Relevant bibliographies by topics / Emergency nursing

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Emergency nursing'

Author: Grafiati
Published: 4 June 2021
Last updated: 30 July 2024

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Journal articles on the topic "Emergency nursing"

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Jones, Linda Laskowski. "Nursing Resources: Emergency Nursing." American Journal of Nursing 99, no. 2 (February 1999): 2422. http://dx.doi.org/10.2307/3471985.

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&NA;. "EMERGENCY NURSING." AJN, American Journal of Nursing 86, no. 5 (May 1986): 522. http://dx.doi.org/10.1097/00000446-198605000-00004.

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&NA;, &NA;. "EMERGENCY NURSING." AJN, American Journal of Nursing 92, no. 1 (January 1992): 11. http://dx.doi.org/10.1097/00000446-199201000-00004.

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&NA;, &NA;. "EMERGENCY NURSING." AJN, American Journal of Nursing 95, no. 5 (May 1995): 9–10. http://dx.doi.org/10.1097/00000446-199505000-00005.

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&NA;. "Emergency Nursing." American Journal of Nursing 96, no. 5 (May 1996): 10. http://dx.doi.org/10.1097/00000446-199605000-00005.

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&NA;. "Emergency Nursing." American Journal of Nursing 96, no. 6 (June 1996): 16L. http://dx.doi.org/10.1097/00000446-199606000-00025.

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&NA;. "EMERGENCY NURSING." American Journal of Nursing 97, no. 2 (February 1997): 10. http://dx.doi.org/10.1097/00000446-199702000-00006.

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&NA;. "EMERGENCY NURSING." Critical Care Nursing Quarterly 9, no. 4 (March 1987): 83. http://dx.doi.org/10.1097/00002727-198703000-00011.

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&NA;. "EMERGENCY NURSING." AJN, American Journal of Nursing 88, no. 2 (February 1988): 156. http://dx.doi.org/10.1097/00000446-198802000-00004.

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&NA;. "EMERGENCY NURSING." American Journal of Nursing 97, no. 8 (August 1997): 10. http://dx.doi.org/10.1097/00000446-199708000-00006.

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Dissertations / Theses on the topic "Emergency nursing"

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Bertrand, Allison. "Emergency Nursing and Patient Violence." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42013.

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Nurses are at an increased risk for violence from patients compared to other healthcare professionals working in hospital emergency departments. In this setting, there are multiple factors contributing to patient violence including long wait-times, overcrowding, insufficient staffing, and lack of security personnel. This violence can be verbal, physical, or sexual in nature, and may result in psychological, emotional, cognitive, and social consequences. While there is an abundance of literature that explores how nurses working in the emergency department experience patient violence, less is known about how patient violence affects their day-to-day nursing practice. The purpose of this study was to explore how nurses working in Ontario emergency departments who have experienced patient violence enact their nursing care. This was an interpretive description qualitative study using semi-structured, conversation-style telephone interviews, set in Ontario, Canada. Data were analyzed using conventional content analysis. The participants’ experiences with patient violence and its effect on their nursing care were described using four categories and seven subcategories: ‘Violent Context’ (Leadership), (Wait-Times), (Security Measures), ‘Being Responsible’ (Work Family), ‘Violent Patients’ (Patient for Whom we Anticipate Violence), (Patients who Surprise Us), and ‘Adapting their Practice’ (Engaging with Patients). Nurses working in the emergency department describe frequent occurances of physical and verbal violence as part of their daily practice. This violence leads to emotional and psychological consequences, as well as changes to their nursing care and interactions with future patients. Inconsistencies in hospital policies, resources, and supports create an environment where nurses are often left to manage both the violent encounter and their personal and professional responses.
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Powell, Cindy M. "Parental perception of pediatric emergency care /." Staten Island, N.Y. : [s.n.], 1997. http://library.wagner.edu/theses/nursing/1997/thesis_nur_1997_powel_paren.pdf.

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Gefter, Aleksey. "EMERGENCY SURGICAL CONDITIONS FROM THE NURSING PERSPECTIVE." Thesis, Тернопіль, 2021. https://repository.tdmu.edu.ua//handle/123456789/17173.

