PMID- 24697662
OWN - NLM
STAT- MEDLINE
DCOM- 20140812
LR  - 20211201
IS  - 1532-5415 (Electronic)
IS  - 0002-8614 (Linking)
VI  - 62
IP  - 5
DP  - 2014 May
TI  - Detection of adverse events in an acute geriatric hospital over a 6-year period 
      using the Global Trigger Tool.
PG  - 896-900
LID - 10.1111/jgs.12774 [doi]
AB  - OBJECTIVES: To assess the frequency, severity, and preventability of adverse 
      events (AEs) detected using the Global Trigger Tool (GTT) in an acute geriatric 
      hospital. DESIGN: A 6-year retrospective study. SETTING: An urban Spanish acute 
      geriatric teaching hospital of 200 beds. PARTICIPANTS: Ten randomly selected 
      clinical records were chosen every fortnight from January 2007 to December 2012 
      (1,440 records, 240 per year). MEASUREMENTS: Triggers, AEs, Index of the National 
      Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) 
      categories of severity, and Likert scale to evaluate the preventability of AEs. 
      RESULTS: Four hundred twenty-four AEs (categories E to I of the NCC MERP Index) 
      were identified in 335 of the 1,440 individuals scrutinized, which corresponded 
      to 29.4 physical injuries per 100 admissions (95% confidence interval (CI) = 
      25.7-34.7). Of these, 351 (91.7%) occurred 3 or more days after admission; 279 
      harms (65.8%) were preventable. Significant decreases in the rate of harms per 
      1,000 patient-days (21.8 vs 27.1, relative risk (RR) = 0.77, 95% CI 0.66-0.91, P 
      = .02) and in high-severity events (categories F to I) (11/720 clinical records 
      in 2011-2012 vs 23/720 clinical records in 2007-2009) (RR = 0.48, 95% CI = 
      0.24-0.96, P = .04) were observed during the second half of the study from the 
      first. The number needed to alert was 7.8. CONCLUSION: The frequency and severity 
      of AEs decreased during the period of study. Factors possibly contributing to the 
      decrease in AEs include new beds with variable height, pressure ulcer prevention, 
      introduction of clinical electronic records, staff training on hand washing, 
      surgical check list, correct patient identification, and Agency for Healthcare 
      Research and Quality surveys on patient safety culture.
CI  - (c) 2014, Copyright the Authors Journal compilation (c) 2014, The American Geriatrics 
      Society.
FAU - Suarez, Cristina
AU  - Suarez C
AD  - Section of Microbiology, Department of Functional Biology, Faculty of Medicine, 
      University of Oviedo, Oviedo, Spain.
FAU - Menendez, Maria Dolores
AU  - Menendez MD
FAU - Alonso, Josefina
AU  - Alonso J
FAU - Castano, Nieves
AU  - Castano N
FAU - Alonso, Marta
AU  - Alonso M
FAU - Vazquez, Fernando
AU  - Vazquez F
LA  - eng
PT  - Journal Article
DEP - 20140402
PL  - United States
TA  - J Am Geriatr Soc
JT  - Journal of the American Geriatrics Society
JID - 7503062
SB  - IM
MH  - Female
MH  - Follow-Up Studies
MH  - *Hospital Records
MH  - Hospitals, Teaching/*methods
MH  - *Hospitals, Urban
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Medical Errors/prevention & control/statistics & numerical data
MH  - Medication Errors/prevention & control/*statistics & numerical data
MH  - Patient Safety/*standards
MH  - *Quality Indicators, Health Care
MH  - Retrospective Studies
MH  - Spain
MH  - Time Factors
OTO - NOTNLM
OT  - elderly
OT  - safety
OT  - trigger tool
EDAT- 2014/04/05 06:00
MHDA- 2014/08/13 06:00
CRDT- 2014/04/05 06:00
PHST- 2014/04/05 06:00 [entrez]
PHST- 2014/04/05 06:00 [pubmed]
PHST- 2014/08/13 06:00 [medline]
AID - 10.1111/jgs.12774 [doi]
PST - ppublish
SO  - J Am Geriatr Soc. 2014 May;62(5):896-900. doi: 10.1111/jgs.12774. Epub 2014 Apr 
      2.