Created on May 25, 2023
whAT are the main risks?and how can we prevent them?
- located on ground floor
- direct acess patient and ambulance
- adequately staffed with nursing staff + emergency physicians→handle emergencies
- 24/7 availability
- correct and modernised equipment
The emergency departemnt (ED ) of any institution is an entry point for a signifcant number ofpatients to any health care organization.
i 12 hours
from 12 to 24 hours
over 24 hours
total number of accesses and relative staying time
MAIN "ACTORS" CAUSING RISKs
risk of mistakes due to lack of knowlwdge/experience on diseases + skills
time constrains, staff inadequacy, equipment lack/failure
patient complexity: communication barrier, complex medical conditions, cognitive impariment, traditional beliefes, etc
SONIA DE MORELLI
- Assign an extensive knowledgable triage nurse
- Minimize verbal orders
- Require that medication orders to be entered electronically.
- Design smooth workflow→improves communication, minimize interruptions and provides for double checks and verbal confirmations before medications are given to the patient.
- Improve documentation→it should be Factual, Accurate, Complete and Timely
- Creation of a standing Risk Committee: can provide focus on risk as an important part of emergency dep. and can also encourage discussions of ongoing risk reduction tools and programs.
- Routine reporting of incidents should be performed as a daily activity and not be underestimated
- inaccurate triage categorization
- prolonged waiting time
- failure in resuscitation managmement
- failure in communications among care giviers and patients
- accidental falls
- improper pain management
- shortage of health care workers
- failure in documentation
- failure in following standard protocol
- not seeking help when necessary
- medication errors