PMID: 8614334Apr 15, 1996Paper

Limited adverse occurrence screening: using medical record review to reduce hospital adverse patient events

The Medical Journal of Australia
A M Wolff

Abstract

To determine whether continuous detection of adverse patient occurrences followed by analysis and medical intervention can alter the rate of adverse occurrences. 15912 patients discharged from one hospital were reviewed in two stages. Medical records were screened retrospectively by medical records staff for one or more of eight general patient outcome criteria. Those that screened positive for the criteria were reviewed by one of four doctors. If an adverse occurrence was confirmed, further analysis and recommendations for action to prevent its recurrence were made at meetings of the four doctors, and forwarded to a committee of visiting medical officers who decided on the appropriate course of action. A rural base hospital in Horsham, Victoria, between July 1991 and June 1994. The rate and severity of adverse patient occurrences in each year. 1465 records were screened positive for one or more criteria, and an adverse patient occurrence was confirmed in 155. 88 cases were determined to be minor or not preventable and further action (mostly by changes to hospital policies) was recommended for the remaining 67. Over the three years, the number of adverse occurrences fell from 69 (1.35% of all patient discharges in the first yea...Continue Reading

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Citations

Dec 29, 2000·The Medical Journal of Australia·A M Wolff, J Bourke
Aug 12, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Suzanne MasonHelen Snooks
Jan 27, 2012·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Caterina CaminitiLuca Cisbani
Jul 7, 2007·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Joanna Hollanda
Dec 13, 2005·Journal of Nursing Care Quality·Victoria A Kellogg, Donna S Havens
Oct 28, 2003·Research in Nursing & Health·Victoria A Kellogg, Donna Sullivan Havens
Feb 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Brett M CascioFrank J Frassica
Dec 8, 1997·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·J Benbassat, M Taragin
Dec 13, 2005·Journal of Clinical Pharmacy and Therapeutics·B JanchaweeV Chongsuvivatwong
Oct 21, 2006·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Liadaine FreestoneBernie Creati
Jan 8, 2011·Journal of Evaluation in Clinical Practice·Annemie VlayenNeree Claes

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