Deakin, A., Schultz, T. & Runciman, B. (2017) Emergency Medicine Events Register (EMER) - Final Report. Adelaide: Australian Patient Safety Foundation EMER_Report_January_2017_Final.pdf
Hansen, K., Schultz, T., Crock, C., Deakin, A., Runciman, W. and Gosbell, A. (2016) The Emergency Medicine Events Register: An analysis of the first 150 incidents entered into a novel, online incident reporting registry. Emergency Medicine Australasia. DOI: 10.1111/1742-6723.12620. http://onlinelibrary.wiley.com/doi/10.1111/1742-6723.12620/full
West, A. (2016) Letter to the editor: One register to rule them all: Emergency Medicine Events register? Emergency Medicine Australasia. doi: 10.1111/1742-6723.12692. https://www.ncbi.nlm.nih.gov/pubmed/27748015
Crock, C. and Deakin, A. (2016). Interviewed by Lucy Palermo for Health Matters. EMER: How consumers & clinicians can improve patient experiences in Hospital Emergency Departments. Health Consumers Council (WA) Inc Magazine. Issue 2. 24-25. http://www.hconc.org.au/emer/
Deakin, A. & Smith, B, (2015). Interhospital transfer: How can we get it right? Emergency Medicine Australasia. 27 (5) 492-493.http://onlinelibrary.wiley.com/doi/10.1111/1742-6723.12453/epdf
Deakin, A., & Hansen, K. (2015). Why did you leave us when we wanted you to stay? Emergency Medicine Australasia. 27(5). 488–489.http://onlinelibrary.wiley.com/doi/10.1111/1742-6723.12447/epdf
Deakin, A., & Shepherd, M. (2015). Knickers in a twist. Emergency Medicine Australasia. 27,618–619 doi:10.1111/1742-6723.12473.http://onlinelibrary.wiley.com/doi/10.1111/1742-6723.12473/epdf
Deakin, A., Schultz, TJ., Hansen, K., & Crock, C. (2014). Diagnostic error: Missed fractures in emergency medicine. Emergency Medicine Australasia : EMA. http://onlinelibrary.wiley.com/doi/10.1111/1742-6723.12328/epdf
Schultz, T. J., Crock, C., Hansen, K., Deakin, A., & Gosbell, A. (2014). Piloting an online incident reporting system in Australasian emergency medicine. Emergency Medicine Australasia : EMA, 26(5), 461–7. http://onlinelibrary.wiley.com/enhanced/doi/10.1111/1742-6723.12271/
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Incident reporting studies
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Hohenstein, C., Hempel, D., Schultheis, K., Lotter, O., & Fleischmann, T. (2014). Critical incident reporting in emergency medicine: results of the prehospital reports. Emergency Medicine Journal : EMJ, 31(5), 415–8. http://emj.bmj.com/content/31/5/415.abstract
Jepson, Z. K., Darling, C. E., Kotkowski, K. A., Bird, S. B., Arce, M. W., Volturo, G. A., & Reznek, M. A. (2014). Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. BMC Emergency Medicine, 14(1), 20. https://bmcemergmed.biomedcentral.com/articles/10.1186/1471-227X-14-20
Mandel, C. J., & Runciman, W. B. (2013). System for reporting and analysing incidents. In L. Lau & K.-H. Ng (Eds.), Radiological Safety and Quality (pp. 203–221). Dordrecht: Springer. http://link.springer.com/chapter/10.1007/978-94-007-7256-4_11#page-2
Hannaford, N., Mandel, C., Crock, C., Buckley, K., Magrabi, F., Ong, M., … Schultz, T. (2013). Learning from incident reports in the Australian medical imaging setting: handover and communication errors. The British Journal of Radiology, 86(1022), 20120336. http://www.birpublications.org/doi/abs/10.1259/bjr.20120336
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Thomas, M. J., Schultz, T. J., Hannaford, N., & Runciman, W. B. (2011). Mapping the limits of safety reporting systems in health care - what lessons can we actually learn? MJA, 194 (12), 635-639. https://www.mja.com.au/journal/2011/194/12/mapping-limits-safety-reporting-systems-health-care-what-lessons-can-we-actually
Brubacher, J. R., Hunte, G. S., Hamilton, L., & Taylor, A. (2011). Barriers to and incentives for safety event reporting in emergency departments. Healthcare Quarterly (Toronto, Ont.), 14(3), 57–65. https://www.ncbi.nlm.nih.gov/pubmed/21841378
