PMID- 24871538 OWN - NLM STAT- MEDLINE DCOM- 20160601 LR - 20220316 IS - 2044-6055 (Print) IS - 2044-6055 (Electronic) IS - 2044-6055 (Linking) VI - 4 IP - 5 DP - 2014 May 28 TI - Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. PG - e004879 LID - 10.1136/bmjopen-2014-004879 [doi] LID - e004879 AB - OBJECTIVES: To describe the level, preventability and categories of adverse events (AEs) identified by medical record review using the Global Trigger Tool (GTT). To estimate when the AE occurred in the course of the hospital stay and to compare voluntary AE reporting with medical record reviewing. DESIGN: Two-stage retrospective record review. SETTING: 650-bed university hospital. PARTICIPANTS: 20 randomly selected medical records were reviewed every month from 2009 to 2012. PRIMARY AND SECONDARY OUTCOME MEASURES: AE/1000 patient-days. Proportion of AEs found by GTT found also in the voluntary reporting system. AE categorisation. Description of when during hospital stay AEs occur. RESULTS: A total of 271 AEs were detected in the 960 medical records reviewed, corresponding to 33.2 AEs/1000 patient-days or 20.5% of the patients. Of the AEs, 6.3% were reported in the voluntary AE reporting system. Hospital-acquired infections were the most common AE category. The AEs occurred and were detected during the hospital stay in 65.5% of cases; the rest occurred or were detected within 30 days before or after the hospital stay. The AE usually occurred early during the hospital stay, and the hospital stay was 5 days longer on average for patients with an AE. CONCLUSIONS: Record reviewing identified AEs to a much larger extent than voluntary AE reporting. Healthcare organisations should consider using a portfolio of tools to gain a comprehensive picture of AEs. Substantial costs could be saved if AEs were prevented. CI - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. FAU - Rutberg, Hans AU - Rutberg H AD - Division of Health Care Analysis, Department of Medical and Health Sciences, Linkoping University, Linkoping, Sweden. FAU - Borgstedt Risberg, Madeleine AU - Borgstedt Risberg M AD - Public Health Centre, County Council of Ostergotland, Linkoping, Sweden. FAU - Sjodahl, Rune AU - Sjodahl R AD - Department of Surgery, County Council of Ostergotland, Linkoping University, Linkoping, Sweden Development and Patient Safety Unit, County Council of Ostergotland, Linkoping University, Linkoping, Sweden. FAU - Nordqvist, Pernilla AU - Nordqvist P AD - Development and Patient Safety Unit, County Council of Ostergotland, Linkoping University, Linkoping, Sweden. FAU - Valter, Lars AU - Valter L AD - Public Health Centre, County Council of Ostergotland, Linkoping, Sweden. FAU - Nilsson, Lena AU - Nilsson L AD - Department of Anesthesia and Intensive Care, County Council of Ostergotland, Linkoping University, Linkoping, Sweden. LA - eng PT - Journal Article DEP - 20140528 PL - England TA - BMJ Open JT - BMJ open JID - 101552874 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Cross Infection/*epidemiology MH - Drug-Related Side Effects and Adverse Reactions/*epidemiology MH - Female MH - *Hospitals, University MH - Humans MH - Male MH - Medical Errors/*statistics & numerical data MH - Medical Records MH - Middle Aged MH - Retrospective Studies MH - Time Factors MH - Young Adult PMC - PMC4039822 OTO - NOTNLM OT - Public Health EDAT- 2014/05/30 06:00 MHDA- 2014/05/30 06:01 PMCR- 2014/05/28 CRDT- 2014/05/30 06:00 PHST- 2014/05/30 06:00 [entrez] PHST- 2014/05/30 06:00 [pubmed] PHST- 2014/05/30 06:01 [medline] PHST- 2014/05/28 00:00 [pmc-release] AID - bmjopen-2014-004879 [pii] AID - 10.1136/bmjopen-2014-004879 [doi] PST - epublish SO - BMJ Open. 2014 May 28;4(5):e004879. doi: 10.1136/bmjopen-2014-004879.