PMID- 24993759
OWN - NLM
STAT- MEDLINE
DCOM- 20160616
LR  - 20220317
IS  - 2044-6055 (Print)
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 4
IP  - 7
DP  - 2014 Jul 3
TI  - Prevalence and severity of patient harm in a sample of UK-hospitalised children 
      detected by the Paediatric Trigger Tool.
PG  - e005066
LID - 10.1136/bmjopen-2014-005066 [doi]
LID - e005066
AB  - The measurement and examination of adverse events (AEs) that occur in children 
      during hospital admissions is essential if we are to prevent, reduce or 
      ameliorate the harm experienced. The UK Paediatric Trigger Tool (UKPTT) is a 
      method of retrospective case note review that measures harm in hospitalised 
      children. OBJECTIVES: To examine the harm resulting from the processes of 
      healthcare in hospitalised children from centres providing data to the National 
      Health Service (NHS) Institute UKPTT data portal, to understand the positive 
      predictive values of triggers and to make recommendations for the further 
      development of the trigger tool. SETTING: 25 hospitals across the UK, including 
      secondary, tertiary and quaternary paediatric centres. PARTICIPANTS: Randomly 
      selected children who were admitted to hospital for longer than 24 h. OUTCOME 
      MEASURES: The primary outcome measure was the rate of harm (the percentage of 
      children experiencing one or more AEs during a hospital admission). Secondary 
      measures were the severity of harm and performance of triggers. RESULTS: Data 
      from 3992 patient admissions were reviewed across the hospitals and submitted to 
      the trigger tool portal from February 2008 to November 2011. At least one AE was 
      reported for 567 (14.2%) patients, with 211 (5.3%) experiencing more than one 
      event. There were 1001 AEs identified. Where harm occurred, it was considered 
      temporary for 923 (92.2%) AEs; however, 43 (4.3%) AEs resulted in the need for 
      life-sustaining interventions, 18 (1.8%) AEs led to permanent harm and for 17 
      children (1.7% of AEs) the AE was believed to have contributed to death. 
      CONCLUSIONS: There is a significant, measurable level of harm experienced by 
      children admitted to hospitals in the UK. While most of this harm is temporary, 
      some of it is serious. The UKPTT offers organisations the means to measure and 
      examine the AEs occurring in their hospital in order to reduce harm.
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 - Chapman, Susan M
AU  - Chapman SM
AD  - Department of Paediatrics, Great Ormond Street Hospital 
for Children NHS 
      Foundation Trust, London, UK University College London, London, UK.
FAU - Fitzsimons, John
AU  - Fitzsimons J
AD  - Department of Paediatrics, Our Lady of Lourdes Hospital, Drogheda, Ireland 
      Quality & Patient Safety Division, Health Service Executive, Dublin, Ireland.
FAU - Davey, Nicola
AU  - Davey N
AD  - NHS Institute for Innovation and Improvement, University of Warwick Science Park, 
      Coventry, UK.
FAU - Lachman, Peter
AU  - Lachman P
AD  - Department of Paediatrics, Great Ormond Street Hospital 
for Children NHS 
      Foundation Trust, London, UK.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20140703
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Child
MH  - Child, Hospitalized
MH  - Humans
MH  - Patient Harm/*statistics & numerical data
MH  - Prevalence
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - United Kingdom
PMC - PMC4091511
OTO - NOTNLM
OT  - Paediatrics
EDAT- 2014/07/06 06:00
MHDA- 2014/07/06 06:01
PMCR- 2014/07/03
CRDT- 2014/07/05 06:00
PHST- 2014/07/05 06:00 [entrez]
PHST- 2014/07/06 06:00 [pubmed]
PHST- 2014/07/06 06:01 [medline]
PHST- 2014/07/03 00:00 [pmc-release]
AID - bmjopen-2014-005066 [pii]
AID - 10.1136/bmjopen-2014-005066 [doi]
PST - epublish
SO  - BMJ Open. 2014 Jul 3;4(7):e005066. doi: 10.1136/bmjopen-2014-005066.