Safety issues and concerns for the neurological patient in the emergency department.
BACKGROUND
Patient safety in our medical system has been an increasing national concern. Neurological patient safety in the emergency department (ED) has not been studied. The purpose of this article is thus to describe the issues relevant to neurological patient safety in the ED, review the current status of the literature, identify specific patient populations at risk, and suggest applicable solutions.


METHODS
Medline and PubMed literature review of key words associated with patient safety, neurological diseases, and EDs.


RESULTS
Little data can be found on overall neurological patient safety in the ED, however data for specific neurological emergencies including subarachnoid hemorrhage, stroke, status epilepticus, and head and spine trauma does exist and is reviewed.


CONCLUSIONS
Limitations in ED education and access to neurological expertise may place some patients at risk. Recommendations for improving neurological patient safety in the EDs are suggested and include a discussion on barriers to implementation.
Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. manno.edward@mayo.edu
Edward M
EM
Manno
D003951:Diagnostic Errors; D004636:Emergency Service, Hospital / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D009422:Nervous System Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D011787:Quality of Health Care; D012307:Risk Factors; D012449:Safety