Efficacy of an intervention program to prevent patient safety indicators in aneurysmal subarachnoid haemorrhage.

British Journal of Neurosurgery
Francisco Revilla-PachecoClaudia Lerma

Abstract

Patient safety indicators (PSI) are a set of potentially preventable events related to patient safety and opportunities for improvement. Eight pertinent PSI have been identified in patients with aneurysmal subarachnoid haemorrhage (ASAH), such as decubitus ulcer, and central line-related bacteraemia. Our aim was to evaluate the efficacy of a health care quality protocol to prevent the appearance of PSI in ASAH patients. Adult patients treated for ASAH were included in a retrospective control group of 35 patients and a prospective experimental group of 35 patients when the prevention program was implemented. We evaluated the occurrence of PSI, and its relation to age, sex, Hunt and Hess scale grade, type of aneurysm treatment, length of hospital stay, and Glasgow Outcome Scale scores. Both groups had similar characteristics except for a longer hospital stay in the control group. The overall PSI prevalence decreased significantly in the experimental group compared to the control group. The experimental group had a decreased risk for having at least one PSI: OR = 0.21 (0.08-0.57, CI 95%). The absolute risk reduction is 37.1% (58.9%-15.4%), the preventable fraction for the population is 28.3% (10.6%-40.0%), and the number needed to...Continue Reading

References

Mar 1, 1997·Stroke; a Journal of Cerebral Circulation·J W HopJ van Gijn
Apr 12, 2003·Surgical Neurology·James I Ausman
Feb 3, 2005·Pediatrics·Lisa A CroenThomas B Newman
Jan 30, 2007·Lancet·Jan van GijnGabriel J E Rinkel
May 2, 2007·Journal of Neurology, Neurosurgery, and Psychiatry·N K de RooijG J E Rinkel
Oct 2, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Andrew MolyneuxRury Holman
Jan 10, 2008·Plastic and Reconstructive Surgery·John Bauer, Linda G Phillips
Dec 31, 2008·Critical Care Medicine·Michael N Diringer
Nov 13, 2009·American Journal of Surgery·Haytham M A Kaafarani, Amy K Rosen
Jul 27, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Patricia E C A PassierMarcel W M Post
Sep 28, 2010·Journal of the American College of Surgeons·Haytham M A KaafaraniAmy K Rosen
Nov 1, 2011·Clinical Medicine : Journal of the Royal College of Physicians of London·Lara N Roberts, Roopen Arya
Jan 17, 2013·The Journal of International Medical Research·Z-Q LiZ Quan
Jun 6, 2015·Stroke; a Journal of Cerebral Circulation·Justiina HuhtakangasMartin Lehecka
Oct 16, 2016·Emergency Medicine Clinics of North America·Michael K Abraham, Wan-Tsu Wendy Chang
Jun 29, 2017·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Wazim Narain
Oct 11, 2017·Emergency Medicine Clinics of North America·Brit LongMichael S Runyon
Mar 9, 2019·Journal of Neurosurgery·Robert F SpetzlerRobert C Wallace

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