PMID- 20685729
OWN - NLM
STAT- MEDLINE
DCOM- 20110103
LR  - 20161020
IS  - 1464-3677 (Electronic)
IS  - 1353-4505 (Linking)
VI  - 22
IP  - 5
DP  - 2010 Oct
TI  - Adverse events in a Tunisian hospital: results of a retrospective cohort study.
PG  - 380-5
LID - 10.1093/intqhc/mzq040 [doi]
AB  - BACKGROUND: Despite the worldwide growing attention to patient safety, Tunisia 
      has no data on the magnitude and consequences of hospital adverse events (AEs). 
      OBJECTIVE: To estimate the incidence, nature and consequences of AEs and 
      preventable AEs in a university hospital in Tunisia. DESIGN AND SETTING: We opted 
      for a two-stage retrospective medical record review of 620 inpatients admitted 
      during 2005 based on the use of 18 screening criteria. Records were reviewed by a 
      trained medical student, then by an expert physician when one or more criteria 
      were identified. Main outcomes measures We determine the incidence, 
      preventability and consequences of the AEs. Patients and admissions 
      characteristics were also recorded. RESULTS: Among 620 inpatients, 62 inpatients 
      experienced an AE with an incidence of 10% (95% CI [7.6-12.3]). Surgical/invasive 
      procedures and therapeutic errors were the most common AEs (55 and 21%, 
      respectively). Among the confirmed events 60% were judged to be highly 
      preventable and 21% led to patient death. All ages and both genders experienced 
      equal rates of AEs. However, patients who experienced these events were 
      significantly more exposed to extrinsic risk factors (all surgical interventions 
      and invasive procedures that were listed in the revue form 2 of the 
      questionnaire). Physician reviewers estimated that a total of 570 additional 
      hospital days were associated with AEs. CONCLUSION: This study confirms that 
      preventable AEs were not rare in our context. They caused human harm and consumed 
      a significant part of hospital resources. Thus, targeted interventions are 
      needed.
FAU - Letaief, Mondher
AU  - Letaief M
AD  - Health Information and Quality Authority, George's Court, George's Lane, 
      Smithfield, Dublin 7, Ireland.
FAU - El Mhamdi, Sana
AU  - El Mhamdi S
FAU - El-Asady, Riham
AU  - El-Asady R
FAU - Siddiqi, Sameen
AU  - Siddiqi S
FAU - Abdullatif, Ahmed
AU  - Abdullatif A
LA  - eng
PT  - Journal Article
DEP - 20100804
PL  - England
TA  - Int J Qual Health Care
JT  - International journal for quality in health care : journal of the International 
      Society for Quality in Health Care
JID - 9434628
SB  - IM
EIN - Int J Qual Health Care. 2018 Aug 1;30(7):576. PMID: 29924342
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Child
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Female
MH  - Health Care Surveys
MH  - Hospital Administration/*statistics & numerical data
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Medical Errors/classification/prevention & control/*statistics & numerical data
MH  - Middle Aged
MH  - Quality of Health Care/*statistics & numerical data
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Tunisia
MH  - Young Adult
EDAT- 2010/08/06 06:00
MHDA- 2011/01/05 06:00
CRDT- 2010/08/06 06:00
PHST- 2010/08/06 06:00 [entrez]
PHST- 2010/08/06 06:00 [pubmed]
PHST- 2011/01/05 06:00 [medline]
AID - mzq040 [pii]
AID - 10.1093/intqhc/mzq040 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2010 Oct;22(5):380-5. doi: 10.1093/intqhc/mzq040. Epub 
      2010 Aug 4.