Tyck till om SwePub Sök
här!
Sökning: id:"swepub:oai:DiVA.org:liu-164037" >
Adverse events in p...
Adverse events in psychiatry : a national cohort study in Sweden with a unique psychiatric trigger tool
-
- Nilsson, Lena (författare)
- Linköpings universitet,Avdelningen för läkemedelsforskning,Medicinska fakulteten,Region Östergötland, ANOPIVA US
-
- Borgstedt-Risberg, Madeleine (författare)
- Region Östergötland, Enheten för folkhälsa
-
- Brunner, Charlotta (författare)
- Kalmar Cty Council, Sweden
-
visa fler...
-
- Nyberg, Ullakarin (författare)
- Karolinska Inst, Sweden
-
- Nylen, Urban (författare)
- Natl Board Hlth and Welf, Sweden
-
- Alenius, Carina (författare)
- Swedish Assoc Local Author and Reg, Sweden
-
- Rutberg, Hans (författare)
- Swedish Assoc Local Author and Reg, Sweden
-
visa färre...
-
(creator_code:org_t)
- 2020-02-04
- 2020
- Engelska.
-
Ingår i: BMC Psychiatry. - : BioMed Central. - 1471-244X. ; 20:1
- Relaterad länk:
-
https://liu.diva-por... (primary) (Raw object)
-
visa fler...
-
https://bmcpsychiatr...
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
http://kipublication...
-
visa färre...
Abstract
Ämnesord
Stäng
- BackgroundThe vast majority of patient safety research has focused on somatic health care. Although specific adverse events (AEs) within psychiatric healthcare have been explored, the overall level and nature of AEs is sparsely investigated.MethodsCohort study using a retrospective record review based on a two-step trigger tool methodology in the charts of randomly selected patients 18 years or older admitted to the psychiatric acute care departments in all Swedish regions from January 1 to June 30, 2017. Hospital care together with corresponding outpatient care were reviewed as a continuum, over a maximum of 3 months. The AEs were categorised according to type, severity and preventability.ResultsIn total, the medical records of 2552 patients were reviewed. Among the patients, 50.4% were women and 49.6% were men. The median (range) age was 44 (18–97) years for women and 44.5 (18–93) years for men.In 438 of the reviewed records, 720 AEs were identified, corresponding to the AEs identified in 17.2% [95% confidence interval, 15.7–18.6] of the records. The majority of AEs resulted in less or moderate harm, and 46.2% were considered preventable. Prolonged disease progression and deliberate self-harm were the most common types of AEs. AEs were significantly more common in women (21.5%) than in men (12.7%) but showed no difference between age groups. Severe or catastrophic harm was found in 2.3% of the records, and the majority affected were women (61%). Triggers pointing at deficient quality of care were found in 78% of the records, with the absence of a treatment plan being the most common.ConclusionsAEs are common in psychiatric care. Aside from further patient safety work, systematic interventions are also warranted to improve the quality of psychiatric care.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Adverse event; Patient harm; Patient safety; Trigger tool; Psychiatry
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas