PMID- 35021026
OWN - NLM
STAT- MEDLINE
DCOM- 20220323
LR  - 20220323
IS  - 1938-2367 (Electronic)
IS  - 0147-7447 (Linking)
VI  - 45
IP  - 2
DP  - 2022 Mar-Apr
TI  - Use of Triggers to Detect Adverse Events After Outpatient Orthopedic Surgery at a 
      Single Ambulatory Surgery Center.
PG  - 116-121
LID - 10.3928/01477447-20220105-07 [doi]
AB  - Literature on adverse events (AEs) after outpatient orthopedic surgery is 
      relatively sparse, and efforts to detect, measure, and track AEs after outpatient 
      surgery lag behind those for the inpatient setting. Detection of AEs has 
      traditionally relied on patient safety indicators (from billing data) and 
      self-reporting, but these methods have been shown to have low sensitivity, 
      missing up to 90% of AEs. There is growing recognition that the trigger method, 
      which uses "triggers" as red flags to initiate more detailed chart audits, can 
      serve as a more sensitive alternative to detect AEs. Moreover, the recent 
      widespread adoption of electronic health records (EHRs) can provide faster 
      automated methods for identifying triggers and estimating AE rates. This study 
      evaluates the ability of 6 separate EHR-based triggers to predict AEs after 
      outpatient orthopedic surgery and compares this trigger method with AE 
      self-reporting. Triggers have the potential to decrease postoperative morbidity 
      after outpatient orthopedic surgery and may lead to quality improvement. Further 
      research is needed to qualify triggers as screening tools in the outpatient 
      setting. [Orthopedics. 2022;45(2):116-121.].
FAU - Calem, Daniel B
AU  - Calem DB
FAU - Horan, Dylan P
AU  - Horan DP
FAU - Taylor, Matthew T
AU  - Taylor MT
FAU - McEntee, Richard M
AU  - McEntee RM
FAU - Pedowitz, David I
AU  - Pedowitz DI
FAU - Emper, William D
AU  - Emper WD
FAU - Ilyas, Asif M
AU  - Ilyas AM
LA  - eng
PT  - Journal Article
DEP - 20220112
PL  - United States
TA  - Orthopedics
JT  - Orthopedics
JID - 7806107
SB  - IM
MH  - Ambulatory Surgical Procedures/adverse effects
MH  - Humans
MH  - Medical Errors/prevention & control
MH  - *Orthopedic Procedures/adverse effects
MH  - *Orthopedics
MH  - Outpatients
MH  - Patient Safety
EDAT- 2022/01/13 06:00
MHDA- 2022/03/24 06:00
CRDT- 2022/01/12 20:06
PHST- 2022/01/13 06:00 [pubmed]
PHST- 2022/03/24 06:00 [medline]
PHST- 2022/01/12 20:06 [entrez]
AID - 10.3928/01477447-20220105-07 [doi]
PST - ppublish
SO  - Orthopedics. 2022 Mar-Apr;45(2):116-121. doi: 10.3928/01477447-20220105-07. Epub 
      2022 Jan 12.