EM Risk Initiative

The Emergency Medicine Risk Initiative (EMRI) is the answer to patient safety and medical error reduction in the practice of emergency medicine. EMRI is the result of years of research by The Sullivan Group into the causes of medical errors and adverse outcomes in the practice of emergency medicine.

The traditional approach to risk management, the lecture series, has not changed the litigation landscape. The emergency department team needs a system solution to patient safety and medical error and risk reduction.

There are three fundamental components to the EMRI "cycle of safety and risk".

  • Standardized Web-Based Safety and Risk Education for Physicians, Nurses and Allied Health Practitioners.
  • Real-Time Risk Management Tools.
  • The EMRI Audit and Feedback.
Web Course Library
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There are over 30,000 practitioners currently taking TSG web-based safety and risk courses with an extraordinary level of satisfaction. If you are interested in viewing the web-based educational offerings, contact TSG for a course trial at 1-866-MED-RISK. Both CME and CE are available.
Bedside Real-Time Risk Tools
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Bedside real-time risk management is fundamental. Risk management does not happen in a classroom. It happens at the bedside. TSG has created both paper and electronic medical record templates each with a complete risk and patient safety overlay.
The EMRI Audit
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The EMRI audit is clinically oriented and provides an unprecedented look at the individual practitioner, emergency practitioners as a group, and emergency department systems. TSG now conducts the EMRI audit in over 600 emergency departments and has the largest EM safety and risk database in existence.
Education and Audit Navigation Tool
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TSG Nav® gives your organization total control over every aspect of the education and auditing process.

EMRI meets the ultimate challenge; it enables changes in practitioner behavior. It reliably changes documentation and clinical practice patterns. It helps emergency practitioners meet the standard of care. The program is based upon the fundamental recognition that emergency practitioners are human and need systems in place to perform optimally. TSG is improving clinical practice, improving patient safety, and reducing medical errors and risk in emergency medicine.

The Audit reporting tool is extremely easy to use and share with clinicians. It provides results in graphic form that has been extremely well received by hundreds of emergency physicians.

Following implementation of the tool, TSG has seen striking changes in emergency departments. The number of patients discharged with abnormal vitals signs drops drastically. Risk factor analysis for coronary artery disease, thoracic aortic dissection, pulmonary embolism and many other conditions, which is nearly non-existent in most emergency departments, is routinely performed. Quality of care increases and practitioners begin to take advantage of diagnostic opportunities.

TSG recommends that the Audit be run within the emergency department quality improvement program in order to keep information confidential and protected from discovery. Additionally, we recommend that institutions utilizing the Audit develop policy with regard to input and use of data relative to HIPAA confidentiality requirements.

EM Risk Initiative
View EMRI Brochure
ED Audit & Reporting Tools
TSG PowerDoc
Risk & Safety Overlay for EDIS
EMTALA Resources
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