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The aim of the study was to investigate the specific aspects of nursing process as applied to emergency surgery in patients with ballistic injuries and household trauma, to determine the risks faced by medical personnel when working with patients in dangerous neighborhoods, to identify nursing strategies in managing aggressive patients, and to define the need for surgical interventions in ballistic injuries and household trauma as part of a research study.
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Johnson, Mindi Lynne. "Graduate Nurse Pediatric Emergency Nursing Orientation Program." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1605.

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Research has found that the turnover rate of graduate nurses within their first year is significantly high. Specialties such as pediatric and emergency nursing have even a higher turnover rate. It has been suggested that significant amounts of stress and lack of skills are responsible for the turnovers. This quality improvement project, which is theoretically based on Benner's novice to expert theory, will examine if a lack of a specialized pediatric emergency graduate nurse orientation program is a contributing factor. The purpose of the project is to improve retention of graduate nurses by implementing a specialized orientation program that focuses on pediatric emergency nursing. The research question examined the effect of a specialized graduate nurse orientation program on increasing retention, nurses' competency, and job satisfaction. This project takes the hospital's original orientation program of 6 generalized classes and hands-on orientation and adds a more specialized approach. The Emergency Nurses Association (ENA) Core Curriculum of specialized skills and didactic classes for pediatric emergency nursing (developed by the ENA pediatric committee based on evidence and gold standard practice); evaluation tools (developed by researcher) for both the preceptor and orientee; and face-to-face meetings between the educator, preceptor and orientee were the tools used for specializing the orientation program. It is anticipated that the results will show that increase in retention. In terms of social change, it is anticipated increased nursing retention will increase nursing knowledge and job satisfaction, which will ultimately lead to improved patient outcomes and decreased mortality rates.
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Babst, Terrill Anne. "Trauma nursing care :a workload model." Thesis, Cape Technikon, 2000. http://hdl.handle.net/20.500.11838/1015.

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Thesis (MTech (Business Administration))--Cape Technikon, Cape Town, 2000
The current rationalisation of health care in the Western Cape may result in a decrease in the number of patients attending the Trauma Unit at Groote Schuur Hospital (GSH), one of the two large tertiary care hospitals in the Western Cape. This in turn may result in cuts in staff allocations to this unit. The nursing staff need to be proactive in preventing potential cuts which may compromise the services that they offer. Current statistics collected by nursing managers in the trauma unit at GSH provide an indication of the volume of work handled, but do not necessarily capture the intensity of that work. The purpose of this research project will determine the extent to which nursing care required by patients attending the trauma unit at GSH has increased and to establish appropriate staff workload scheduling. The existing classification systems available for assessing patient acuity levels are no longer suitable as they use patient numbers to describe workload. By using a classification system specifically developed for the use by nurse managers in high care units (trauma units), the appropriate staffing norms based on the acuity level of patients can be determined. Finally, this research project will determine a suitable model for measuring the intensity of workload specific to a trauma unit environment for the effective and efficient allocation of staff.
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Thompson, June D. Grimes Richard M. "Factors determining the use of universal precautions by emergency department nurses /." See options below, 1994. http://proquest.umi.com/pqdweb?did=741486321&sid=1&Fmt=2&clientId=68716&RQT=309&VName=PQD.

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Hogan, Kerry-Anne. "Caring for adult patients who die in the emergency department: Reflections of emergency room nurses." Thesis, University of Ottawa (Canada), 2009. http://hdl.handle.net/10393/28088.

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Background. Emergency room nurses work in an area in which the workload is unpredictable and chaotic. Treatment measures are usually aggressive and the goal of care in the emergency department is to restore physiological stability in a sick or injured person. As treatment measures usually occur quickly and nurses care for many patients throughout their shifts, there is often a lack of time to establish relationships with patients and/or family members. In a situation when treatment is needed immediately, there may not be enough time to discuss advanced directives with patients and/or family members. Although most patients are seen, treated and sent home or are admitted and recover, more than 7000 lives end in Canadian emergency departments each year (CIHI, 2006). Death in an emergency department is almost always considered a tragic event, regardless of whether the event was unexpected or expected. This view contrasts with the idealistic view of death occurring in a hospice or at home, free of pain and suffering and surrounded by loved ones. In an emergency department, treatment of critical illnesses and/or injuries begins immediately, leaving nurses or other members of the team little time to discuss advance directives or establish rapport with patients and/or family members. Purpose. The purpose of this research study was to improve our understanding of the experience of emergency room nurses when caring for an adult who dies in the emergency department.
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Zhao, Lijuan. "Advanced Triage Protocols in the Emergency Department." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3649.

