Four Metrics Measure ED Safety

March 12, 2014 | Strategic Insights for Health System


The four metrics that can be used to measure safety and quality in the emergency department (ED) include how often patients are harmed, how often appropriate interventions are delivered, how well errors in the system are identified and fixed, and the ED's culture of safety, say authors of a study in the March-April 2014 American Journal of Medical Quality. The authors note that assessment of safety in the ED can be complex; many quality indicators may not apply directly to the ED, they explain. Therefore, they propose a model including the four metrics: patient harm (how often do we harm patients?), appropriate interventions (how often do we deliver the appropriate interventions?), identification and correction of systems issues (how well do we learn from our mistakes?), and culture of safety (have we created a culture of safety?).

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