title: Work environment influences adverse events in an emergency department.
abstract: BACKGROUND
  The psychosocial work environment has been recognised as a factor that contributes to the occurrence of errors and adverse events at hospitals. There has been a strong focus on stress factors at intensive care units and emergency departments. The purpose of this study was to investigate the occurrence of adverse events and to examine the relationship between work-related stressors, safety culture and adverse events at an emergency department.
  
  
  METHODS
  A total of 98 nurses and 26 doctors working in an emergency department at a Danish regional hospital filled out a questionnaire on the occurrence and pattern of adverse events, psychosocial work environment factors, safety climate and learning culture.
  
  
  RESULTS
  The participants had experienced 742 adverse events during the previous month. The most frequent event types were lack of documents, referrals not performed, blood tests not available and lack of documentation. Problems related to reporting and learning and insufficient follow-up and feedback after serious events were the most frequent complaints. A poor patient safety climate and increased cognitive demands were significantly correlated to adverse events.
  
  
  CONCLUSIONS
  This study supports previous findings of severe underreporting to the mandatory national reporting system. The issue of reporting bias related to self-reported data should be born in mind. Among work environment issues, the patient safety climate and stress factors related to cognitive demands had the highest impact on the occurrence of adverse events.
  
  
  BACKGROUND
  The project was funded by Trygfonden (grant no 7-10-0949).
  
  
  BACKGROUND
  not relevant.
authors.affiliation: Arbejdsmedicinsk Klinik, Hospitals-enheden Vest, Regionshospitalet Herning, Gl. Landevej 61, 7400 Herning, -Denmark. kurt.rasmussen@vest.rm.dk.
authors.forename: Kurt
authors.initials: K
authors.lastname: Rasmussen
authors.forename: Anna Helene Meldgaard
authors.initials: AH
authors.lastname: Pedersen
authors.forename: Louise
authors.initials: L
authors.lastname: Pape
authors.forename: Kim Lyngby
authors.initials: KL
authors.lastname: Mikkelsen
authors.forename: Marlene Dyrløv
authors.initials: MD
authors.lastname: Madsen
authors.forename: Kent Jacob
authors.initials: KJ
authors.lastname: Nielsen
mesh_terms: D001291:Attitude of Health Personnel; D003718:Denmark; D004282:Documentation; D004636:Emergency Service, Hospital / Q000458:organization & administration* / Q000592:standards*; D005246:Feedback; D006403:Hematologic Tests; D006801:Humans; D033183:Interdisciplinary Communication; D019221:Mandatory Reporting; D008499:Medical Records; D009726:Nurses / Q000523:psychology; D015279:Organizational Culture; D061214:Patient Safety; D010820:Physicians / Q000523:psychology; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires; D016526:Workload; D017132:Workplace / Q000523:psychology