作者
Yonathan Freund, Hélène Goulet, Judith Leblanc, Jérôme Bokobza, Patrick Ray, Maxime Maignan, Sabine Guinemer, Jennifer Truchot, Anne-Laure Féral-Pierssens, Youri Yordanov, Anne-Laure Philippon, Edwin Rouff, Ben Bloom, Marine Cachanado, Alexandra Rousseau, Tabassome Simon, Bruno Riou
发表日期
2018/6/1
期刊
JAMA internal medicine
卷号
178
期号
6
页码范围
812-819
出版商
American Medical Association
简介
Importance
Emergency departments (ED) are environments that are at high risk for medical errors. Previous studies suggested that the proportion of medical errors may decrease when more than 1 physician is involved.
Objective
To reduce the proportion of medical errors by implementing systematic cross-checking between emergency physicians.
Design, Setting, and Participants
This cluster randomized crossover trial includes a random sample of 14 adult patients (age ≥18 years) per day during two 10-day period in 6 EDs (n = 1680 patients) in France.
Interventions
Systematic cross-checking between emergency physicians, 3 times a day, which included a brief presentation of one physician’s case to another, followed by the second physician’s feedback to the first.
Main Outcomes and Measures
Medical error in the ED, defined as an adverse event (either a near miss or a serious adverse event). The primary end …
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Y Freund, H Goulet, J Leblanc, J Bokobza, P Ray… - JAMA internal medicine, 2018