PMID- 38271935
OWN - NLM
STAT- MEDLINE
DCOM- 20240129
LR  - 20240206
IS  - 1669-9106 (Electronic)
IS  - 0025-7680 (Linking)
VI  - 84
IP  - 1
DP  - 2024
TI  - [Detection of adverse events in patients interned in medical clinic using the 
      Global Trigger Tool].
PG  - 87-95
AB  - INTRODUCTION: The Global Trigger Tool (GTT) is a tool that accurately identifies 
      adverse events that represent a significant problem in hospitals. METHODS: 
      Cross-sectional study based on retrospective review of randomized medical records 
      using the GTT tool. RESULTS: A total of 161 adverse events (AEs) were detected: 
      51 events per 100 admissions, 66 per 1000 patient-days, and 30% of admissions 
      with AEs. The most frequent triggers were from the care module, with 25% 
      complications associated with the use of procedures, 10% pressure ulcers, and 9% 
      care-associated infections. The presence of AEs had a statistically significant 
      association with a stay of more than 5 days, and a moderate association with age 
      and number of triggers. Regarding the damage, 78% of the patients presented mild 
      events and 4% fatal events. The ROC curves analysis showed that the triggers with 
      the greatest area under the curve were: procedural complication (0.70), pressure 
      ulcers (0.61) and rapid response code (0.60). DISCUSSION: The number of events 
      per 100 admissions was higher than that reported in the literature, but there 
      were no differences in events per 1000 patientdays. Fatal cases were caused by 
      respiratory infectious diseases in patients with comorbidities, nasogastric tube 
      needs and cognitive decline. The study highlights the scarce use of the tool in 
      public hospitals and the implementation of trigger analysis with ROC curves. 
      Knowing the frequency and the most frequent type of event will allow the 
      implementation of measures that improve patient safety.
FAU - Dotta, Agustina T
AU  - Dotta AT
AD  - Servicio de Clinica Medica, Hospital Municipal de Agudos Dr. Leonidas Lucero, 
      Bahia Blanca, Buenos Aires, Argentina. E-mail: agustinadotta@hotmail.com.
FAU - Duarte Sotelo, Leonora E
AU  - Duarte Sotelo LE
AD  - Servicio de Clinica Medica, Hospital Municipal de Agudos Dr. Leonidas Lucero, 
      Bahia Blanca, Buenos Aires, Argentina.
AD  - Departamento de Ciencias de la Salud, Universidad Nacional del Sur, Bahia Blanca, 
      Buenos Aires, Argentina.
FAU - Biaggioni, Martin A
AU  - Biaggioni MA
AD  - Servicio de Clinica Medica, Hospital Municipal de Agudos Dr. Leonidas Lucero, 
      Bahia Blanca, Buenos Aires, Argentina.
FAU - Martin, Sofia V
AU  - Martin SV
AD  - Servicio de Clinica Medica, Hospital Municipal de Agudos Dr. Leonidas Lucero, 
      Bahia Blanca, Buenos Aires, Argentina.
FAU - De Tapia, Julieta B
AU  - De Tapia JB
AD  - Servicio de Clinica Medica, Hospital Municipal de Agudos Dr. Leonidas Lucero, 
      Bahia Blanca, Buenos Aires, Argentina.
FAU - Encina, Romina
AU  - Encina R
AD  - Servicio de Clinica Medica, Hospital Municipal de Agudos Dr. Leonidas Lucero, 
      Bahia Blanca, Buenos Aires, Argentina.
FAU - Castiglia Sole, Juan A
AU  - Castiglia Sole JA
AD  - Departamento de Epidemiologia y Calidad, Secretaria de Salud, Bahia Blanca, 
      Buenos Aires, Argentina.
LA  - spa
PT  - English Abstract
PT  - Journal Article
TT  - Deteccion de eventos adversos en pacientes internados en clinica medica 
      utilizando la herramienta Global Trigger Tool.
PL  - Argentina
TA  - Medicina (B Aires)
JT  - Medicina
JID - 0204271
SB  - IM
MH  - Humans
MH  - Cross-Sectional Studies
MH  - *Pressure Ulcer/epidemiology
MH  - Patient Safety
MH  - Hospitalization
MH  - Medical Records
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Adverse event
OT  - Global Trigger Tool
OT  - harm
OT  - hospitalization
OT  - patient safety
EDAT- 2024/01/26 00:43
MHDA- 2024/01/29 06:43
CRDT- 2024/01/25 18:13
PHST- 2024/01/29 06:43 [medline]
PHST- 2024/01/26 00:43 [pubmed]
PHST- 2024/01/25 18:13 [entrez]
PST - ppublish
SO  - Medicina (B Aires). 2024;84(1):87-95.