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Overcrowded emergency departments (EDs) are a major problem in the United States resulting in inefficiency in operation and performance. A Southern California hospital ED was the site for this project because it had operated over its maximum capacity during the last decade. Advanced triage protocols integrating standard order sets were implemented to improve quality of care; however, no evaluation of the protocols had been done. The purpose of this project was to evaluate the effect of the advanced triage protocols. Two project questions determined whether advanced triage protocols reduced ED length of stay (LOS), number of patients who left without being seen (LWBS), and improved patient experience. The Lean Principles and the Plan-Do-Study-Act Model for Improvement were used to guide the project. A pre- and post-implementation design found that ED LOS had a significant 17-minute decrease for ESI Level 3 patients (225.7 -± 8.6 minutes vs. 208.8 -± 6.9 minutes, p = .002), and significant 13- minute decrease for ESI Level 4 patients (146.5 -± 1.6 minutes vs. 133.5 -± 1.5 minutes, p =.001). For the ED rate of patients who LWBS, no statistically significant difference was seen between pre- and post- implementation (41/575, 7.13% vs. 46/611, 7.52%). Satisfaction scores were improved by more than 10% after implementation. The advanced triage protocols enhanced front-end throughput operations and patient experience within the ED by allowing triage nurses to initiate orders and begin pain medication. Delivering timely and efficient care to meet various patients' needs has the potential for a positive social change through improved health care outcomes; perception of care; and trust between patients, providers, and the health care system.
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Lojo, Matthew. "Measuring Nurse Competence in the Emergency Department." Scholarly Commons, 2020. https://scholarlycommons.pacific.edu/uop_etds/3670.

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Background: “Nurses provide essential care to the millions of people who are hospitalized each year as a result of illness or injury” (Smith, 2012, p. 172). The Institute of Medicine reported approximately 44,000-98,000 patients die annually resulting from a medical error, and health care errors ranked among the top 10 for the leading causes of death in the United States (Smith, 2012). Problem: Nurse competence impacts safe and quality nursing, and several research studies investigated the measurement of nurse competence among nurses in various nursing settings (Flinkman et al., 2016). However, a review of the research revealed limited studies in the emergency department (ED) setting and in the United States (O’Leary, 2012). Method: This study implemented a quantitative nonexperimental research design using the combination of an instrumental case study and a cross-sectional survey for this study’s sample. An Internet-based SurveyMonkey questionnaire collected data on nurse competence from registered nurses (RNs) working in the ED at a San Francisco Bay Area hospital. Part I of the questionnaire integrated Meretoja, Isoaho, and Leino-Kilpi’s (2004) Nurse Competence Scale (NCS) consisting of 73 closed-ended clinical indicators divided into seven competence areas. Participants rated their level of competence and frequency of use for each clinical indicator. Part II of the questionnaire obtained background information about participants. A total of 21 out of 110 potential participants completed the survey. Results: The data analysis using Statistical Package for Social Sciences (SPSS) provided descriptive and nonparametric correlation statistics. Descriptive statistics described survey respondents. The least and most competent areas were ensuring quality and managing situations, respectively. The most frequent length of nursing experience was at least 60 months and the most frequent number of hours worked was at least 65 hours per 2-week period. Nonparametric correlation statistics, including Kendell’s tau-b and Spearman’s rho, identified significant relationships. A significant relationship existed between the frequency of using clinical skills and level of competence for four of the seven competence areas. A significant relationship existed between the background factor of experience, both as an RN and an ED RN, and level of competence for many clinical indicators. A significant relationship existed between the background factor of hours worked and level of competence for one clinical indicator. Conclusion: Despite the small sample size of 21 survey respondents, this study revealed findings consistent with the existing research on nurse competence. This study offers implications and recommendations for practice relative to nurse competence, nurse competence assessment, and transitions to new settings of nursing practice to support the nursing profession and safe and quality nursing.
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Kellow, Janet. "Exploring types and sources of stress in emergency nursing." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0014/MQ53166.pdf.

