PMID- 26001551
OWN - NLM
STAT- MEDLINE
DCOM- 20190925
LR  - 20220318
IS  - 1549-8425 (Electronic)
IS  - 1549-8417 (Linking)
VI  - 14
IP  - 3
DP  - 2018 Sep
TI  - Adverse Events in Korean Traditional Medicine Hospitals: A Retrospective Medical 
      Record Review.
PG  - 157-163
LID - 10.1097/PTS.0000000000000190 [doi]
AB  - OBJECTIVES: Traditional medicine has been used worldwide in recent decades. The 
      aim of this study was to determine the incidence of adverse events (AEs) in 
      traditional medicine hospitals and investigate patient and health-care 
      utilization factors associated with AE occurrence. METHODS: A 2-stage review of 
      1152 randomly sampled charts in 2 teaching Korean traditional medicine hospitals 
      was conducted. Three physicians and a quality improvement specialist identified 
      AE occurrence, severity, and preventability using the Global Trigger Tool 
      (Appendix 1, Supplemental Digital Content, http://links.lww.com/JPS/A19). Two 
      traditional Korean medicine professors validated the findings. Logistic 
      regression analysis was performed to determine factors associated with AE 
      occurrence. RESULTS: One hundred twenty-two admissions (10.6%) had at least one 
      AE (7.39 events per 1000 patient days and 14.5 events per 100 admissions). Among 
      167 AEs, 73.7% were mild and 70.7% were judged preventable. Procedure-related AEs 
      were most common. After considering other patient and health-care utilization 
      characteristics, factors associated with AE occurrence were altered mental status 
      on admission (OR, 3.86; 95% confidence interval [CI], 1.20-12.44), use of various 
      traditional medicine therapies (OR, 1.69; 95% CI, 1.32-2.15), length of stay (OR, 
      1.02; 95% CI, 1.01-1.03), and number of unique triggers (OR, 6.35; 95% CI, 
      4.54-8.89). CONCLUSIONS: Approximately 11% of inpatients in traditional medicine 
      hospitals experienced AEs. Because patients have a higher risk of AEs, special 
      attention should be paid to those with altered mental status on admission, 
      receiving various traditional medicine therapies, staying for a longer period, 
      and having various positive triggers.
FAU - Hwang, Jee-In
AU  - Hwang JI
AD  - From the Department of Nursing Management, College of Nursing Science.
FAU - Kim, Jinsung
AU  - Kim J
AD  - Department of Internal Medicine, College of Korean Medicine, Kyung Hee 
      University, Seoul, South Korea.
FAU - Park, Jae-Woo
AU  - Park JW
AD  - Department of Internal Medicine, College of Korean Medicine, Kyung Hee 
      University, Seoul, South Korea.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Patient Saf
JT  - Journal of patient safety
JID - 101233393
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Hospitals
MH  - Humans
MH  - Male
MH  - Medical Records/*standards
MH  - Medicine, Korean Traditional/*adverse effects/methods
MH  - Middle Aged
MH  - Quality Improvement
MH  - Retrospective Studies
EDAT- 2015/05/24 06:00
MHDA- 2019/09/26 06:00
CRDT- 2015/05/24 06:00
PHST- 2015/05/24 06:00 [pubmed]
PHST- 2019/09/26 06:00 [medline]
PHST- 2015/05/24 06:00 [entrez]
AID - 10.1097/PTS.0000000000000190 [doi]
PST - ppublish
SO  - J Patient Saf. 2018 Sep;14(3):157-163. doi: 10.1097/PTS.0000000000000190.