Dataset Information

The reporting of adverse events in Johannesburg Academic Emergency Departments.

ABSTRACT:

Introduction

Adverse events (AE) are a common occurrence in healthcare systems; however, the frequency of AEs occurring in South Africa and especially Emergency Departments (ED) is unknown. The aims of this study were to describe the frequency of AEs experienced by Healthcare providers (HCP) and the frequency of formal reporting thereafter over a 12-month period.

Methods

A cross sectional descriptive study was performed amongst HCPs at Helen Joseph Hospital and Chris Hani Baragwanath Academic Hospital EDs. The questionnaire incorporated ED relevant AEs using the South African National Procedural Manual for Patient Safety Incident Reporting and Learning.

Results

The questionnaires from 51 doctors and 49 nurses were analysed. All HCPs experienced >10 AEs over 1 year. Nurses were 21 times more likely than doctors to report >10 AEs (p < 0.001). Twenty four percent of AEs experienced were deemed to be minor, very minor or not adverse.

Conclusion

There are low levels of formal AE reporting, especially amongst doctors, within Johannesburg Academic EM Departments despite large numbers of AEs experienced. There are multiple barriers, which influence these reporting practices. Improved reporting systems are needed to affect a change in the current environment.

SUBMITTER: Zoghby MG

PROVIDER: S-EPMC7910192 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Publications

The reporting of adverse events in Johannesburg Academic Emergency Departments.

Zoghby Matthew Gabriel MG Hoffman Deidre D Mahomed Zeyn Z

African journal of emergency medicine : Revue africaine de la medecine d'urgence 20201107 1

<h4>Introduction</h4>Adverse events (AE) are a common occurrence in healthcare systems; however, the frequency of AEs occurring in South Africa and especially Emergency Departments (ED) is unknown. The aims of this study were to describe the frequency of AEs experienced by Healthcare providers (HCP) and the frequency of formal reporting thereafter over a 12-month period.<h4>Methods</h4>A cross sectional descriptive study was performed amongst HCPs at Helen Joseph Hospital and Chris Hani Baragwan ...[more]

PMID: 33680743

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Project description:IntroductionAdvanced practice providers (APP), including physicians' assistants and nurse practitioners, have been increasingly incorporated into emergency department (ED) staffing over the past decade. There is scant literature examining resource utilization and the cost benefit of having APPs in the ED. The objectives of this study were to compare resource utilization in EDs that use APPs in their staffing model with those that do not and to estimate costs associated with the utilized resources.MethodsIn this five-year retrospective secondary data analysis of the Emergency Department Benchmarking Alliance (EDBA), we compared resource utilization rates in EDs with and without APPs in non-academic EDs. Primary outcomes were hospital admission and use of computed tomography (CT), radiography, ultrasound, and magnetic resonance imaging (MRI). Costs were estimated using the 2014 physician fee schedule and inpatient payments from the Centers for Medicare and Medicaid Services. We measured outcomes as rates per 100 visits. Data were analyzed using a mixed linear model with repeated measures, adjusted for annual volume, patient acuity, and attending hours. We used the adjusted net difference to project utilization costs between the two groups per 1000 visits.ResultsOf the 1054 EDs included in this study, 79% employed APPs. Relative to EDs without APPs, EDs staffing APPs had higher resource utilization rates (use per 100 visits): 3.0 more admissions (95% confidence interval [CI], 2.0-4.1), 1.7 more CTs (95% CI, 0.2-3.1), 4.5 more radiographs (95% CI, 2.2-6.9), and 1.0 more ultrasound (95% CI, 0.3-1.7) but comparable MRI use 0.1 (95% CI, -0.2-0.3). Projected costs of these differences varied among the resource utilized. Compared to EDs without APPs, EDs with APPs were estimated to have 30.4 more admissions per 1000 visits, which could accrue $414,717 in utilization costs.ConclusionEDs staffing APPs were associated with modest increases in resource utilization as measured by admissions and imaging studies.

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Dataset Information

The reporting of adverse events in Johannesburg Academic Emergency Departments.

Introduction

Methods

Results

Conclusion

Publications

The reporting of adverse events in Johannesburg Academic Emergency Departments.

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