+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Profiles in patient safety: emergency care transitions



Profiles in patient safety: emergency care transitions



Academic Emergency Medicine 10(4): 364-367



A 59-year-old man presented to the emergency department (ED) with the chief complaint of "panic attacks." In total, he was evaluated by 14 faculty physicians, 2 fellows, and 16 residents from emergency medicine, cardiology, neurology, psychiatry, and internal medicine. These multiple transitions were responsible, in part, for the perpetuation of a failure to accurately diagnose the patient's underlying medical illness. The case illustrates the discontinuity of care that occurs at transitions, which may threaten the safety and quality of patient care. Considerable effort must be directed at making transitions effective and safe. Recommendations to improve transitions include a heightened awareness of cognitive biases operating at these vulnerable times, improving team situational awareness and communication, and exploring systems to facilitate effective transfer of relevant data.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 050034177

Download citation: RISBibTeXText

PMID: 12670851

DOI: 10.1111/j.1553-2712.2003.tb01350.x


Related references

The Joint Commission launches transitions of care portal. Resources to improve safety in patient care transitions. Joint Commission Perspectives. Joint Commission on Accreditation of Healthcare Organizations 32(11): 6-6, 2013

Patient safety and medical errors: a focus on care transitions of the vulnerable older patient. Journal of the Oklahoma State Medical Association 105(2): 52-57, 2012

Transitions of care for the geriatric patient in the emergency department. Clinics in Geriatric Medicine 29(1): 49-69, 2013

Profiles in patient safety: confirmation bias in emergency medicine. Academic Emergency Medicine 13(1): 90-94, 2006

Profiles in patient safety: medication errors in the emergency department. Academic Emergency Medicine 11(3): 289-299, 2004

Profiles in patient safety: A "perfect storm" in the emergency department. Academic Emergency Medicine 14(8): 743-749, 2007

Improving Patient Safety: Care Transitions. Fp Essentials 463: 16-20, 2017

Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency Care: Children's Safety Initiative. Journal of Pediatrics 167(5): 1143-8.E1, 2015

Care transitions: a threat and an opportunity for patient safety. American Journal of Medical Quality 21(6): 415-417, 2006

Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study. Bmj Open 7(2): E014057, 2017

Teaching patients to protect themselves during care transitions: a patient safety campaign. Minnesota Medicine 97(8): 41-43, 2014

A patient safety and transitions of care curriculum for third-year medical students. Gerontology and Geriatrics Education 36(1): 45-57, 2015

Case managers optimize patient safety by facilitating effective care transitions. Professional Case Management 12(2): 70-80; Quiz 81-2, 2007

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Annals of Internal Medicine 158(5 Pt 2): 397-403, 2013

Patient safety in emergency care. Anales del Sistema Sanitario de Navarra 33(Suppl. 1): 131-148, 2010