PMID- 27800019
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 1754-9493 (Print)
IS  - 1754-9493 (Electronic)
IS  - 1754-9493 (Linking)
VI  - 10
DP  - 2016
TI  - Adverse events in orthopedic care identified via the Global Trigger Tool in 
      Sweden - implications on preventable prolonged hospitalizations.
PG  - 23
LID - 23
AB  - BACKGROUND: The national incidence of adverse events (AEs) in Swedish orthopedic 
      care has never been described. A new national database has made it possible to 
      describe incidence, nature, preventability and consequences of AEs in Swedish 
      orthopedic care. METHODS: We used national data from a structured two-stage 
      record review with a Swedish modification of the Global Trigger Tool. The sample 
      was 4,994 randomly selected orthopedic admissions in 56 hospitals during 2013 and 
      2014. The AEs were classified according to the Swedish Patient Safety Act into 
      preventable or non-preventable. RESULTS: At least one AE occurred in 733 (15 %, 
      95 % CI 13.7-15.7) admissions. Of 950 identified AEs, 697 (73 %) were judged 
      preventable. More than half of the AEs (54 %) were of temporary nature. The most 
      common types of AE were healthcare-associated infections and distended urinary 
      bladder. Patients >/=65 years had more AEs (p < 0.001), and were more often 
      affected by pressure ulcer (p < 0.001) and urinary tract infections (p < 0.01). 
      Distended urinary bladder was seen more frequently in patients aged 18-64 years 
      (p = 0.01). Length of stay was twice as long for patients with AEs (p < 0.001). 
      We estimate 232,000 extra hospital days due to AEs during these 2 years. The 
      pattern of AEs in orthopedic care was different compared to other hospital 
      specialties. CONCLUSIONS: Using a national database, we found AEs in 15 % of 
      orthopedic admissions. The majority of the AEs was of temporary nature and judged 
      preventable. Our results can be used to guide focused patient safety work.
FAU - Rutberg, Hans
AU  - Rutberg H
AD  - Department of Medical and Health Sciences, Division of Health Care Analysis, 
      Linkoping University, Linkoping, Sweden ; Swedish Association of Local 
      Authorities and Regions, Stockholm, Sweden.
FAU - Borgstedt-Risberg, Madeleine
AU  - Borgstedt-Risberg M
AD  - Centre for Healthcare Development, Region Ostergotland, Linkoping, Sweden.
FAU - Gustafson, Pelle
AU  - Gustafson P
AD  - Department of Clinical Sciences Lund, Orthopedics, Lund University, Skane 
      University Hospital, Lund, Sweden ; Department of Orthopedics, Skane University 
      Hospital, SE-221 85 Lund, Sweden.
FAU - Unbeck, Maria
AU  - Unbeck M
AD  - Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, 
      Stockholm, Sweden ; Department of Orthopedics, Danderyd Hospital, Stockholm, 
      Sweden.
LA  - eng
PT  - Journal Article
DEP - 20161026
PL  - England
TA  - Patient Saf Surg
JT  - Patient safety in surgery
JID - 101319176
PMC - PMC5080833
OTO - NOTNLM
OT  - Adverse event
OT  - Global Trigger Tool
OT  - Orthopedic care
OT  - Patient safety
OT  - Retrospective record review
EDAT- 2016/11/02 06:00
MHDA- 2016/11/02 06:01
PMCR- 2016/10/26
CRDT- 2016/11/02 06:00
PHST- 2016/05/29 00:00 [received]
PHST- 2016/10/13 00:00 [accepted]
PHST- 2016/11/02 06:00 [pubmed]
PHST- 2016/11/02 06:01 [medline]
PHST- 2016/11/02 06:00 [entrez]
PHST- 2016/10/26 00:00 [pmc-release]
AID - 112 [pii]
AID - 10.1186/s13037-016-0112-y [doi]
PST - epublish
SO  - Patient Saf Surg. 2016 Oct 26;10:23. doi: 10.1186/s13037-016-0112-y. eCollection 
      2016.