One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals

Critical Care Medicine
Kristel MarquetArthur Vleugels

Abstract

The objectives of this study are to determine the prevalence and preventability of adverse events requiring an unplanned higher level of care, defined as an unplanned transfer to the ICU or an in-hospital medical emergency team intervention, and to assess the type and the level of harm of each adverse event. A three-stage retrospective review process of screening, record review, and consensus judgment was performed. Six Belgian acute hospitals. During a 6-month period, all patients with an unplanned need for a higher level of care were selected. The records 6-month period, the records of all patients with an unplanned need for a higher level of care were assessed by a trained clinical team consisting of a research nurse, a physician, and a clinical pharmacist. Adverse events were found in 465 of the 830 reviewed patient records (56%). Of these, 215 (46%) were highly preventable. The overall incidence rate of patients being transferred to a higher level of care involving an adverse event was 117.6 (95% CI, 106.9-128.3) per 100,000 patient days at risk, of which 54.4 (95% CI, 47.15-61.65) per 100,000 patient days at risk involving a highly preventable adverse event. This means that 25.9% of all unplanned transfers to a higher lev...Continue Reading

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Citations

Feb 3, 2016·Annals of Intensive Care·Pierre-Alain JolivotChristine Fernandez
Jun 14, 2016·Journal of Evaluation in Clinical Practice·Mitchell N SarkiesTerry P Haines
Mar 28, 2018·Journal of Paediatrics and Child Health·Katie R NielsenJoseph Zunt
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Feb 6, 2017·Acta Clinica Belgica·Kristel MarquetArthur Vleugels
Apr 4, 2019·Revista brasileira de enfermagem·Elaine Cristina Novatzki ForteLetícia de Lima Trindade
Feb 25, 2020·Nursing Open·Hayley D GermackSarwat I Chaudhry
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Jun 15, 2019·Cardiology in the Young·Erin PeeblesTilman Humpl
Sep 13, 2020·Australasian Emergency Care·Clifford J ConnellSimon Cooper
Sep 2, 2021·Journal of Patient Safety·Khara M SauroHenry T Stelfox

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Methods Mentioned

BETA
dissection

Clinical Trials Mentioned

NCT02044718

Software Mentioned

STATA
Statistical Package for Social Science ( SPSS
Global Trigger Tool ( GTT )
Open Clinica

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