title: Experience feedback committee in emergency medicine: a tool for security management.
abstract: OBJECTIVE
  Emergency departments are high-risk structures. The objective was to analyse the functioning of an experience feedback committee (EFC), a security management tool for the analysis of incidents in a medical department.
  
  
  METHODS
  We conducted a descriptive study based on the analysis of the written documents produced by the EFC between November 2009 and May 2012. We performed a double analysis of all incident reports, meeting minutes and analysis reports.
  
  
  RESULTS
  During the study period, there were 22 meetings attended by 15 professionals. 471 reported incidents were transmitted to the EFC. Most of them (95%) had no consequence for the patients. Only one reported incident led to the patient's death. 12 incidents were analysed thoroughly and the committee decided to set up 14 corrective actions, including eight guideline writing actions, two staff trainings, two resource materials provisions and two organisational changes.
  
  
  CONCLUSIONS
  The staff took part actively in the EFC. Following the analysis of incidents, the EFC was able to set up actions at the departmental level. Thus, an EFC seems to be an appropriate security management tool for an emergency department.
authors: Pôle Santé Publique, Unité d'évaluation médicale, Centre Hospitalier Universitaire, Grenoble, France.
authors: André
authors: A
authors: Lecoanet
authors: Pôle Santé Publique, Unité d'évaluation médicale, Centre Hospitalier Universitaire, Grenoble, France UJF-Grenoble 1/CNRS/TIMC-IMAG UMR 5525, Grenoble, France.
authors: Elodie
authors: E
authors: Sellier
authors: Département des urgences, Centre Hospitalier Universitaire, Grenoble, France.
authors: Françoise
authors: F
authors: Carpentier
authors: Département des urgences, Centre Hospitalier Universitaire, Grenoble, France.
authors: Maxime
authors: M
authors: Maignan
authors: Pôle Santé Publique, Unité d'évaluation médicale, Centre Hospitalier Universitaire, Grenoble, France.
authors: Arnaud
authors: A
authors: Seigneurin
authors: Pôle Santé Publique, Unité d'évaluation médicale, Centre Hospitalier Universitaire, Grenoble, France UJF-Grenoble 1/CNRS/TIMC-IMAG UMR 5525, Grenoble, France.
authors: Patrice
authors: P
authors: François
mesh_terms: D026683:Advisory Committees; D003625:Data Collection / Q000379:methods; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005246:Feedback; D005602:France; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control* / Q000706:statistics & numerical data*; D061214:Patient Safety; D011785:Quality Assurance, Health Care; D012308:Risk Management / Q000458:organization & administration*
keywords: Epidemiology; Quality Assurance
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