TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents?
Mirarchi FL, Cammarata C, Zerkle SW, Cooney TE, Chenault J, Basnak D. J Patient Saf. 2015;11:9-17.
This survey of emergency department physicians found that significant confusion in understanding of Physician Orders for Life-Sustaining Treatment (POLST) documents exists. The authors suggest that additional research and training are required to protect patients' decisions. A related study revealed variation in interpretations of POLST orders by prehospital emergency responders. A previous AHRQ WebM&M commentary discusses how confusion in resuscitation status can result in a patient receiving unwanted care.
The "July phenomenon": is trauma the exception?
Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. J Am Coll Surg. 2009;209:378-384.
Ambulance personnel perceptions of near misses and adverse events in pediatric patients.
Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.
A "back to basics" approach to reduce ED medication errors.
Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.
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The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.
Hobgood C, Hevia A, Tamayo-Sarver JH, Weiner B, Riviello R. Acad Med. 2005;80:758-764.