Contribution of adverse events to death of hospitalised patients

Haukland, Ellinor; Mevik, Kjersti; Plessen, Christian von; Nieder, Carsten; Vonen, Barthold

doi:10.1136/bmjoq-2018-000377

Cited by 21 publications

(19 citation statements)

References 26 publications

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“…In the United States, medical errors account for more than 250,000 deaths a year, making it the third leading cause of death [1]. A study conducted in Norway has identified that patients who die in hospitals experience seven times the rate of serious adverse events [2].…”

Section: Introductionmentioning

confidence: 99%

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Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis

et al. 2019

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Background and Objectives: Several factors can compromise patient safety, such as ineffective teamwork, failed organizational processes, and the physical and psychological overload of health professionals. Studies about associations between burn out and patient safety have shown different outcomes. Objective: To analyze the relationship between burnout and patient safety. Materials and Methods: A systematic review with a meta-analysis performed using PubMed and Web of Science databases during January 2018. Two searches were conducted with the following descriptors: (i) patient safety AND burnout professional safety AND organizational culture, and (ii) patient safety AND burnout professional safety AND safety management. Results: Twenty-one studies were analyzed, most of them demonstrating an association between the existence of burnout and the worsening of patient safety. High levels of burnout is more common among physicians and nurses, and it is associated with external factors such as: high workload, long journeys, and ineffective interpersonal relationships. Good patient safety practices are influenced by organized workflows that generate autonomy for health professionals. Through meta-analysis, we found a relationship between the development of burnout and patient safety actions with a probability of superiority of 66.4%. Conclusion: There is a relationship between high levels of burnout and worsening patient safety.

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Section: Introductionmentioning

confidence: 99%

“…Thus, because of the high prevalence of burnout among health workers due to the increasing number of adverse events [1,2,3,4,5,6,7,8,9,10], the following question arises: What is the relationship between burnout and patient safety?…”

Section: Introductionmentioning

confidence: 99%

Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis

et al. 2019

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“…16 Patients that die in hospital experience seven times the rate of AEs compared to those that do not die. 26 Reviewing inpatient deaths with the GTT may therefore provide new insight in causes of adverse events that contribute to death.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal rates of hospital adverse events that contributed to death in Norway and Sweden from 2013 to 2018

Deilkås

Haugen

Risberg

et al. 2021

Journal of Patient Safety and Risk Management

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Objectives In this paper, we explore and compare types and longitudinal trends of hospital adverse events in Norway and Sweden in the years 2013–2018 with special reference to AEs that contributed to death. Design Acute care hospitals in both countries performed medical record reviews on randomly selected medical records from all eligible admissions. Analysis: Comparison between Norway and Sweden of linear trends from 2013–2018, and percentage rates of admissions with at least one AE according to types and severities. Setting Norway and Sweden have similar socio-economic and demographic characteristics, which constitutes a relevant context for cooperation, comparison and mutual learning. This setting has promoted the use of GTT to monitor national rates of AEs in hospital care in the two countries. Participants 53 367 medical records in Norway and 88 637 medical records in Sweden were reviewed. Results 13.2% of hospital admissions in Norway and 13.1% in Sweden were associated with an AE of all severities (E-I). 0.23% of hospital admissions in Norway and 0.26% in Sweden were associated with an AE that contributed to death (I). The differences between the two countries were not statistically significant. Conclusions There were no significant differences in overall rates (E-I) of AEs in Norway and Sweden, nor in rates of AEs that contributed to death (I). There was no significant change in AEs or fatal AEs in either country over the six-year time period.

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“…To investigate malpractice litigation, the relevant data, especially related to hospital injuries, required that the Harvard Medical Malpractice Study develop a standardized approach to chart review. 34,35 This endeavor resulted in insights about adverse event causation and lead to the initiation of root cause analysis. 3,28,36 The trigger tool methodology was developed where medical records were used to identify potential or actual adverse events during patient care, a process that is now largely automated.…”

Section: Discussionmentioning

confidence: 99%

Structured Chart Review: Assessment of a Structured Chart Review Methodology

Siems

Banks

Holubkov

et al. 2020

Hospital Pediatrics

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and U01HD049934. UG1HD083171, UG1HD083166, and UG1HD083170. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Funded by the National Institutes of Health (NIH). POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. Drs Siems, Meert, and Pollack conceptualized and designed the study, drafted the initial manuscript, participated in data collection, chart reviews, and the data analysis, and reviewed and revised the manuscript; Mr Banks conceptualized and designed the study, coordinated and supervised data collection, and critically reviewed the manuscript for important intellectual content; Drs Beyda, Berg, Burd, Carcillo, Dean, Hall, Newth, Notterman, Sapru, Wessel, and Zuppa helped design the study, assisted with data collection, reviewed the data analysis, and reviewed and revised the manuscript; Drs Bauerfeld, Bulut, Gradidge, McQuillen, Mourani, Priestley, and Yates helped with data collection, data analysis, and revisions of the manuscript; and all authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.

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Contribution of adverse events to death of hospitalised patients

Cited by 21 publications

References 26 publications

Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis

Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis

Longitudinal rates of hospital adverse events that contributed to death in Norway and Sweden from 2013 to 2018

Structured Chart Review: Assessment of a Structured Chart Review Methodology

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