Document Detail


Identification of Adverse Events in Ground Transport Emergency Medical Services.
MedLine Citation:
PMID:  21816967     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The purpose of this study was to develop a method to define and rate the severity of adverse events (AEs) in emergency medical services (EMS) safety research. They used a modified Delphi technique to develop a consensus definition of an AE. The consensus definition was as follows: "An adverse event in EMS is a harmful or potentially harmful event occurring during the continuum of EMS care that is potentially preventable and thus independent of the progression of the patient's condition." Physicians reviewed 250 charts from 3 EMS agencies for AEs. The authors examined physician agreement using κ, Fleiss's κ, and corresponding 95% confidence intervals (CIs). Overall physician agreement on presence of an AE per chart was fair (κ = 0.24; 95% CI = 0.19, 0.29). These findings should serve as a basis for refining and implementing an AE evaluation instrument.
Authors:
P Daniel Patterson; Matthew D Weaver; Kaleab Abebe; Chris Martin-Gill; Ronald N Roth; Joseph Suyama; Francis X Guyette; Jon C Rittenberger; David Krackhardt; Robert Arnold; Donald M Yealy; Judith Lave
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-8-4
Journal Detail:
Title:  American journal of medical quality : the official journal of the American College of Medical Quality     Volume:  -     ISSN:  1555-824X     ISO Abbreviation:  -     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-8-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9300756     Medline TA:  Am J Med Qual     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
University of Pittsburgh School of Medicine, Pittsburgh, PA.
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