PMID- 29430403 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2220-3141 (Print) IS - 2220-3141 (Electronic) IS - 2220-3141 (Linking) VI - 7 IP - 1 DP - 2018 Feb 4 TI - Adverse events in critical care: Search and active detection through the Trigger Tool. PG - 9-15 LID - 10.5492/wjccm.v7.i1.9 [doi] AB - AIM: To investigate the incidence of disadvantageous events by using the Global Trigger Tool in an intensive care unit (ICU). METHODS: A retrospective descriptive study was performed in a 12-bed university ICU in the city of Medellin, Colombia. Clinical charts of hospitalized patients were reviewed, between January 1 and December 31, 2016, with the following inclusion criteria: subjects aged over 18 years, with at least 24 h of hospitalization and who had a complete medical history that could be accessed. Interventions: Trained reviewers conducted a retrospective examination of medical charts searching for clue events that elicit investigation, in order to detect an unfavorable event. Measurements: Information was processed through SPSS software version 21; for numerical variables, the mean was reported with standard deviation (SD). Percentages were calculated for qualitative variables. RESULTS: Two hundred and forty-four triggers occurred, with 82.4% of subjects having presented with at least one and an average of 3.37 (SD 3.47). A total of 178 adverse events (AEs) took place in 48 individuals, with an incidence of 52.1%. On average, four events per patient were recorded, and for each unfortunate event, 1.98 triggers were presented. The most frequent displeasing issues were: pressure ulcers (17.6%), followed by complications or reactions to medical devices (4.3%), and lacerations or skin defects (3.7%); the least frequent was delayed diagnosis or treatment (0.56%). Thirty-eight point four percent of mishap events caused temporary damage that required intervention, and 48.9% of AEs were preventable. Comparison between AEs and admission diagnoses found that hypertension and sepsis were the only diagnoses that had statistical significance (P = 0.042 and 0.022, respectively). CONCLUSION: Almost half of the unfavorable issues were classified as avoidable, which leaves a very wide field of work in terms of preventative activities. FAU - Molina, Francisco J AU - Molina FJ AD - Clinica Universitaria Bolivariana, School of Medicine, Universidad Pontificia Bolivariana, Medellin 050034, Colombia. FAU - Rivera, Paula T AU - Rivera PT AD - Faculty of Nursing, Universidad de Caldas, Manizales 170004, Colombia. FAU - Cardona, Alejandro AU - Cardona A AD - School of Medicine, Universidad Pontificia Bolivariana, Medellin 050034, Colombia. FAU - Restrepo, Diana C AU - Restrepo DC AD - School of Medicine, Universidad Pontificia Bolivariana, Medellin 050034, Colombia. FAU - Monroy, Oralia AU - Monroy O AD - Clinica Universitaria Bolivariana, Medellin 050034, Colombia. FAU - Rodas, Daniel AU - Rodas D AD - Clinica Universitaria Bolivariana, School of Medicine, Universidad Pontificia Bolivariana, Medellin 050034, Colombia. FAU - Barrientos, Juan G AU - Barrientos JG AD - Clinica Universitaria Bolivariana, School of Medicine, Universidad Pontificia Bolivariana, Medellin 050034, Colombia. LA - eng PT - Journal Article DEP - 20180204 PL - United States TA - World J Crit Care Med JT - World journal of critical care medicine JID - 101622182 PMC - PMC5797974 OTO - NOTNLM OT - Adverse events OT - Complications OT - Critical care OT - Security OT - Trigger Tool COIS- Conflict-of-interest statement: All the Authors declare no conflict of interest related to the manuscript. EDAT- 2018/02/13 06:00 MHDA- 2018/02/13 06:01 PMCR- 2018/02/04 CRDT- 2018/02/13 06:00 PHST- 2017/08/11 00:00 [received] PHST- 2017/11/20 00:00 [revised] PHST- 2017/12/01 00:00 [accepted] PHST- 2018/02/13 06:00 [entrez] PHST- 2018/02/13 06:00 [pubmed] PHST- 2018/02/13 06:01 [medline] PHST- 2018/02/04 00:00 [pmc-release] AID - 10.5492/wjccm.v7.i1.9 [doi] PST - epublish SO - World J Crit Care Med. 2018 Feb 4;7(1):9-15. doi: 10.5492/wjccm.v7.i1.9. eCollection 2018 Feb 4.