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Books on the topic "Emergency nursing"

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Semonin, Holleran Renee', ed. Emergency nursing. Philadelphia: W.B. Saunders, 2002.

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Stinson, Kidd Pamela, and Sturt Patty, eds. Mosby's emergency nursing reference. St. Louis: Mosby, 1996.

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G, Gossman William, ed. Emergency nursing review. 2nd ed. New York: McGraw-Hill, Medical Pub. Division, 2006.

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A, Proehl Jean, ed. Emergency nursing procedures. 2nd ed. Philadelphia: Saunders, 1999.

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Kelley, Susan J. Pediatric emergency nursing. Norwalk, Conn: Appleton & Lange, 1988.

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1955-, Oman Kathleen S., and Koziol-McLain Jane 1956-, eds. Emergency nursing secrets. 2nd ed. St. Louis, Mo: Mosby Elsevier, 2007.

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A, Proehl Jean, ed. Emergency nursing procedures. 3rd ed. St. Louis, Mo: Saunders, 2004.

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J, Kelley Susan, ed. Pediatric emergency nursing. 2nd ed. Norwalk, Conn: Appleton & Lange, 1994.

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Walsh, Mike. Accident and emergency nursing. 4th ed. Oxford: Butterworth-Heinemann, 2001.

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Stinson, Kidd Pamela, Sturt Patty, and Fultz Julia, eds. Mosby's emergency nursing reference. 2nd ed. St. Louis: Mosby, 2000.

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Book chapters on the topic "Emergency nursing"

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Grami, Petra, Sorayah S. Bourenane, Danielle Milling, Karen McFarland, Robert T. Drew, and Linda Koppy. "Nursing." In Oncologic Emergency Medicine, 83–107. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-67123-5_6.

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Asselta, Robert, Zoila Nolasco, and Tisha D. Thompson. "Emergency Nursing Considerations." In Acute Care Surgery in Geriatric Patients, 547–51. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-30651-8_57.

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Weiss, Rebecca. "Simulation for Emergency Nursing." In Comprehensive Healthcare Simulation: Nursing, 315–26. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-31090-4_31.

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Humphreys, Melanie, and Lisa Cooper. "Emergency Cardiac Care." In Nursing the Cardiac Patient, 156–77. West Sussex, UK: John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118785331.ch11.

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Aldridge, Paul, and Louise O'Dwyer. "Nursing the Emergency Ophthalmology Patient." In Practical Emergency and Critical Care Veterinary Nursing, 181–88. West Sussex, UK: John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118782873.ch17.

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Jurkovich, Jessica. "Geriatric Trauma: Emergency Nursing Considerations." In Geriatric Trauma and Acute Care Surgery, 423–32. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-57403-5_44.

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Hilbert-Carius, Peter. "Choking Attack in Nursing Home." In Case Studies in Emergency Medicine, 63–66. Berlin, Heidelberg: Springer Berlin Heidelberg, 2023. http://dx.doi.org/10.1007/978-3-662-67249-5_14.

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Sozzi, Marco, Dorella Donati, and Stella Neri. "Ultrasound-Guided Nursing." In Textbook of Echocardiography for Intensivists and Emergency Physicians, 403–11. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99891-6_40.

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McKenna, A., C. Woolwich, and K. Burgess. "The emergency nurse practitioner." In Issues in Accident and Emergency Nursing, 1–28. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4899-3164-1_1.

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Shannon, Robin Adair. "Emergency and Disaster Nursing in Schools." In Nursing Management of Pediatric Disaster, 315–30. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43428-1_14.

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Conference papers on the topic "Emergency nursing"

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Chou, Fang-yu, and Ryan Bresnick. "Job Burnout and Work Environment of Emergency Department Nurses." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.116.

