PMID- 22879373
OWN - NLM
STAT- MEDLINE
DCOM- 20130220
LR  - 20161020
IS  - 1464-3677 (Electronic)
IS  - 1353-4505 (Linking)
VI  - 24
IP  - 5
DP  - 2012 Oct
TI  - Reliability and accuracy of the screening for adverse events in Brazilian 
      hospitals.
PG  - 532-7
LID - 10.1093/intqhc/mzs050 [doi]
AB  - OBJECTIVE: To analyze the reliability and accuracy of the screening for adverse 
      events (AEs) conducted by nurses taking the assessment by medical residents as 
      the reference. DESIGN: A validation study of the screening phase of a previous 
      retrospective cohort study based on the patient record review that estimated the 
      incidence of AEs (base study). SETTING: Three general teaching hospitals in the 
      State of Rio de Janeiro, Brazil. PARTICIPANTS: A subsample of 242 medical records 
      randomly selected from an original sample of 1103 previously evaluated records. 
      MAIN OUTCOME MEASURE(S): A two-step approach was used for analysis: the 
      identification of at least one screening criterion (first endpoint) and the 
      validation of each identified criterion (second endpoint), taking the assessment 
      by medical residents as the reference. Kappa coefficient; simple percentage 
      agreement; sensitivity; specificity; positive and negative predictive values were 
      calculated. RESULTS: The total agreement between medical residents and nurses on 
      the presence of screening criteria was moderate (78.9%, K = 0.55). Specificity 
      (81.6%) was higher than sensitivity (74.4%). Nurses detected more screening 
      criteria that were later confirmed as true AEs (179 vs. 171, respectively). 
      Significant differences in the detection of the screening criteria: 'Other 
      complications', 'Hospitalization injury' and 'Prior admission' were observed. 
      CONCLUSION: The results suggested a good performance of the nurses in the 
      screening for detection of AE and showed significant differences in relation to 
      detection of specific screening criteria among reviewers. A better understanding 
      of the screening process and the performance of reviewers was provided.
FAU - Pavao, Ana Luiza Braz
AU  - Pavao AL
AD  - Oswaldo Cruz Foundation, Rio de Janeiro, Manguinhos, Rio de Janeiro-RJ, Brazil.
FAU - Camacho, Luiz Antonio Bastos
AU  - Camacho LA
FAU - Martins, Monica
AU  - Martins M
FAU - Mendes, Walter
AU  - Mendes W
FAU - Travassos, Claudia
AU  - Travassos C
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20120808
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
MH  - Brazil
MH  - Clinical Protocols
MH  - Hospitals, Teaching/*standards
MH  - Humans
MH  - Medical Errors/*statistics & numerical data
MH  - Medical Staff, Hospital/*standards
MH  - Nursing Staff, Hospital/*standards
MH  - Reproducibility of Results
MH  - Retrospective Studies
EDAT- 2012/08/11 06:00
MHDA- 2013/02/21 06:00
CRDT- 2012/08/11 06:00
PHST- 2012/08/11 06:00 [entrez]
PHST- 2012/08/11 06:00 [pubmed]
PHST- 2013/02/21 06:00 [medline]
AID - mzs050 [pii]
AID - 10.1093/intqhc/mzs050 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2012 Oct;24(5):532-7. doi: 10.1093/intqhc/mzs050. Epub 
      2012 Aug 8.