on the EVADUR and ENEAS studies. We collect data through a face-to-face interview during their stay in the Emergency Department and carry out a telephone review 1 week later. We then inform the departments of the results and initiate improvement activities. 14 improvement measures were implemented in the different emergency services. Two years later, a reassessment was carried out using the same methodology. An initial sample of 382 cases was collected. After the improvement actions, data from 267 patients were collected. No significant differences were found between the 2 groups in terms of age, sex, triage level, hospital, care shift, average length of stay and discharge destination. In the initial evaluation, at least 1 incidence was detected in 46 patients (12.04%), and in the reevaluation, 16 patients with an incident (5.99%) were detected. The differences were statistically significant (p<0.01). The emergency services studied were able to reduce the number of patient safety incidents.

Published in Journal of Health and Environmental Research (Volume 8, Issue 1)
DOI 10.11648/j.jher.20220801.19
Page(s) 55-60
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Safety Patient, Emergency Service, Quality Improvement

References
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[9] Aranaz-Andrés JMª, Aibar-Remón C, Vitaller-Burillo J, Ruiz-López P. Estudio Nacional sobre los Efectos Adversos ligados a la Hospitalización ENEAS 2005 [National study on adverse effects linked to hospitalization] ENEAS 2005. Ministerio de Sanidad y Consumo [Ministry of Health and Consumer Services], 2006.
[10] Jiménez-Murillo L, Hermoso-Gadeo F, Tomás-Vecina S, et al. Urgencias Sanitarias en España: Situación Actual y propuestas de Mejora [Health emergencies in Spain: current situation and improvement proposals]. Granada: Escuela Andaluza de Salud Publica Editores, Sociedad Española de Medicina de Urgencias y Emergencias, 2003.
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[15] Tomas S, Chanovas M, Roqueta F, Alcaraz J, Toranzo T, Grupo de Trabajo EVADUR – SEMES. EVADUR: eventos adversos ligados a la asistencia en los servicios de urgencias de hospitales españoles [Adverse events related to Spanish hospital emergency department care: the EVADUR study]. Emergencias 2010; 22: 415-28.
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Cite This Article
  • APA Style

    Julián Alcaraz-Martinez, Jesús Maria Aranaz-Andrés, Juana Maria Marín-Martínez, Cristina Esteban-Lloret, Isabel Maria Reina-Nicolás, et al. (2022). Patient Safety in Emergency Departments: Improvement Is Possible. Journal of Health and Environmental Research, 8(1), 55-60. https://doi.org/10.11648/j.jher.20220801.19

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    ACS Style

    Julián Alcaraz-Martinez; Jesús Maria Aranaz-Andrés; Juana Maria Marín-Martínez; Cristina Esteban-Lloret; Isabel Maria Reina-Nicolás, et al. Patient Safety in Emergency Departments: Improvement Is Possible. J. Health Environ. Res. 2022, 8(1), 55-60. doi: 10.11648/j.jher.20220801.19

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    AMA Style

    Julián Alcaraz-Martinez, Jesús Maria Aranaz-Andrés, Juana Maria Marín-Martínez, Cristina Esteban-Lloret, Isabel Maria Reina-Nicolás, et al. Patient Safety in Emergency Departments: Improvement Is Possible. J Health Environ Res. 2022;8(1):55-60. doi: 10.11648/j.jher.20220801.19

