PMID- 30511516
OWN - NLM
STAT- MEDLINE
DCOM- 20191223
LR  - 20191223
IS  - 1756-5391 (Electronic)
IS  - 1756-5391 (Linking)
VI  - 12
IP  - 2
DP  - 2019 May
TI  - Adverse events identified by the global trigger tool at a university hospital: A 
      retrospective medical record review.
PG  - 91-97
LID - 10.1111/jebm.12329 [doi]
AB  - OBJECTIVES: The purpose of this study was to describe the level, preventability 
      and categories of adverse events (AEs) in Chinese geriatric patients identified 
      by medical record review using the Global Trigger Tool. The applicability of the 
      GTT was also assessed to explore possible modifications for trigger tools. 
      METHODS: The study was conducted at a 4300-bed tertiary teaching hospital. Twenty 
      randomly-selected medical records for patients over 60 were reviewed every 2 
      weeks from January 1 2015 to December 31st, 2015. We studied 480 medical records 
      in total. Two trained specialists reviewed the presence of AEs using 43 triggers, 
      and a physician reviewed and validated the findings. The outcome measures 
      included the number of AEs per 1000 patient days, AEs per 100 admissions, the 
      percentage of entries with at least 1 AE and AE categorisation. Also, we carried 
      out a descriptive analysis of the suspected factors of AEs, such as age, gender, 
      length of stay, surgery. RESULTS: A total of 610 AEs were detected in the 480 
      medical records reviewed, corresponding to 127 injuries per 100 admissions. The 
      number of AEs per 1000 patient days was 22.43. AEs occurred at least once in 329 
      (68.54%) patients. The rate of care harms ranked highest of all AEs, followed by 
      the rate of medication harms and surgical harms. Patients with a more extended 
      hospital stay or surgery was more likely to experience AEs. However, there was a 
      negative correlation between age and the rate of AEs. CONCLUSION: The Global 
      Trigger Tool was a useful method for detecting the characteristics of AEs in 
      geriatric patients in a Chinese tertiary teaching hospital. To improve patients' 
      safety, this tool should be incorporated into routine screening systems.
CI  - (c) 2018 Chinese Cochrane Center, West China Hospital of Sichuan University and 
      John Wiley & Sons Australia, Ltd.
FAU - Hu, Qiaozhi
AU  - Hu Q
AD  - Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, China.
AD  - West China School of Pharmacy, Sichuan University, Chengdu, China.
FAU - Wu, Bin
AU  - Wu B
AD  - Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, China.
FAU - Zhan, Mei
AU  - Zhan M
AD  - Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, China.
FAU - Jia, Weiguo
AU  - Jia W
AD  - Department of Geriatrics, West China Hospital, Sichuan University, Chengdu, 
      China.
FAU - Huang, Yimei
AU  - Huang Y
AD  - Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, China.
FAU - Xu, Ting
AU  - Xu T
AD  - Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, China.
LA  - eng
PT  - Journal Article
DEP - 20181203
PL  - England
TA  - J Evid Based Med
JT  - Journal of evidence-based medicine
JID - 101497477
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - China
MH  - Female
MH  - Hospitals, University/standards/*statistics & numerical data
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Medical Audit/*methods
MH  - Medical Errors/classification/*statistics & numerical data
MH  - Medication Errors/statistics & numerical data
MH  - Middle Aged
MH  - Patient Safety
MH  - Retrospective Studies
MH  - Surgical Procedures, Operative/*adverse effects
OTO - NOTNLM
OT  - adverse events
OT  - geriatric patients
OT  - the global trigger tool
EDAT- 2018/12/05 06:00
MHDA- 2019/12/24 06:00
CRDT- 2018/12/05 06:00
PHST- 2017/07/17 00:00 [received]
PHST- 2018/08/02 00:00 [accepted]
PHST- 2018/12/05 06:00 [pubmed]
PHST- 2019/12/24 06:00 [medline]
PHST- 2018/12/05 06:00 [entrez]
AID - 10.1111/jebm.12329 [doi]
PST - ppublish
SO  - J Evid Based Med. 2019 May;12(2):91-97. doi: 10.1111/jebm.12329. Epub 2018 Dec 3.