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Table 1 Consensus-based priorities for patient safety research in emergency medicine

From: Establishing research priorities for patient safety in emergency medicine: a multidisciplinary consensus panel

  Consensus-based priorities
I Methods to identify patient safety issues
    Developing or evaluating methods to identify and understand adverse events among ED patients
    Developing or evaluating methods identify and understand problems in ED care that lead to subsequent unplanned health-care utilization
    Developing or evaluating methods to identify and understand near misses
    Developing or evaluating methods to identify and understand diagnostic errors in emergency medicine
    Developing or evaluating methods to learn from patient safety events*
II Understanding human and environmental factors related to patient safety
    Completing foundational work to understand how people work in the challenging, unforgiving environment of the ED (e.g., understanding how individuals working in teams sense problems and formulate plans to resolve them; understanding how individuals working in teams recognize and negotiate goal conflict; and understanding how people adapt to the unexpected (how can we better support their ability to anticipate, monitor, respond, and learn)
    Understanding how system factors (e.g., provider characteristics, technologies, and physical environment, crowding) influence patient safety events in the ED
    Understanding the influence of coordination/transition issues across the continuum of patient care (e.g., handover, transfers between hospitals, and transfers between units) on patient safety events
    Understanding the most important precursor events and unsafe situations that lead to adverse events
III Patient perspective
    Exploring the role of patients and families in detecting, reporting, and preventing patient safety events*
IV Interventions to promote patient safety
    Evaluating the impact of feedback and reporting to providers (e.g., patient outcome feedback, performance reviews, M and M rounds) on patient safety events
    Evaluating the impact of simulation on patient safety events*
    Evaluating the impact of cognitive support interventions on patient safety events*
    Developing and evaluating interventions to improve diagnostic accuracy
    Developing and evaluating interventions to address coordination/transition issues across the continuum of patient care (e.g., handover, transfers between hospitals, and transfers between units)
  1. *The term ‘patient safety event’ is used in this context to encompass adverse events, near misses, apparent hazards, and diagnostic errors.