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Vinen, J. (2000). Incident Monitoring in Emergency Departments An Australian Model. Academic Emergency Medicine, 7(11), 1290–1297. http://onlinelibrary.wiley.com/doi/10.1111/j.1553-2712.2000.tb00478.x/abstract
Patient safety in Emergency Medicine
ACEM. (2017). "A new take: Diagnostic errros under the spotlight". https://acem.org.au/News/2017/June/A-new-take.aspx
Okafor, N.G., Doshi, P.B., Miller, S.K., McCarthy, J.J., Hoot, N.R., Darger, B.F., Benitez, R.C. and Chathampally, Y.G. (2015). “Voluntary Medical Incident Reporting Tool to Improve Physician Reporting of Medical Errors in an Emergency Department”. Western Journal of Emergency Medicine. XVI(7). 1073-1078 DOI: 10.5811/westjem.2015.8.27390. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703179/
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Jones, D. N., & Crock, C. (2009). Parallel diagnostic universes : One patient. How radiologists and emergency physicians share diagnostic error. Journal of Medical Imaging and Radiation Oncology, 53, 143–151. http://onlinelibrary.wiley.com/doi/10.1111/j.1754-9485.2009.02052.x/abstract
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Friedman, S. M., Provan, D., Moore, S., & Hanneman, K. (2008). Errors, near misses and adverse events in the emergency department: What can patients tell us? Canadian Journal of Emergency Medicine, 10(5), 421–427. https://www.cambridge.org/core/journals/canadian-journal-of-emergency-medicine/article/errors-near-misses-and-adverse-events-in-the-emergency-department-what-can-patients-tell-us/F445E5E702DDDE377E7E61222ED2B130
Error in Emergency Medicine
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Marco CA, Kowalenko T. Emergency medicine residents’ perspectives on patient safety and duty hours. Am J Emerg Med. 2015/02/11 ed. 2014; http://www.sciencedirect.com/science/article/pii/S0735675714008729
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Thomas, M., & Mackway-Jones, K. (2008). Incidence and causes of critical incidents in emergency departments: A comparison and root cause analysis. Emergency Medicine Journal, 25(6), 346–350. https://www.ncbi.nlm.nih.gov/pubmed/18499816
Wears, R. L., & Nemeth, C. P. (2007). Replacing hindsight with insight: toward better understanding of diagnostic failures. Annals of Emergency Medicine, 49(2), 206–9. http://www.sciencedirect.com/science/article/pii/S0196064406021470
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Deakin A and Crock C. (2017) “Consumer Reporting of Diagnostic Errors in Emergency Medicine”. AusDEM 2017 poster abstract AusDEM poster abstract
Leistikow, I., Mulder, S., Vesseur, J. and Robben, P. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Quality & Safety. 0:1–5. doi:10.1136/bmjqs-2015-004853. (2016). http://qualitysafety.bmj.com/content/early/2016/04/01/bmjqs-2015-004853.full
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Patient safety and error in other disciplines
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Hannaford, N., Mandel, C., Crock, C., Buckley, K., Magrabi, F., Ong, M., Allen, S., Schultz, T. (2013). Learning from incident reports in the Australian medical imaging setting: handover and communication errors. The British Journal of Radiology, 86(1022), 20120336. http://www.birpublications.org/doi/full/10.1259/bjr.20120336
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Source: Runciman W, Hibbert P, Thomson R, Van Der Schaaf T, Sherman H, Lewalle P: Towards an International Classification for Patient Safety: key concepts and terms. Int J Qual Health Care 2009, 21:18-26.
A patient safety incident (an ‘incident’) is an event or circumstance that could have resulted, or did result, in unnecessary harm to a patient. The use of the term ‘unnecessary’ in this definition recognizes that errors, violations, patient abuse and deliberately unsafe acts occur in healthcare and are unnecessary incidents, whereas certain forms of harm, such as an incision for a laparotomy, are necessary. The former are incidents, whereas the latter is not.
Incidents are classified into a number of different types.