Iatrogenic emergency medicine procedure complications and associated trouble-shooting strategies.

Iatrogenic emergency medicine procedure complications and associated trouble-shooting strategies.

Ahmed Rami A; Hughes Patrick G; Wong Ambrose H; Gray Kaley M; Ballas Derek A; Khobrani Ahmad; Selley Robert D; McQuown Colleen

International journal of health care quality assurance

2018

2018-10

PURPOSE: The purpose of this paper is to provide a consolidated reference for the acute management of selected iatrogenic procedural injuries occurring in the emergency department (ED). DESIGN/METHODOLOGY/APPROACH: A literature search was performed utilizing PubMed, Scopus, Web of Science and Google Scholar for studies through March of 2017 investigating search terms "iatrogenic procedure complications," "error management" and "procedure complications," in addition to the search terms reflecting case reports involving the eight below listed procedure complications. FINDINGS: This may be particularly helpful to academic faculty who supervise physicians in training who present a higher risk to cause such injuries. ORIGINALITY/VALUE: Emergent procedures performed in the ED present a higher risk for iatrogenic injury than in more controlled settings. Many physicians are taught error-avoidance rather than how to handle errors when learning procedures. There is currently very limited literature on the error management of iatrogenic procedure complications in the ED.

Humans; Emergency medicine; Training; Emergency Medicine/education; Emergency Service; Error management; Iatrogenic injury; Procedure complication; Quality improvement; Hospital/*organization & administration/standards; Iatrogenic Disease/*epidemiology/*prevention & control; Quality Improvement/*organization & administration/standards; Safety Management/*organization & administration/standards

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935-949

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