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  • @article{10.11648/j.jher.20220801.19,
      author = {Julián Alcaraz-Martinez and Jesús Maria Aranaz-Andrés and Juana Maria Marín-Martínez and Cristina Esteban-Lloret and Isabel Maria Reina-Nicolás and Sara Ramos-López and Belén Soto-Castellón and Clara Gómez García and Manuel Belda-Palazón and Carmen Escudero-Sánchez and Pascual Piñera-Salmerón and Dolores Beteta Fernández},
      title = {Patient Safety in Emergency Departments: Improvement Is Possible},
      journal = {Journal of Health and Environmental Research},
      volume = {8},
      number = {1},
      pages = {55-60},
      doi = {10.11648/j.jher.20220801.19},
      url = {https://doi.org/10.11648/j.jher.20220801.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20220801.19},
      abstract = {Emergency services have a high potential risk for adverse events. The working conditions are sometimes conducive to making mistakes. There are few studies that have shown improvements in specific aspects of patient safety in the emergency department, but none in the overall incidence. The general objective is to improve patient safety in our emergency services by implementing improvement actions. This is a quasi-experimental study carried out in 8 hospital emergency services. The methodology is mainly based on the EVADUR and ENEAS studies. We collect data through a face-to-face interview during their stay in the Emergency Department and carry out a telephone review 1 week later. We then inform the departments of the results and initiate improvement activities. 14 improvement measures were implemented in the different emergency services. Two years later, a reassessment was carried out using the same methodology. An initial sample of 382 cases was collected. After the improvement actions, data from 267 patients were collected. No significant differences were found between the 2 groups in terms of age, sex, triage level, hospital, care shift, average length of stay and discharge destination. In the initial evaluation, at least 1 incidence was detected in 46 patients (12.04%), and in the reevaluation, 16 patients with an incident (5.99%) were detected. The differences were statistically significant (p<0.01). The emergency services studied were able to reduce the number of patient safety incidents.},
     year = {2022}
    }
    

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    T1  - Patient Safety in Emergency Departments: Improvement Is Possible
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    AU  - Jesús Maria Aranaz-Andrés
    AU  - Juana Maria Marín-Martínez
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    AU  - Sara Ramos-López
    AU  - Belén Soto-Castellón
    AU  - Clara Gómez García
    AU  - Manuel Belda-Palazón
    AU  - Carmen Escudero-Sánchez
    AU  - Pascual Piñera-Salmerón
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    AB  - Emergency services have a high potential risk for adverse events. The working conditions are sometimes conducive to making mistakes. There are few studies that have shown improvements in specific aspects of patient safety in the emergency department, but none in the overall incidence. The general objective is to improve patient safety in our emergency services by implementing improvement actions. This is a quasi-experimental study carried out in 8 hospital emergency services. The methodology is mainly based on the EVADUR and ENEAS studies. We collect data through a face-to-face interview during their stay in the Emergency Department and carry out a telephone review 1 week later. We then inform the departments of the results and initiate improvement activities. 14 improvement measures were implemented in the different emergency services. Two years later, a reassessment was carried out using the same methodology. An initial sample of 382 cases was collected. After the improvement actions, data from 267 patients were collected. No significant differences were found between the 2 groups in terms of age, sex, triage level, hospital, care shift, average length of stay and discharge destination. In the initial evaluation, at least 1 incidence was detected in 46 patients (12.04%), and in the reevaluation, 16 patients with an incident (5.99%) were detected. The differences were statistically significant (p<0.01). The emergency services studied were able to reduce the number of patient safety incidents.
    VL  - 8
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Author Information
  • Quality Unit, JM Morales Meseguer University Hospital (Hospital Universitario JM Morales Meseguer), Murcia, Spain

  • Department of Preventative Medicine, Ramón and Cajal University Hospital (Hospital Universitario Ramón y Cajal), Madrid, Spain

  • Emergency Department, Virgen de la Arrixaca Clinic Hospital (Hospital Clínico Universitario Virgen de la Arrixaca) Murcia, Spain

  • Emergency Department, JM Morales Meseguer University Hospital (Hospital Universitario JM Morales Meseguer), Murcia, Spain

  • Emergency Department, JM Morales Meseguer University Hospital (Hospital Universitario JM Morales Meseguer), Murcia, Spain

  • Emergency Department, JM Morales Meseguer University Hospital (Hospital Universitario JM Morales Meseguer), Murcia, Spain

  • Emergency Department, JM Morales Meseguer University Hospital (Hospital Universitario JM Morales Meseguer), Murcia, Spain

  • Emergency Department, JM Morales Meseguer University Hospital (Hospital Universitario JM Morales Meseguer), Murcia, Spain

  • Emergency Department, Rafael Méndez University Hospital (Hospital Universitario Rafael Méndez), Lorca, Spain

  • Emergency Department, de la Vega Lorenzo Guirao Hospital (Hospital de la Vega Lorenzo Guirao), Cieza, Spain

  • Emergency Department, Virgen de la Arrixaca Clinic Hospital (Hospital Clínico Universitario Virgen de la Arrixaca) Murcia, Spain

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