Please use this identifier to cite or link to this item:
|Title:||Limited adverse occurrence screening: using medical record review to reduce hospital adverse patient events.|
|Publication Title:||Medical Journal of Australia|
|Abstract:||Objectives To determine whether continuous detection of adverse patient occurrences followed by analysis and medical intervention can alter the rate of adverse occurrences. Design and participants 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. Setting A rural base hospital in Horsham, Victoria, between July 1991 and June 1994. Main outcome measures The rate and severity of adverse patient occurrences in each year. Results 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 year) to 33 (0.58% of all patient discharges in the third year) (P < 0.0001) and there was no significant change in severity. Conclusions The rate of adverse patient occurrences can be significantly reduced by their continuous detection using retrospective screening in conjunction with review, analysis and action to prevent recurrences.|
|Description:||Wimmera Base Hospital, Horsham, VIC|
|Internal ID Number:||01829|
INPATIENT DISCHARGE SUMMARIES
|Appears in Collections:||Research Output|
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.