Emergency nursing and medical error--a survey of two states.
BACKGROUND
This study describes issues concerning emergency nurses in 2 states and their experiences and perspectives regarding the recognition, reporting, and resolution of medical error.


METHODS
To illustrate the issues involved in medical error reporting in this clinical specialty, a written survey of emergency nurses was conducted for the purpose of evaluating current practice of reporting medical error in the emergency department.


RESULTS
There is little evidence that practical advice and guidance exist for nurses in general and for emergency nurses in particular regarding the issue of medical error recognition, reporting, and resolution. Clinicians are reluctant to report medical error in the structure and framework that is being used currently.


CONCLUSIONS
There is a need for a practiced, standardized approach to medical error reporting that includes improved teamwork, conflict resolution, and appropriate reporting methodology education that should be paired with mandatory reporting laws.
Hohenhaus
Susan McDaniel
SM
Office of Patient Safety and Quality, Duke University Health System, Durham, NC, USA. shohenha@ptd.net
D000328:Adult; D016529:Emergency Nursing; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training; D008297:Male; D019221:Mandatory Reporting; D019300:Medical Errors / Q000517:prevention & control* / Q000706:statistics & numerical data; D009657:North Carolina; D010414:Pennsylvania; D012308:Risk Management / Q000458:organization & administration*