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High risk of adverse events in hospitalised hip fracture patients of 65 years and older: results of a retrospective record review study.

Merten H, Johannesma PC, Lubberding S, Zegers M, Langelaan M, Jukema GN, Heetveld MJ, Wagner C - BMJ Open (2015)

Bottom Line: The majority of the adverse events (70%) was related to the surgical procedure and many resulted in an intervention or additional treatment (67%).Human causes contributed to 53% of the adverse events, followed by patient-related factors (39%).More training and quality assurance is required to provide safer care and to reduce the number of preventable adverse events in this vulnerable patient group.

View Article: PubMed Central - PubMed

Affiliation: NIVEL, Netherlands Institute for Health Services Research, Utrecht, the Netherlands Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands.

No MeSH data available.


Related in: MedlinePlus

Causes of adverse events (AEs, 180 causes in 110 AEs) and preventable AEs (84 causes in 49 preventable).
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BMJOPEN2014006663F1: Causes of adverse events (AEs, 180 causes in 110 AEs) and preventable AEs (84 causes in 49 preventable).

Mentions: Next, the reviewers assessed what were the underlying causal factors for the occurrence of the AE. For 14 of the 124 AEs, the reviewers did not select a causal factor. Consequently, these AEs were removed from the causal factor analyses. In total, 180 causes were selected for the remaining 110 AEs. The total number of selected causal factors in the 49 preventable AEs is 84. Figure 1 shows how often the five causal factors were selected and the percentage of AEs for which this factor was a cause. No κ-statistic could be calculated for the inter-reliability of this judgement since there were not enough AEs in relation to the number of causal categories. For two AEs there was complete agreement between the reviewers in the selected causal categories. For 2 AEs, the second reviewer did not fill out any causes, for 2 other AEs, the first reviewer identified patient-related causes and the second reviewer selected the causal category ‘not to be determined/other’.


High risk of adverse events in hospitalised hip fracture patients of 65 years and older: results of a retrospective record review study.

Merten H, Johannesma PC, Lubberding S, Zegers M, Langelaan M, Jukema GN, Heetveld MJ, Wagner C - BMJ Open (2015)

Causes of adverse events (AEs, 180 causes in 110 AEs) and preventable AEs (84 causes in 49 preventable).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4563233&req=5

BMJOPEN2014006663F1: Causes of adverse events (AEs, 180 causes in 110 AEs) and preventable AEs (84 causes in 49 preventable).
Mentions: Next, the reviewers assessed what were the underlying causal factors for the occurrence of the AE. For 14 of the 124 AEs, the reviewers did not select a causal factor. Consequently, these AEs were removed from the causal factor analyses. In total, 180 causes were selected for the remaining 110 AEs. The total number of selected causal factors in the 49 preventable AEs is 84. Figure 1 shows how often the five causal factors were selected and the percentage of AEs for which this factor was a cause. No κ-statistic could be calculated for the inter-reliability of this judgement since there were not enough AEs in relation to the number of causal categories. For two AEs there was complete agreement between the reviewers in the selected causal categories. For 2 AEs, the second reviewer did not fill out any causes, for 2 other AEs, the first reviewer identified patient-related causes and the second reviewer selected the causal category ‘not to be determined/other’.

Bottom Line: The majority of the adverse events (70%) was related to the surgical procedure and many resulted in an intervention or additional treatment (67%).Human causes contributed to 53% of the adverse events, followed by patient-related factors (39%).More training and quality assurance is required to provide safer care and to reduce the number of preventable adverse events in this vulnerable patient group.

View Article: PubMed Central - PubMed

Affiliation: NIVEL, Netherlands Institute for Health Services Research, Utrecht, the Netherlands Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands.

No MeSH data available.


Related in: MedlinePlus