Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data

BMJ Quality & Safety
Marit S de VosPerla J Marang-van de Mheen

Abstract

Incident, adverse event (AE) and complaint data are typically used separately, but may be related at the patient level with one event triggering a cascade of events, ultimately resulting in a complaint. This study examined relations between incidents, AEs and complaints that co-occurred in admissions. Independently and routinely collected incident, AE and complaint data were retrospectively linked for surgical admissions in an academic centre (2008-2014). Two investigators reviewed whether incidents/AEs in admissions were clinically related and in what sequence (incident preceding vs following AE). Likelihood of occurrence of AEs and AE cascades (ie, ≥3 AEs) was studied using logistic regression analyses. Complaints were filed for 33 (0.1%) of 26 383 admissions. Complaints filed by patients with incidents and/or AEs (n=13) mostly addressed quality/safety problems, whereas other complaints mostly addressed relationship problems. Incidents and AEs co-occurred in 730 (2.8%) admissions, which seemed clinically related in 34% of these cases. Incidents with related AEs preceded as well as followed AEs (56.6%/44.4%). Patients with incidents were at greater risk of AEs than patients without incidents, even for seemingly unrelated AEs (...Continue Reading

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Jan 5, 2018·BMJ Quality & Safety·Marit S de VosPerla J Marang-van de Mheen

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Citations

Oct 20, 2018·BMJ Quality & Safety·Patricia Trbovich, Charles Vincent
Dec 5, 2019·BMJ Quality & Safety·Khara SauroHenry Thomas Stelfox
Apr 2, 2020·International Journal of Health Care Quality Assurance·Alison LearyGeoffrey Punshon
Feb 19, 2021·BMJ Quality & Safety·Traber D GiardinaHardeep Singh
Mar 21, 2021·Best Practice & Research. Clinical Anaesthesiology·Daniel Arnal-Velasco, Paul Barach
Jul 17, 2021·BMC Health Services Research·May McCreaddieAlice Gritti
Jul 9, 2021·Journal of Health Services Research & Policy·Jackie Van DaelErik Mayer

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