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Revue de la littérature sur les retours précoces aux urgences pour améliorer la qualité et la sécurité des soins

Literature review on early return visits to the emergency department for assessing healthcare quality and safety

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Annales françaises de médecine d'urgence

Résumé

Les retours précoces aux urgences peuvent être liés à un événement indésirable associé aux soins (EIAS) survenu lors du premier passage aux urgences. Cette revue de 24 études fait le point de l’utilisation des retours précoces comme indicateur qualité et comme événement sentinelle dans le cadre d’une démarche qualité de gestion des risques. La plupart des retours précoces ne sont pas dus à des erreurs mais à des facteurs liés aux patients, à l’évolution de leur maladie ou au système de soin en aval des urgences. Cependant, les patients qui reviennent pour un EIAS présentent souvent une pathologie sévère nécessitant une hospitalisation. Ils ont un âge élevé, des comorbidités, ils sont mal assurés et ont un tableau clinique sévère lors de leur premier passage. Les retours précoces ne devraient pas être utilisés comme indicateur de qualité des soins puisque la plupart ne sont pas liés à un EIAS mais comme événement sentinelle pour dépister ceux qui sont liés à un EIAS. L’analyse ciblée des dossiers de ces patients permet de caractériser ces EIAS, d’identifier les causes évitables et de mettre en place des actions d’amélioration.

Abstract

Early return visits to the emergency department (ED) may be due to adverse event occurring during the first visit. We reviewed 24 publications to focus on return visits as sentinel event to detect preventable errors and adverse events in the ED. Most of returns are not related to lapses in care but to patient factors, disease progression or post-ED factors. Only 15%of early return visits are related to adverse events, but these patients often return with severe conditions and must be hospitalized. Their risk factors are age, comorbidities, poor insurance coverage, and severe conditions at the first visit. Early return visits should not be used as indicator of quality of care because most of return visits are not related to quality issues, but as a screening tool to detect deficits in care. Review of screened records characterizes adverse events for identifying preventable errors and improve healthcare.

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Références

  1. Keith KD, Bocka JJ, Kobernick MS, et al (1989) Emergency department revisits. Ann Emerg Med 18:964–8

    Article  CAS  PubMed  Google Scholar 

  2. Hu SC (1992) Analysis of patient revisits to the emergency department. Am J Emerg Med 10:366–70

    Article  CAS  PubMed  Google Scholar 

  3. Calder L, Pozgay A, Riff S, et al (2015) Adverse events in patients with return emergency department visits. BMJ Qual Saf 24:142–8

    Article  PubMed  Google Scholar 

  4. Fan JS, Kao WF, Yen DH, et al (2007) Risk factors and prognostic predictors of unexpected intensive care unit admission within 3 days after ED discharge. Am J Emerg Med 25:1009–14

    Article  PubMed  Google Scholar 

  5. Hu KW, Lu YH, Lin HJ, et al (2012) Unscheduled return visits with and without admission post emergency department discharge. J Emerg Med 43:1110–8

    Article  PubMed  Google Scholar 

  6. Haute Autorité de Santé (2015) Comprendre pour agir sur les événements indésirables associés aux soins. http://www.hassante. fr/portail/jcms/c_2011561/fr/comprendre-pour-agir-sur-lesevenements- indesirables-associes-aux-soins-eias. Dernier accès le 25 novembre 2016

    Google Scholar 

  7. Nuñez S, Hexdall A, Aguirre-Jaime A (2006) Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care 15:102–8

    Article  PubMed  PubMed Central  Google Scholar 

  8. Duseja R, Bardach NS, Lin GA, et al (2015) Revisit rates and associated costs after an emergency department encounter: a multistate analysis. Ann Intern Med 162:750–6

    Article  PubMed  Google Scholar 

  9. Haute Autorité de Santé (2014) Manuel de certification. http://www.has-sante.fr/portail/upload/docs/application/pdf/2014-03/ manuel_v2010_janvier2014.pdf. Dernier accès le 18 décembre 2016

    Google Scholar 

  10. Rising KL, Padrez KA, O’Brien M, et al (2015) Return visits to the emergency department: the patient perspective. Ann Emerg Med 65:377–86.e3

    Article  PubMed  Google Scholar 

  11. Pierce JM, Kellerman AL, Oster C (1990) Bounces: an analysis of short-term return visits to a public hospital emergency department. Ann Emerg Med 19:752–7

    Article  CAS  PubMed  Google Scholar 

  12. Liaw S, Bullard M, Hu P, et al (1999) Rates and causes of emergency department revisits within 72 hours. J Formos Med Assoc 98:422–5