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Meng, Fanping, Lina Zhou, Yuanyuan Zhao, and Min Zhang. "Clinical Teaching Experience of Emergency Nursing Students." In Proceedings of the 2nd Symposium on Health and Education 2019 (SOHE 2019). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/sohe-19.2019.42.

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Ribeiro, Marlene, António Pereira, Cristina Pinto, and Olga Ribeiro. "Patient Safety Culture: Perception of Emergency Nurses." In International Congress of Research in Nursing ESEP. Basel Switzerland: MDPI, 2022. http://dx.doi.org/10.3390/msf2022017008.

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Han, Kyoung A., and Eun Kwang Yoo. "Experience of the Nurses in Emergency Room to the Truamatic Accident and Posttraumatic Stress." In Healthcare and Nursing 2016. Science & Engineering Research Support soCiety, 2016. http://dx.doi.org/10.14257/astl.2016.128.49.

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Fan, Weiwei, and Changping Song. "APPLICATION OF MULTI CULTURE NURSING IN EMERGENCY WORK." In 2016 International Conference on Biotechnology and Medical Science. WORLD SCIENTIFIC, 2016. http://dx.doi.org/10.1142/9789813145870_0047.

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Jeong, HyeonCheol, YongJeong Lee, MinJeong Kim, and SooGyung Jeong. "A Study on Pollution of Prefilled Oxygen Humidifiers When Applied to Multiple Patients in Emergency Room." In Healthcare and Nursing 2014. Science & Engineering Research Support soCiety, 2014. http://dx.doi.org/10.14257/astl.2014.61.14.

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Mustanir. "Knowledge of Disaster Response among Nurses in Emergency Departments and Intensive Care Units: A Comparative Study." In Aceh International Nursing Conference. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008394200300037.

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Gray, Constance, Michelle Hutch, and Martin Christensen. "Challenging Location: A Paediatric Emergency Short Stay Unit within a Regional Paediatric Unit A practice development initiative." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.29.

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Hong, Sung Jung. "Perception of Safety Attitude and Priority and Progress of Safe Practices of Nurses in Emergency Services Hospitals." In Healthcare and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.104.34.

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Ristau, Patrick, and Stephanie Pfeuffer. "Improving the Quality of Care in a Central Emergency Department in Germany." In Annual Worldwide Nursing Conference (WNC 2017). Global Science & Technology Forum (GSTF), 2017. http://dx.doi.org/10.5176/2315-4330_wnc17.53.

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Reports on the topic "Emergency nursing"

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Mullins, Juanita. Using Human Patient Simulation to Improve Emergency Airway Management Safety in Post Anesthesia Nursing: A Pilot Project. Fort Belvoir, VA: Defense Technical Information Center, August 2010. http://dx.doi.org/10.21236/ada529790.

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Newman-Toker, David E., Susan M. Peterson, Shervin Badihian, Ahmed Hassoon, Najlla Nassery, Donna Parizadeh, Lisa M. Wilson, et al. Diagnostic Errors in the Emergency Department: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), December 2022. http://dx.doi.org/10.23970/ahrqepccer258.

