Evaluation of error in medicine: application of a public health model. Acad Emerg Med 2000 Nov;7(11):1298-302
Date
11/10/2000Pubmed ID
11073482DOI
10.1111/j.1553-2712.2000.tb00479.xScopus ID
2-s2.0-0033763429 (requires institutional sign-in at Scopus site) 19 CitationsAbstract
A case of a chest tube placed on the wrong side during a trauma resuscitation in the emergency department is presented as an example of medical injury. Two traditional models, the legal model and the managerial model, are described and their application to medical injury discussed. A new public health model is then applied to the case example as a more effective way to address medical injury. The public health model addresses the injury event rather than the error itself using Haddon's matrix as a framework. Pre-event, event, and post-event phases are examined to find the weakest link, where intervention has the highest likelihood of successfully preventing future injuries.
Author List
Brasel KJ, Layde PM, Hargarten SAuthors
Stephen W. Hargarten MPH, MD Professor in the Emergency Medicine department at Medical College of WisconsinPeter M. Layde MS, MD Emeritus Professor in the Emergency Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Accidents, TrafficEmergency Service, Hospital
Emergency Treatment
Female
Follow-Up Studies
Hemothorax
Humans
Injury Severity Score
Intubation, Intratracheal
Medical Errors
Middle Aged
Models, Organizational
Multiple Trauma
Public Health Practice
Quality Assurance, Health Care
Risk Management
