PMID- 23872292
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20130722
LR  - 20211021
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 3
IP  - 7
DP  - 2013
TI  - A pilot study on record reviewing with a priori patient selection.
LID - 10.1136/bmjopen-2013-003034 [doi]
LID - e003034
AB  - OBJECTIVES: To investigate whether a priori selection of patient records using 
      unexpectedly long length of stay (UL-LOS) leads to detection of more records with 
      adverse events (AEs) compared to non-UL-LOS. DESIGN: To investigate the 
      opportunities of the UL-LOS, we looked for AEs in all records of patients with 
      colorectal cancer. Within this group, we compared the number of AEs found in 
      records of patients with a UL-LOS with the number found in records of patients 
      who did not have a UL-LOS. SETTING: Our study was done at a general hospital in 
      The Netherlands. The hospital is medium sized with approximately 30 000 
      admissions on an annual basis. The hospital has two major locations in different 
      cities where both primary and secondary care is provided. PARTICIPANTS: The 
      patient records of 191 patients with colorectal cancer were reviewed. PRIMARY AND 
      SECONDARY OUTCOME MEASURES: Number of triggers and adverse events were the 
      primary outcome measures. RESULTS: In the records of patients with colorectal 
      cancer who had a UL-LOS, 51% of the records contained one or more AEs compared 
      with 9% in the reference group of non-UL-LOS patients. By reviewing only the 
      UL-LOS group with at least one trigger, we found in 84% (43 out of 51) of these 
      records at least one adverse event. CONCLUSIONS: A priori selection of patient 
      records using the UL-LOS indicator appears to be a powerful selection method 
      which could be an effective way for healthcare professionals to identify 
      opportunities to improve patient safety in their day-to-day work.
FAU - Cihangir, Sezgin
AU  - Cihangir S
AD  - Dutch Hospital Data, Utrecht, The Netherlands.
FAU - Borghans, Ine
AU  - Borghans I
FAU - Hekkert, Karin
AU  - Hekkert K
FAU - Muller, Hein
AU  - Muller H
FAU - Westert, Gert
AU  - Westert G
FAU - Kool, Rudolf B
AU  - Kool RB
LA  - eng
PT  - Journal Article
DEP - 20130719
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
PMC - PMC3717450
OTO - NOTNLM
OT  - Colorectal cancer
OT  - Length of Stay
OT  - Public Health
OT  - Record reviewing
OT  - trigger tool
EDAT- 2013/07/23 06:00
MHDA- 2013/07/23 06:01
PMCR- 2013/07/18
CRDT- 2013/07/23 06:00
PHST- 2013/07/23 06:00 [entrez]
PHST- 2013/07/23 06:00 [pubmed]
PHST- 2013/07/23 06:01 [medline]
PHST- 2013/07/18 00:00 [pmc-release]
AID - bmjopen-2013-003034 [pii]
AID - 10.1136/bmjopen-2013-003034 [doi]
PST - epublish
SO  - BMJ Open. 2013 Jul 19;3(7):e003034. doi: 10.1136/bmjopen-2013-003034. Print 2013.