PMID- 31707720
OWN - NLM
STAT- MEDLINE
DCOM- 20200511
LR  - 20210913
IS  - 1424-3997 (Electronic)
IS  - 0036-7672 (Linking)
VI  - 149
DP  - 2019 Nov 4
TI  - Describing adverse events in medical inpatients using the Global Trigger Tool.
PG  - w20149
LID - Swiss Med Wkly. 2019;149:w20149 [pii]
LID - 10.4414/smw.2019.20149 [doi]
AB  - AIMS: The purpose of the study was to describe the type, prevalence, severity and 
      preventability of adverse events (AEs) that affected hospitalised medical 
      patients. We used the previously developed and validated Global Trigger Tool from 
      the Institute for Healthcare Improvement. METHODS: Using an adapted version of 
      the Global Trigger Tool, we conducted a retrospective chart review of adult 
      patients hospitalised in five medical wards at a university hospital in 
      Switzerland. We reviewed a random sample of 20 patients’ charts for a total 
      study period of 12 months (September 2016 to August 2017). Two trained nurses 
      searched independently for triggers and possible AEs. All AEs were further 
      validated by a senior physician. The number of triggers and AEs detected, as well 
      as the severity and preventability of each, was assessed and analysed using 
      descriptive statistics. RESULTS: From a sample of 240 patient charts, we 
      identified 1371 triggers and 336 AEs in 144 (60%) inpatients. This translates to 
      an AE rate of 95.7 AEs per 1000 patient days. Most AEs (86.1%) caused temporary 
      harm to the patient and required an intervention and/or prolonged 
      hospitalisation. The estimated preventability of the in-hospital AEs was 29%. 
      Healthcare-associated infections (25.8%) and neurological reactions (22.9%) were 
      the most frequent AE types. CONCLUSION: We found that about two thirds of 
      patients suffered from AEs with harm during hospitalisation. It is common 
      knowledge that AEs occur in hospitals and that they have potentially harmful 
      consequences for patients, as well as a strong economic impact. However, to 
      adequately prioritise patient safety interventions, it is essential to explore 
      the nature, prevalence, severity and preventability of AEs. This is not only 
      beneficial for the patients, but also cost effective in terms of shorter hospital 
      stays.
FAU - Grossmann, Nicole
AU  - Grossmann N
AD  - Department of General Internal Medicine, Inselspital, Bern University Hospital, 
      Switzerland.
FAU - Gratwohl, Franziska
AU  - Gratwohl F
AD  - Department of General Medicine and Palliative Care, Lindenhofgruppe, Bern, 
      Switzerland.
FAU - Musy, Sarah N
AU  - Musy SN
AD  - Institute of Nursing Science, Department of Public Health, Medical Faculty, 
      University of Basel, Switzerland / Nursing and Midwifery Research Unit, 
      Inselspital, Bern University Hospital, Bern, Switzerland.
FAU - Nielen, Natascha M
AU  - Nielen NM
AD  - Nursing and Midwifery Research Unit, Inselspital, Bern University Hospital, Bern, 
      Switzerland.
FAU - Donze, Jacques
AU  - Donze J
AD  - Department of General Internal Medicine, Inselspital, Bern University Hospital, 
      Switzerland / Department of General Medicine and Primary Care, Brigham and 
      Women's Hospital, Boston, Massachusetts, USA / Harvard Medical School, Boston, 
      Massachusetts, USA / Department of General Internal Medicine, Hopital 
      Neuchatelois, Neuchatel, Switzerland.
FAU - Simon, Michael
AU  - Simon M
AD  - Institute of Nursing Science, Department of Public Health, Medical Faculty, 
      University of Basel, Switzerland / Nursing and Midwifery Research Unit, 
      Inselspital, Bern University Hospital, Bern, Switzerland.
LA  - eng
PT  - Journal Article
DEP - 20191110
PL  - Switzerland
TA  - Swiss Med Wkly
JT  - Swiss medical weekly
JID - 100970884
SB  - IM
MH  - Aged
MH  - *Cross Infection
MH  - Drug-Related Side Effects and Adverse Reactions/*epidemiology
MH  - Female
MH  - Hospitalization
MH  - Hospitals, University
MH  - Humans
MH  - Inpatients/*statistics & numerical data
MH  - Length of Stay
MH  - Male
MH  - *Medical Records
MH  - *Patient Harm
MH  - Prevalence
MH  - Retrospective Studies
MH  - *Surveys and Questionnaires
MH  - Switzerland/epidemiology
EDAT- 2019/11/11 06:00
MHDA- 2020/05/12 06:00
CRDT- 2019/11/11 06:00
PHST- 2019/11/11 06:00 [entrez]
PHST- 2019/11/11 06:00 [pubmed]
PHST- 2020/05/12 06:00 [medline]
AID - Swiss Med Wkly. 2019;149:w20149 [pii]
AID - 10.4414/smw.2019.20149 [doi]
PST - epublish
SO  - Swiss Med Wkly. 2019 Nov 10;149:w20149. doi: 10.4414/smw.2019.20149. eCollection 
      2019 Nov 4.