PMID- 23890097
OWN - NLM
STAT- MEDLINE
DCOM- 20140923
LR  - 20220318
IS  - 1365-2753 (Electronic)
IS  - 1356-1294 (Linking)
VI  - 20
IP  - 1
DP  - 2014 Feb
TI  - Characteristics associated with the occurrence of adverse events: a retrospective 
      medical record review using the Global Trigger Tool in a fully digitalized 
      tertiary teaching hospital in Korea.
PG  - 27-35
LID - 10.1111/jep.12075 [doi]
AB  - OBJECTIVES: This study aimed to examine the performance of the Global Trigger 
      Tool and to investigate characteristics associated with the occurrence of adverse 
      events (AEs). STUDY DESIGN: Retrospective medical record review. SETTING: A 
      tertiary teaching hospital, Korea. METHOD: We employed two-stage review of a 
      random sample of 630 charts for patients discharged between January and June 
      2011. Two quality improvement specialists reviewed the presence of AEs using 53 
      triggers developed by the Institute for Healthcare Improvement. Two physicians 
      reviewed and validated the findings of adverse events. Positive predictive values 
      for individual triggers were calculated. Logistic regression analysis was 
      performed to determine factors associated with AEs. RESULTS: Of 629 patients, 45 
      (7%) experienced at least one AE during their hospitalization. Among the observed 
      AEs, 61% were preventable. The frequent types of AEs were 'procedure-related' and 
      'medication-related'. Six triggers had positive predictive values of greater than 
      50.0%: 'health care-associated infection', 'any procedure complication', 
      'medication: other', 'return to surgery', 'occurrence of any operative 
      complication' and 'intubation/reintubation'. Significant factors associated with 
      the occurrence of AEs were length of stay (OR 1.13; 95% CI 1.07 to 1.20) and the 
      number of triggers (OR 1.49; 95% CI 1.11 to 1.98). CONCLUSION: The Global Trigger 
      Tool was useful for the detection of adverse events in a Korean hospital setting. 
      Triggers with high positive predictive values should have priority for 
      incorporation into routine screening systems. Furthermore, patients who stay 
      longer in the hospital need to be closely monitored using triggers to improve 
      patient safety.
CI  - (c) 2013 John Wiley & Sons, Ltd.
FAU - Hwang, Jee-In
AU  - Hwang JI
AD  - Department of Nursing, Kyung Hee University, Seoul, South Korea.
FAU - Chin, Ho Jun
AU  - Chin HJ
FAU - Chang, Yoon-Seok
AU  - Chang YS
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20130729
PL  - England
TA  - J Eval Clin Pract
JT  - Journal of evaluation in clinical practice
JID - 9609066
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Drug-Related Side Effects and Adverse Reactions/*prevention & control
MH  - Female
MH  - Hospitals, Teaching/*organization & administration
MH  - Humans
MH  - Male
MH  - *Medical Records
MH  - Middle Aged
MH  - Patient Safety
MH  - Quality Improvement/*organization & administration
MH  - Reproducibility of Results
MH  - Republic of Korea
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Young Adult
OTO - NOTNLM
OT  - adverse events
OT  - global triggers
OT  - patient safety
OT  - teaching hospital
EDAT- 2013/07/31 06:00
MHDA- 2014/09/24 06:00
CRDT- 2013/07/30 06:00
PHST- 2013/07/04 00:00 [accepted]
PHST- 2013/07/30 06:00 [entrez]
PHST- 2013/07/31 06:00 [pubmed]
PHST- 2014/09/24 06:00 [medline]
AID - 10.1111/jep.12075 [doi]
PST - ppublish
SO  - J Eval Clin Pract. 2014 Feb;20(1):27-35. doi: 10.1111/jep.12075. Epub 2013 Jul 
      29.