PMID- 26036885
OWN - NLM
STAT- MEDLINE
DCOM- 20160221
LR  - 20150603
IS  - 2245-1919 (Electronic)
IS  - 2245-1919 (Linking)
VI  - 62
IP  - 6
DP  - 2015 Jun
TI  - Attention to cancer patients' safety after primary treatment is needed.
LID - A5090 [pii]
AB  - INTRODUCTION: Knowledge about patient safety issues after primary treatment of 
      cancer is sparse. METHODS: The present article is a retrospective analysis of 
      adverse events (AEs) after primary cancer treatment to characterise the types of 
      AEs and their consequences. A total of 724 AEs reported from 2010 to 2013 were 
      identified via the Danish Patient Safety Database. The International 
      Classification for Patient Safety was used to characterise event types. 
      Consequences were characterised as either psychical harm or delay. We focused on 
      AEs in care transitions. RESULTS: Common event types were administrative 
      processes (58%), communication and documentation (56%), clinical processes (42%) 
      and medication (27%). 46% of AEs led to physical harm. 4% resulted in severe 
      physical harm or death. 18% resulted in delay in diagnosis of relapse or new 
      cancer, treatment or referral. 50% of all AEs were related to care transitions. 
      The AEs in care transitions carry great potential for prevention as they often 
      relate to inadequate administrative practices, poor communication and 
      documentation, or to unclear transferal of responsibility for the patient. 
      CONCLUSION: Attention to patient safety after primary cancer treatment is 
      required. The identification of a substantial number of AEs in care transitions 
      stresses a need for increased continuity and clear transfer of responsibility in 
      cancer care after primary treatment. To support learning from AEs, the AE reports 
      should provide more details on the contextual factors.
FAU - Christiansen, Anne Hjollund
AU  - Christiansen AH
AD  - The Danish Cancer Society, Documentation & Quality, Strandboulevarden 49, 2100 
      Copenhagen, Denmark. annhch@cancer.dk.
FAU - Lipczak, Henriette
AU  - Lipczak H
FAU - Knudsen, Janne Lehmann
AU  - Knudsen JL
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Denmark
TA  - Dan Med J
JT  - Danish medical journal
JID - 101576205
SB  - IM
MH  - Communication
MH  - Databases, Factual
MH  - Denmark
MH  - Documentation/standards
MH  - Humans
MH  - Medical Errors/prevention & control
MH  - Neoplasms/*therapy
MH  - Patient Safety/*statistics & numerical data
MH  - Quality Assurance, Health Care
MH  - Retrospective Studies
MH  - Transitional Care/standards/*statistics & numerical data
EDAT- 2015/06/04 06:00
MHDA- 2016/02/22 06:00
CRDT- 2015/06/04 06:00
PHST- 2015/06/04 06:00 [entrez]
PHST- 2015/06/04 06:00 [pubmed]
PHST- 2016/02/22 06:00 [medline]
AID - A5090 [pii]
PST - ppublish
SO  - Dan Med J. 2015 Jun;62(6):A5090.