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Design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in Belgian hospitals
BACKGROUND: Adverse events are unintended patient injuries that arise from healthcare management resulting in disability, prolonged hospital stay or death. Adverse events that require intensive care admission imply a considerable financial burden to the healthcare system. The epidemiology of adverse...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542154/ https://www.ncbi.nlm.nih.gov/pubmed/22931859 http://dx.doi.org/10.1186/1756-0500-5-468 |
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author | Vlayen, Annemie Marquet, Kristel Schrooten, Ward Vleugels, Arthur Hellings, Johan De Troy, Elke Weekers, Frank Claes, Neree |
author_facet | Vlayen, Annemie Marquet, Kristel Schrooten, Ward Vleugels, Arthur Hellings, Johan De Troy, Elke Weekers, Frank Claes, Neree |
author_sort | Vlayen, Annemie |
collection | PubMed |
description | BACKGROUND: Adverse events are unintended patient injuries that arise from healthcare management resulting in disability, prolonged hospital stay or death. Adverse events that require intensive care admission imply a considerable financial burden to the healthcare system. The epidemiology of adverse events in Belgian hospitals has never been assessed systematically. FINDINGS: A multistage retrospective review study of patients requiring a transfer to a higher level of care will be conducted in six hospitals in the province of Limburg. Patient records are reviewed starting from January 2012 by a clinical team consisting of a research nurse, a physician and a clinical pharmacist. Besides the incidence and the level of causation and preventability, also the type of adverse events and their consequences (patient harm, mortality and length of stay) will be assessed. Moreover, the adequacy of the patient records and quality/usefulness of the method of medical record review will be evaluated. DISCUSSION: This paper describes the rationale for a retrospective review study of adverse events that necessitate a higher level of care. More specifically, we are particularly interested in increasing our understanding in the preventability and root causes of these events in order to implement improvement strategies. Attention is paid to the strengths and limitations of the study design. |
format | Online Article Text |
id | pubmed-3542154 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35421542013-01-11 Design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in Belgian hospitals Vlayen, Annemie Marquet, Kristel Schrooten, Ward Vleugels, Arthur Hellings, Johan De Troy, Elke Weekers, Frank Claes, Neree BMC Res Notes Project Note BACKGROUND: Adverse events are unintended patient injuries that arise from healthcare management resulting in disability, prolonged hospital stay or death. Adverse events that require intensive care admission imply a considerable financial burden to the healthcare system. The epidemiology of adverse events in Belgian hospitals has never been assessed systematically. FINDINGS: A multistage retrospective review study of patients requiring a transfer to a higher level of care will be conducted in six hospitals in the province of Limburg. Patient records are reviewed starting from January 2012 by a clinical team consisting of a research nurse, a physician and a clinical pharmacist. Besides the incidence and the level of causation and preventability, also the type of adverse events and their consequences (patient harm, mortality and length of stay) will be assessed. Moreover, the adequacy of the patient records and quality/usefulness of the method of medical record review will be evaluated. DISCUSSION: This paper describes the rationale for a retrospective review study of adverse events that necessitate a higher level of care. More specifically, we are particularly interested in increasing our understanding in the preventability and root causes of these events in order to implement improvement strategies. Attention is paid to the strengths and limitations of the study design. BioMed Central 2012-08-29 /pmc/articles/PMC3542154/ /pubmed/22931859 http://dx.doi.org/10.1186/1756-0500-5-468 Text en Copyright ©2012 Vlayen et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Project Note Vlayen, Annemie Marquet, Kristel Schrooten, Ward Vleugels, Arthur Hellings, Johan De Troy, Elke Weekers, Frank Claes, Neree Design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in Belgian hospitals |
title | Design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in Belgian hospitals |
title_full | Design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in Belgian hospitals |
title_fullStr | Design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in Belgian hospitals |
title_full_unstemmed | Design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in Belgian hospitals |
title_short | Design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in Belgian hospitals |
title_sort | design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in belgian hospitals |
topic | Project Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542154/ https://www.ncbi.nlm.nih.gov/pubmed/22931859 http://dx.doi.org/10.1186/1756-0500-5-468 |
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