PMID- 32439319
OWN - NLM
STAT- MEDLINE
DCOM- 20210910
LR  - 20210910
IS  - 1878-1292 (Electronic)
IS  - 1878-1241 (Linking)
VI  - 38
DP  - 2020 Aug
TI  - The identification of adverse events in hip fracture patients using the Global 
      Trigger Tool: A prospective observational cohort study.
PG  - 100779
LID - S1878-1241(19)30004-8 [pii]
LID - 10.1016/j.ijotn.2020.100779 [doi]
AB  - INTRODUCTION: Hip fracture is common in the elderly and is associated with high 
      comorbidity, mortality and complication rates. There has been an increase in the 
      investigation of healthcare-related adverse events (AEs) in some patient groups 
      but there is limited knowledge about hip fracture patients. The aim was to 
      explore the incidence, preventability and nature of AEs in hip fracture patients. 
      METHODS: One hundred and sixty three hip fracture patients participated. A record 
      review was conducted of prospectively collected data using Global Trigger Tool 
      methodology to identify AEs up to 90 days after surgery. RESULTS: Sixty two 
      (38.0%) of 163 patients had at least one AE (range 1-7). One hundred and two AEs 
      were identified and 62 (60.8%) were deemed preventable. Healthcare-associated 
      infections e.g. pneumonia, urinary tract infections and pressure ulcers were 
      common. AEs were more common in older patients and those with pre-existing health 
      conditions. Fifty eight (56.9%) AEs caused temporary harm and 4 (3.9%) 
      contributed to patient death. CONCLUSION: AEs are common in hip fracture patients 
      and most are preventable. If the focus is on improving healthcare for these 
      patients, we should be concentrating our efforts on reducing the number of these 
      preventable AEs, with a particular emphasis on improving the care of older 
      patients with pre-existing health conditions.
CI  - Copyright (c) 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
FAU - Pettersson, Paula Kelly
AU  - Pettersson PK
AD  - Department of Orthopaedics, Danderyd Hospital, Stockholm, Sweden; Department of 
      Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden. 
      Electronic address: paula-therese.kelly.pettersson@ki.se.
FAU - Skoldenberg, Olof
AU  - Skoldenberg O
AD  - Department of Orthopaedics, Danderyd Hospital, Stockholm, Sweden; Department of 
      Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
FAU - Samuelsson, Bodil
AU  - Samuelsson B
AD  - Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, 
      Stockholm, Sweden; Acute and Reparative Medicine Theme, Karolinska University 
      Hospital, Stockholm, Sweden.
FAU - Stark, Andreas
AU  - Stark A
AD  - Department of Orthopaedics, Danderyd Hospital, Stockholm, Sweden; Department of 
      Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
FAU - Muren, Olav
AU  - Muren O
AD  - Department of Orthopaedics, Danderyd Hospital, Stockholm, Sweden; Department of 
      Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
FAU - Unbeck, Maria
AU  - Unbeck M
AD  - Acute and Reparative Medicine Theme, Karolinska University Hospital, Stockholm, 
      Sweden; Department of Neurobiology, Care Sciences and Society, Karolinska 
      Institutet, Stockholm, Sweden.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20200422
PL  - England
TA  - Int J Orthop Trauma Nurs
JT  - International journal of orthopaedic and trauma nursing
JID - 101528681
SB  - IM
MH  - *Hip Fractures
MH  - Humans
MH  - Incidence
MH  - Patient Safety
MH  - Prospective Studies
OTO - NOTNLM
OT  - Adverse event
OT  - Global Trigger Tool
OT  - Hip fracture
OT  - Retrospective record review
COIS- Declaration of competing interest The authors declare that they have no competing 
      interests.
EDAT- 2020/05/23 06:00
MHDA- 2021/09/11 06:00
CRDT- 2020/05/23 06:00
PHST- 2019/01/28 00:00 [received]
PHST- 2020/03/26 00:00 [revised]
PHST- 2020/04/07 00:00 [accepted]
PHST- 2020/05/23 06:00 [pubmed]
PHST- 2021/09/11 06:00 [medline]
PHST- 2020/05/23 06:00 [entrez]
AID - S1878-1241(19)30004-8 [pii]
AID - 10.1016/j.ijotn.2020.100779 [doi]
PST - ppublish
SO  - Int J Orthop Trauma Nurs. 2020 Aug;38:100779. doi: 10.1016/j.ijotn.2020.100779. 
      Epub 2020 Apr 22.