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Objectives. Diagnostic errors are a known patient safety concern across all clinical settings, including the emergency department (ED). We conducted a systematic review to determine the most frequent diseases and clinical presentations associated with diagnostic errors (and resulting harms) in the ED, measure error and harm frequency, as well as assess causal factors. Methods. We searched PubMed®, Cumulative Index to Nursing and Allied Health Literature (CINAHL®), and Embase® from January 2000 through September 2021. We included research studies and targeted grey literature reporting diagnostic errors or misdiagnosis-related harms in EDs in the United States or other developed countries with ED care deemed comparable by a technical expert panel. We applied standard definitions for diagnostic errors, misdiagnosis-related harms (adverse events), and serious harms (permanent disability or death). Preventability was determined by original study authors or differences in harms across groups. Two reviewers independently screened search results for eligibility; serially extracted data regarding common diseases, error/harm rates, and causes/risk factors; and independently assessed risk of bias of included studies. We synthesized results for each question and extrapolated U.S. estimates. We present 95 percent confidence intervals (CIs) or plausible range (PR) bounds, as appropriate. Results. We identified 19,127 citations and included 279 studies. The top 15 clinical conditions associated with serious misdiagnosis-related harms (accounting for 68% [95% CI 66 to 71] of serious harms) were (1) stroke, (2) myocardial infarction, (3) aortic aneurysm and dissection, (4) spinal cord compression and injury, (5) venous thromboembolism, (6/7 – tie) meningitis and encephalitis, (6/7 – tie) sepsis, (8) lung cancer, (9) traumatic brain injury and traumatic intracranial hemorrhage, (10) arterial thromboembolism, (11) spinal and intracranial abscess, (12) cardiac arrhythmia, (13) pneumonia, (14) gastrointestinal perforation and rupture, and (15) intestinal obstruction. Average disease-specific error rates ranged from 1.5 percent (myocardial infarction) to 56 percent (spinal abscess), with additional variation by clinical presentation (e.g., missed stroke average 17%, but 4% for weakness and 40% for dizziness/vertigo). There was also wide, superimposed variation by hospital (e.g., missed myocardial infarction 0% to 29% across hospitals within a single study). An estimated 5.7 percent (95% CI 4.4 to 7.1) of all ED visits had at least one diagnostic error. Estimated preventable adverse event rates were as follows: any harm severity (2.0%, 95% CI 1.0 to 3.6), any serious harms (0.3%, PR 0.1 to 0.7), and deaths (0.2%, PR 0.1 to 0.4). While most disease-specific error rates derived from mainly U.S.-based studies, overall error and harm rates were derived from three prospective studies conducted outside the United States (in Canada, Spain, and Switzerland, with combined n=1,758). If overall rates are generalizable to all U.S. ED visits (130 million, 95% CI 116 to 144), this would translate to 7.4 million (PR 5.1 to 10.2) ED diagnostic errors annually; 2.6 million (PR 1.1 to 5.2) diagnostic adverse events with preventable harms; and 371,000 (PR 142,000 to 909,000) serious misdiagnosis-related harms, including more than 100,000 permanent, high-severity disabilities and 250,000 deaths. Although errors were often multifactorial, 89 percent (95% CI 88 to 90) of diagnostic error malpractice claims involved failures of clinical decision-making or judgment, regardless of the underlying disease present. Key process failures were errors in diagnostic assessment, test ordering, and test interpretation. Most often these were attributed to inadequate knowledge, skills, or reasoning, particularly in “atypical” or otherwise subtle case presentations. Limitations included use of malpractice claims and incident reports for distribution of diseases leading to serious harms, reliance on a small number of non-U.S. studies for overall (disease-agnostic) diagnostic error and harm rates, and methodologic variability across studies in measuring disease-specific rates, determining preventability, and assessing causal factors. Conclusions. Although estimated ED error rates are low (and comparable to those found in other clinical settings), the number of patients potentially impacted is large. Not all diagnostic errors or harms are preventable, but wide variability in diagnostic error rates across diseases, symptoms, and hospitals suggests improvement is possible. With 130 million U.S. ED visits, estimated rates for diagnostic error (5.7%), misdiagnosis-related harms (2.0%), and serious misdiagnosis-related harms (0.3%) could translate to more than 7 million errors, 2.5 million harms, and 350,000 patients suffering potentially preventable permanent disability or death. Over two-thirds of serious harms are attributable to just 15 diseases and linked to cognitive errors, particularly in cases with “atypical” manifestations. Scalable solutions to enhance bedside diagnostic processes are needed, and these should target the most commonly misdiagnosed clinical presentations of key diseases causing serious harms. New studies should confirm overall rates are representative of current U.S.-based ED practice and focus on identified evidence gaps (errors among common diseases with lower-severity harms, pediatric ED errors and harms, dynamic systems factors such as overcrowding, and false positives). Policy changes to consider based on this review include: (1) standardizing measurement and research results reporting to maximize comparability of measures of diagnostic error and misdiagnosis-related harms; (2) creating a National Diagnostic Performance Dashboard to track performance; and (3) using multiple policy levers (e.g., research funding, public accountability, payment reforms) to facilitate the rapid development and deployment of solutions to address this critically important patient safety concern.
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