Occurrence of No-Harm Incidents and Adverse Events in Hospitalized Patients with Ischemic Stroke or TIA: A Cohort Study Using Trigger Tool Methodology

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: id:"swepub:oai:DiVA.org:du-39846" > Occurrence of No-Ha...

1 of 1
Previous record
Next record
To hitlist

Details
MARC

Nowak, BartoschDepartment Head Organs, Spine- and Neuromedicine, University Hospital Basel, Basel, Switzerland (author)

Occurrence of No-Harm Incidents and Adverse Events in Hospitalized Patients with Ischemic Stroke or TIA : A Cohort Study Using Trigger Tool Methodology

Article/chapterEnglish2022

Publisher, publication year, extent ...

2022-02-27
MDPI AG,2022
electronicrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:du-39846
https://urn.kb.se/resolve?urn=urn:nbn:se:du-39846URI
https://doi.org/10.3390/ijerph19052796DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:149034772URI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Adverse events (AEs)-healthcare caused events leading to patient harm or even death-are common in healthcare. Although it is a frequently investigated topic, systematic knowledge on this phenomenon in stroke patients is limited. To determine cumulative incidence of no-harm incidents and AEs, including their severity and preventability, a cohort study using trigger tool methodology for retrospective record review was designed. The study was carried out in a stroke center at a university hospital in the German speaking part of Switzerland. Electronic records from 150 randomly selected patient admissions for transient ischemic attack (TIA) or ischemic stroke, with or without acute recanalization therapy, were used. In total, 170 events (108 AEs and 62 no-harm incidents) were identified, affecting 83 patients (55.3%; 95% CI 47 to 63.4), corresponding to an event rate of 113 events/100 admissions or 142 events/1000 patient days. The three most frequent AEs were ischemic strokes (n = 12, 7.1%), urinary tract infections (n = 11, 6.5%) and phlebitis (n = 10, 5.9%). The most frequent no-harm incidents were medication events (n = 37, 21.8%). Preventability ranged from 12.5% for allergic reactions to 100% for medication events and pressure ulcers. Most of the events found (142; 83.5%; 95% CI 76.9 to 88.6) occurred throughout the whole stroke care. The remaining 28 events (16.5%; 95% CI 11.4 to 23.1) were detected during stroke care but were related to care outside the stroke pathway. Trigger tool methodology allows detection of AEs and no-harm incidents, showing a frequent occurrence of both event types in stroke and TIA patients. Further investigations into events' relationships with organizational systems and processes will be needed, first to achieve a better understanding of these events' underlying mechanisms and risk factors, then to determine efforts needed to improve patient safety.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
adverse events
no-harm incidents
retrospective record review
stroke
trigger tool methodology

Added entries (persons, corporate bodies, meetings, titles ...)

Schwendimann, RenéPatient Safety Office, University Hospital Basel, Basel, Switzerland; Institute of Nursing Science, University of Basel, Basel, Switzerland (author)
Lyrer, PhilippeDepartment of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland (author)
Bonati, Leo H.Department of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland (author)
De Marchis, Gian MarcoDepartment of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland (author)
Peters, NilsDepartment of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland (author)
Zúñiga, FranziskaInstitute of Nursing Science, University of Basel, Basel, Switzerland. (author)
Saar, LiliDepartment of Neurology, Universitätsklinik Freiburg, Freiburg im Breisgau, Germany (author)
Unbeck, MariaKarolinska Institutet,Högskolan Dalarna,Omvårdnad,Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.(Swepub:du)mun (author)
Simon, MichaelInstitute of Nursing Science, University of Basel, Basel, Switzerland (author)
Department Head Organs, Spine- and Neuromedicine, University Hospital Basel, Basel, SwitzerlandPatient Safety Office, University Hospital Basel, Basel, Switzerland; Institute of Nursing Science, University of Basel, Basel, Switzerland (creator_code:org_t)

Related titles

In:International Journal of Environmental Research and Public Health: MDPI AG19:51661-78271660-4601

Internet link

Find in a library

International Journal of Environmental Research and Public Health (Search for host publication in LIBRIS)

To the university's database

1 of 1
Previous record
Next record
To hitlist

Find more in SwePub

By the author/editor: Nowak, Bartosch; Schwendimann, Re ...; Lyrer, Philippe; Bonati, Leo H.; De Marchis, Gian ...; Peters, Nils; show more...; Zúñiga, Franzisk ...; Saar, Lili; Unbeck, Maria; Simon, Michael; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Neurology

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

Articles in the publication: International Jo ...

By the university: Högskolan Dalarna; Karolinska Institutet

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se