    CAS  PubMed  Google Scholar 

  13. Wu CL, Wang FT, Chiang YC, et al (2010) Unplanned emergency department revisits within 72 hours to a secondary teaching referral hospital in Taiwan. J Emerg Med 38:512–7

    Article  PubMed  Google Scholar 

  14. Pereira L, Choquet C, Perozziello A, et al (2015) Unscheduled-return-visits after an emergency department (ED) attendance and clinical link between both visits in patients aged 75 years and over: a prospective observational study. PLoS One 10:e0123803

    Google Scholar 

  15. McCusker J, Ionescu-Ittu R, Ciampi A, et al (2007) Hospital characteristics and emergency department care of older patients are associated with return visits. Acad Emerg Med 14:426–33

    Article  PubMed  Google Scholar 

  16. Pham JC, Kirsch TD, Hill PM, et al (2011) Seventy-two-hour returns may not be a good indicator of safety in the emergency department: a national study. Acad Emerg Med 18:390–7

    Article  PubMed  Google Scholar 

  17. Rising KL, Victor TW, Hollander JE, Carr BG (2014) Patient returns to the emergency department: the time-to-return curve. Acad Emerg Med 21:864–71

    Article  PubMed  Google Scholar 

  18. Sabbatini AK, Kocher KE, Basu A, Hsia RY (2016) In-hospital outcomes and costs among patients hospitalized during a return visit to the emergency department. JAMA 315:663–71

    Article  CAS  PubMed  Google Scholar 

  19. Health Quality Ontario (2016) The emergency department return visit quality program. http://www.hqontario.ca/Quality-Improvement/Our-Programs/The-Emergency-Department-Return-Visit- Quality-Program. Dernier accès le 19 décembre 2016

    Google Scholar 

  20. Hughes G (2012) A&E quality indicators. Emerg Med J 29:90

    Article  PubMed  Google Scholar 

  21. Shy BD, Kim EY, Genes NG, et al (2016) Increased identification of emergency department 72-hour returns using multihospital health information exchange. Acad Emerg Med 23:645–9

    Article  PubMed  Google Scholar 

  22. Lerman B, Kobernick MS (1987) Return visits to the emergency department. J Emerg Med 5:359–62

    Article  CAS  PubMed  Google Scholar 

  23. Sauvin G, Freund Y, Saïdi K, et al (2013) Unscheduled return visits to the emergency department: consequences for triage. Acad Emerg Med 20:33–9

    Article  PubMed  Google Scholar 

  24. Gordon JA, An LC, Hayward RA, Williams BC (1998) Initial emergency department diagnosis and return visits: risk versus perception. Ann Emerg Med 32:569–73

    Article  CAS  PubMed  Google Scholar 

  25. Martin-Gill C, Reiser RC (2004) Risk factors for 72-hour admission to the ED. Am J Emerg Med 22:448–53

    Article  PubMed  Google Scholar 

  26. Chan AH, Ho SF, Fook-Chong SM, et al (2016) Characteristics of patients who made a return visit within 72 hours to the emergency department of a Singapore tertiary hospital. Singapore Med J 57:301–6

    Article  PubMed  PubMed Central  Google Scholar 

  27. Abualenain J, Frohna WJ, Smith M, et al (2013) The prevalence of quality issues and adverse outcomes among 72-hour return admissions in the emergency department. J Emerg Med 45:281–8

    Article  PubMed  Google Scholar 

  28. Haute Autorité de Santé (2015) Validation des indicateurs de qualité et de sécurité des soins. http://www.has-sante.fr/portail/jcms/ r_1456647/fr/validation-des-indicateurs-de-qualite-et-securitedes- soins. Dernier accès le 18 décembre 2016

    Google Scholar 

  29. Madsen M, Kiuru S, Castrèn M, Kurland L (2015) The level of evidence for emergency department performance indicators: systematic review. Eur J Emerg Med 22:298–305

    Article  PubMed  Google Scholar 

  30. Griffin F, Resar R (2009) IHI global trigger tool for measuring adverse events (Second Edition). IHI Innovation Series white paper. http://www.ihi.org/resources/Pages/Tools/IHIGlobalTriggerToolforMeasuringAEs. aspx. Dernier accès le 16 décembre 2016

    Google Scholar 

  31. DH Urgent & Emergency Care (2010) A&E clinical quality indicators: Implementation guidance and data definitions. http:// webarchive.nationalarchives.gov.uk/20130107105354/http:/www. dh.gov.uk/en/Publicationsandstatistics/Publications/Publications-PolicyAndGuidance/DH_122868. Dernier accès le 20 décembre 2016

