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Contributing factors to errors in Swedish emergency departments
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-0681-9768
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
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2015 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 23, no 2, 156-161 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The Emergency Department (ED) is a complex and dynamic environment, often resulting in a somewhat uncontrolled and unpredictable workload. Contributing factors to errors in health care and in the ED are largely related to communication breakdowns. Moreover, the ED work environment is predisposed to multitasking, overcrowding and interruptions. These factors are assumed to have a negative impact on patient safety. Reported errors from care providers are mainly related to diagnostic procedures in Swedish EDs. However, there is a lack of knowledge and national oversight regarding contributing factors. The aim of this study was therefore to describe contributing factors in regards to errors occurring in Swedish EDs. 

Method: Descriptive design based on registry data from the Lex Maria database of the Swedish National Board of Health and Welfare. 

Results: The results indicate that factors contributing to errors in Swedish EDs are multifactorial in nature. The most common contributing factor was human error followed by factors in the local ED environment and teamwork failure. 

Conclusion: Factors contributing to ED errors were multifactorial and included both organizational and teamwork failure in which human error was implicated. To reduce errors, further research is needed to develop methods that disclose latent working conditions such as high workload and interruptions. Patient safety research needs to include understanding of human behaviour in complex organizational systems and the impact of working conditions on patient safety and quality of care.

Place, publisher, year, edition, pages
2015. Vol. 23, no 2, 156-161 p.
Keyword [en]
Emergency department; Patient safety
National Category
Health Sciences
Research subject
Hälsa och välfärd, ”Många bollar i luften” – Personalens arbetsmiljö på akutmottagning.
Identifiers
URN: urn:nbn:se:du-16393DOI: 10.1016/j.ienj.2014.10.002ISI: 000354139000022PubMedID: 25434782OAI: oai:DiVA.org:du-16393DiVA: diva2:825640
Available from: 2015-06-24 Created: 2014-11-15 Last updated: 2015-06-25Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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