Characteristics associated with the occurrence of adverse events: a retrospective medical record review using the Global Trigger Tool in a fully digitalized tertiary teaching hospital in <scp>K</scp>orea

Hwang, Jeongjae; Chin, Ho Jun; Chang, Yoon-Seok

doi:10.1111/jep.12075

Cited by 66 publications

(98 citation statements)

References 23 publications

(60 reference statements)

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“…Concerning the rate of AEs, the results found in our study are higher than those found in other studies: Landrigan et al (2010), Rutberg et al (2014), Rozenfeld, Giordani, and Coelho (2013) Classen et al (2011), the rate of 25.1 AEs per 100 admissions found by Landrigan et al (2010), and the rate of 14.5 AEs per 100 admissions found by Hwang et al (2014). Although the rate of AEs found in this study (31.1%) is slightly lower than that found by Classen et al (2011), 33.3%, it is higher than the rates reported by Landrigan et al (2010), 18.1%, Hwang et al (2014), 7%, and Rutberg et al (2014), 20.5%.…”

Section: Resultscontrasting

confidence: 57%

“…Although the rate of AEs found in this study (31.1%) is slightly lower than that found by Classen et al (2011), 33.3%, it is higher than the rates reported by Landrigan et al (2010), 18.1%, Hwang et al (2014), 7%, and Rutberg et al (2014), 20.5%. The significant differences found between the results from the various studies could have been influenced by several factors, such as the organizational structure, the hospital's safety culture, the type of inpatients, the context where the study was carried out, the review process, and the reviewers' training.…”

Section: Resultscontrasting

confidence: 54%

“…The authors concluded that the GTT allows identifying a higher number of AEs than the voluntary reporting system, and that health institutions should use a set of useful tools to identify AEs in order to substantially reduce the costs related to the prevention of AEs. In the same line, the studies of Ganachari, Wadhwa, Walli, Khoda, and Aggarwal (2013) and of Hwang, Chin, and Chang (2014) applied the GTT tool with the purpose of identifying AEs. These authors also concluded that the GTT surpasses traditional methods in the identification of AEs and suggest its application in future studies.…”

Section: Methodsmentioning

confidence: 99%

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An experience with the Global Trigger Tool for the study of adverse events in a medical ward

et al. 2016

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Resumo Resumen R E S E A R C H P A P E R ( O R I G I N A L )An experience with the Global Trigger Tool for the study of adverse events in a medical ward Uma experiência com a Global Trigger Tool no estudo dos eventos adversos num serviço de medicina Una experiencia con la Global Trigger Tool en el estudio de eventos adversos en un servicio de medicina Ludmila Pierdevara*; Inês Margarida Ventura**; Margarida Eiras***; Amélia Maria Brito Gracias****; Carina Soares da Silva***** Background: Health care provision is associated with adverse events (AEs) which harm hospitalized patients. Objectives: To study AEs in a medical ward. Methodology: A quantitative, descriptive, observational and retrospective study was conducted from 1 September 2014 to 31 December 2014 in a medical ward of the Algarve Hospital Center. The instrument used to identify the AEs was the Global Trigger Tool (GTT). All the patients who were discharged between 1 January 2014 and 30 September 2014 were listed.Results: The interrater agreement concerning the AE classification, using the Kappa value, proved to be perfect. A total of 278 triggers were identified, of which 124 resulted in AEs: 44.6% of AEs occurred during the hospitalization, and 9.4% of the patients presented AEs at the moment of admission. We found a total of 62.63 AEs per 1,000 patient days, 137.8 AE per 100 admissions, and one AE in 31.1% of the cases during hospitalization. Conclusion:The GGT proved to be a useful tool to analyze AEs in hospital settings.

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Section: Resultscontrasting

confidence: 57%

Section: Resultscontrasting

confidence: 54%

Section: Methodsmentioning

confidence: 99%

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An experience with the Global Trigger Tool for the study of adverse events in a medical ward

et al. 2016

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“…However, higher ADE rates are generally encountered in the following circumstances: lengthy hospital stay (>7 days) [40], impaired kidney function [41], elderly patients (>65 years) and multiple drug use (>8drugs on day 1) [42]. These factors would need confirmation in further researches.…”

Section: Limitationsmentioning

confidence: 97%

Evaluating iatrogenic prescribing: Development of an oncology-focused trigger tool

Hébert¹,

Netzer²,

Ferrua³

et al. 2015

European Journal of Cancer

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“…Hwang et al [21] identificaram os EA através da GTT e encontraram diferenças estatisticamente significativas entre a identificação dos triggers e a ocorrência dos EA. Dos 13,3% triggers identificados, 10% foram considerados EA.…”

Section: Resultsunclassified

Trigger Tool na Segurança do Doente: Uma Revisão Sistemática de Literatura

Pierdevara¹,

Ventura²,

Eiras

et al. 2017

Port J Public Health

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Introdução: A elevada incidência de eventos adversos (EA) é uma das situações preocupantes descritas na literatura sendo relacionada diretamente com o aumento dos custos com a prestação de cuidados de saúde e com o aumento do número de dias de internamento. A metodologia Global Trigger Tool (GTT) é relativamente nova mas tem-se mostrado promissora, em contextos internacionais, em ações de rastreio dos EA. Objetivo: Obter um corpo de evidência, reunindo um conjunto de informações acerca da utilização desta metodologia em contexto hospitalar. Metodologia: Trata-se de uma revisão sistemática da literatura, baseada em estudos primários relacionados com esta temática, publicados entre o ano 2009 e 2014. Resultados: O estudo incluiu 8 estudos primários e os resultados evidenciam dados relevantes acerca da utilidade da ferramenta GTT no âmbito hospitalar. Conclusão: A evidência científica mostra que a aplicação do método GTT, como estratégia de monitorização dos EA, é uma ferramenta viável, uma vez que permite acompanhar a implementação de mudanças orientadas para a redução da ocorrência dos EA.

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Characteristics associated with the occurrence of adverse events: a retrospective medical record review using the Global Trigger Tool in a fully digitalized tertiary teaching hospital in Korea

Cited by 66 publications

References 23 publications

An experience with the Global Trigger Tool for the study of adverse events in a medical ward

An experience with the Global Trigger Tool for the study of adverse events in a medical ward

Evaluating iatrogenic prescribing: Development of an oncology-focused trigger tool

Trigger Tool na Segurança do Doente: Uma Revisão Sistemática de Literatura

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