TY - JOUR
T1 - Why identifying adverse events in paediatric emergency care matters
AU - Michelson, Kenneth A.
AU - Griffey, Richard T.
N1 - Funding Information:
KAM received funding through the Agency for Healthcare Research and Quality (award K08HS026503) and from the Boston Children’s Hospital Office of Faculty Development. RTG is supported in part by the Agency for Healthcare Research and Quality (grant 1 R01 HS027811-01) and by the Barnes Jewish Hospital Foundation (grants 3767 and 4442).
Publisher Copyright:
© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2022/7/21
Y1 - 2022/7/21
N2 - This study estimated the paediatric ED AE rate to be 3% of visits. In adult cohorts, AE reviews based on a broader trigger methodology have identified AE rates of 8%.7 One meta-analysis of mixed paediatric and adult populations by Stang et al found the range of AEs attributable to ED care to be 0.2%-6.0%.8 The wide range of AE rates in earlier studies highlights how decisions about the method of detection of AEs may influence reported rates. For example, the lower bound of 0.2% reported in Stang's analysis was based on voluntary error reports, which are known to severely underestimate AEs.
AB - This study estimated the paediatric ED AE rate to be 3% of visits. In adult cohorts, AE reviews based on a broader trigger methodology have identified AE rates of 8%.7 One meta-analysis of mixed paediatric and adult populations by Stang et al found the range of AEs attributable to ED care to be 0.2%-6.0%.8 The wide range of AE rates in earlier studies highlights how decisions about the method of detection of AEs may influence reported rates. For example, the lower bound of 0.2% reported in Stang's analysis was based on voluntary error reports, which are known to severely underestimate AEs.
KW - adverse events, epidemiology and detection
KW - emergency department
KW - paediatrics
UR - http://www.scopus.com/inward/record.url?scp=85135132236&partnerID=8YFLogxK
U2 - 10.1136/bmjqs-2022-014939
DO - 10.1136/bmjqs-2022-014939
M3 - Review article
C2 - 35863876
AN - SCOPUS:85135132236
SN - 2044-5415
VL - 31
SP - 776
EP - 778
JO - BMJ Quality and Safety
JF - BMJ Quality and Safety
IS - 11
ER -