    Google Scholar 

  32. Schull MJ, Guttmann A, Leaver CA, et al (2011) Prioritizing performance measurement for emergency department care: consensus on evidence based quality of care indicators. CJEM 13:300–9

    Article  PubMed  Google Scholar 

  33. Centers fo Medicare & Medicaid Services (2016) Measures and current data collection periods. https://www.medicare.gov/HospitalCompare/data/Data-Updated.html#MG3. Dernier accès le 19 décembre 2016

    Google Scholar 

  34. Société Française de Médecine d’Urgence (2001) Critères d’évaluation des services d’urgence. http://www.sfmu.org/upload/referentielsSFMU/ ref_mars2001.pdf. Dernier accès le 17 décembre 2016

    Google Scholar 

  35. Layde PM, Cortes LM, Teret SP, et al (2002) Patient safety efforts should focus on medical injuries. JAMA 287:1993–7

    Article  PubMed  Google Scholar 

  36. Rozich JD, Haraden CR, Resar RK (2003) Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual Saf Health Care 12:194–200

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Jick H (1974) Drugs—remarkably nontoxic. N Engl J Med 291:824–8

    Article  CAS  PubMed  Google Scholar 

  38. Classen DC, Pestotnik SL, Evans RS, Burke JP (1992) Description of a computerized adverse drug event monitor using a hospital information system. Hosp Pharm 27:774, 776–9, 783

    CAS  PubMed  Google Scholar 

  39. Resar RK, Rozich JD, Classen D (2003) Methodology and rationale for the measurement of harm with trigger tools. Qual Saf Health Care 12(Suppl 2):ii39–45

    PubMed  PubMed Central  Google Scholar 

  40. Schuur JD, Hsia RY, Burstin H, et al (2013) Quality measurement in the emergency department: past and future. Health Aff (Millwood) 32:2129–38

    Article  Google Scholar 

  41. Klasco RS, Wolfe RE, Wong M, et al (2015) Assessing the rates of error and adverse events in the ED. Am J Emerg Med 33:1786–9

    Article  PubMed  Google Scholar 

  42. Howard IL, Bowen JM, Al Shaikh LAH, et al (2017) Development of a trigger tool to identify adverse events and harm in emergency medical services. Emerg Med J [in press]

    Google Scholar 

  43. World Health Organization, Version (2009) Conceptual framework for the international classification for patient safety. http:// www.who.int/patientsafety/taxonomy/icps_full_report.pdf. Dernier accès le 20 décembre 2016

    Google Scholar 

  44. Gilbert EH, Lowenstein SR, Koziol-McLain J, et al (1996) Chart reviews in emergency medicine research: Where are the methods? Ann Emerg Med 27:305–8

    Article  CAS  PubMed  Google Scholar 

  45. Klasco RS, Wolfe RE, Lee T, et al (2016) Can medical record reviewers reliably identify errors and adverse events in the ED? Am J Emerg Med 34:1043–8

    Article  PubMed  Google Scholar 

  46. Kuan WS, Mahadevan M (2009) Emergency unscheduled returns: can we do better? Singapore Med J 50:1068–71

    CAS  PubMed  Google Scholar 

  47. Verelst S, Pierloot S, Desruelles D, et al (2014) Short-term unscheduled return visits of adult patients to the emergency department. J Emerg Med 47:131–9

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Pôle de médecine d’urgence, CHU Toulouse, F-31059, Toulouse cedex 9, France

    D. Lauque, S. Fernandez, N. Lecoules & S. Charpentier

  2. Département d’information médicale, CHU Toulouse, F-31059, Toulouse cedex 9, France

    O. Azéma

  3. Emergency Medicine Department, Beth Israel Deaconess Medical Center, 330 Brookline avenue, Boston, MA, 02215, USA

    J. Edlow & A. Bellou

  4. Université Paul Sabatier, F-31059, Toulouse cedex 9, France

    D. Lauque & S. Charpentier

Authors
  1. D. Lauque
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  2. S. Fernandez
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  3. N. Lecoules
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  4. S. Charpentier
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  5. O. Azéma
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  6. J. Edlow
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  7. A. Bellou
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Correspondence to D. Lauque.

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Lauque, D., Fernandez, S., Lecoules, N. et al. Revue de la littérature sur les retours précoces aux urgences pour améliorer la qualité et la sécurité des soins. Ann. Fr. Med. Urgence 7, 106–116 (2017). https://doi.org/10.1007/s13341-017-0737-1

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  • DOI: https://doi.org/10.1007/s13341-017-0737-1

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