Publications by authors named "Brian R Sharp"
Objectives: An adverse event (AE) is a physical harm experienced by a patient due to health care, requiring intervention. Describing and categorizing AEs is important for quality and safety assessment and identifying areas for improvement. Safety science suggests that improvement efforts should focus on preventing and mitigating harm rather than on error, which is commonplace but infrequently leads to AEs.
View Article and Find Full Text PDFMulticenter Test of an Emergency Department Trigger Tool for Detecting Adverse Events.
J Patient Saf
December 2021
Objectives: Traditional approaches to safety and quality screening in the emergency department (ED) are porous and low yield for identifying adverse events (AEs). A better approach may be in the use of trigger tool methodology. We recently developed a novel ED trigger tool using a multidisciplinary, multicenter approach.
View Article and Find Full Text PDFIntroduction: Opioid prescribing patterns have come under increasing scrutiny with the recent rise in opioid prescriptions, opioid misuse and abuse, and opioid-related adverse events. To date, there have been limited studies on the effect of default tablet quantities as part of emergency department (ED) electronic order entry. Our goal was to evaluate opioid prescribing patterns before and after the removal of a default quantity of 20 tablets from ED electronic order entry.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates the effectiveness and efficiency of quality and safety reviews in academic emergency departments (EDs) in the U.S., highlighting that existing methods may be outdated and ineffective for identifying patient harm.
- Researchers conducted a 12-month observational study across five academic EDs, gathering data on the processes used and the severity of events identified, including near-misses and adverse events, using established grading systems.
- The findings revealed that out of 4,735 cases reviewed, 381 events were identified, with an overall adverse event rate of 1.99%, indicating a need for improved methods in quality review to better capture patient safety issues.
Treatment of Nausea and Vomiting in Pregnancy: Factors Associated with ED Revisits.
West J Emerg Med
September 2016
Introduction: Nausea and vomiting in pregnancy (NVP) is a condition that commonly affects women in the first trimester of pregnancy. Despite frequently leading to emergency department (ED) visits, little evidence exists to characterize the nature of ED visits or to guide its treatment in the ED. Our objectives were to evaluate the treatment of NVP in the ED and to identify factors that predict return visits to the ED for NVP.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to create a tool for emergency departments (ED) to better identify adverse events and enhance patient safety and quality improvement.
- A multidisciplinary group followed a four-part process involving literature review, gathering triggers from experts, web surveys for ranking, and an in-person meeting to finalize the triggers for testing.
- Ultimately, 114 candidate triggers were developed, with high agreement among reviewers, and the most effective ones were selected for further evaluation, streamlining the process for identifying quality improvement opportunities in the ED.