Describing adverse events in Swiss hospitalized oncology patients using the Global Trigger Tool

Health Science Reports

Caitlin Brennan¹  Michel André Duchosal²  Maxime Cote²  Claire Perrinjaquet²  Delphine Nicodet²  Solange Peters²  Françoise Ninane²  Pierre‐Yves Dietrich³  Pierre‐André Berret³  Sandy Decosterd³  Marie‐Estelle Gaignard³  Grégoire Bula³  André Da Silva Lopes⁴  Manuela Eicher⁴  Sara Colomer‐Lahiguera⁴  Michael Simon⁵  Marie‐Madlen Jeitziner⁶  Natacha Szüts⁷  Andreas Ebneter⁷  Daniel Betticher⁷  Viviane Ribordy‐Baudat⁷  Reto Koelliker⁷  Sandrina Ferreira Nobre⁷  Anne Gerber⁸ 

[1] Clinical Improvement Cyft, Inc. Cambridge Massachusetts USA;Department of Oncology, Lausanne University Hospital CHUV‐UNIL Lausanne Switzerland;Division of Oncology University Hospitals Geneva Geneva Switzerland;Institute of Higher Education and Research in Healthcare (IUFRS) Faculty of Biology and Medicine, University of Lausanne Lausanne Switzerland;Institute of Nursing Science, University of Basel Basel Switzerland;Intensive Care Inselspital University Hospital, Berne Switzerland;Internal Medicine, Cantoal Hospital, Hôpital Fribourgeois Fribourg Switzerland;School of Health Sciences (HESAV) University of Applied Sciences and Arts Western Switzerland (HES‐SO) Lausanne Switzerland;

关键词: adverse events;    Global Trigger Tool;    hematological cancer;    medical errors;    oncology;    patient safety;   

DOI  :  10.1002/hsr2.160

来源: DOAJ

【 摘 要 】

Abstract Background and aims The occurrence rate of adverse events (AEs) related to care among hospitalized oncology patients in Switzerland remains unknown. The primary objective of this study was to describe, for the first time, the occurrence rate, type, severity of harm, and preventability of AEs related to care, reported in health records of hospitalized hematological and solid‐tumor cancer patients in three Swiss hospitals. Methods Using an adapted version of the validated Global Trigger Tool (GTT) from the Institute for Healthcare Improvement, we conducted a retrospective record review of patients discharged from oncology units over a 6‐week period during 2018. Our convenience sample included all records from adult patients (≥18 years of age), diagnosed with cancer, and hospitalized (>24 hours). Per the GTT method, two trained nurses independently assessed patient records to identify AEs using triggers, and physicians from the included units analyzed the consensus of the two nurses. Together, they assessed the severity and preventability of each AE. Results From the sample of 224 reviewed records, we identified 661 triggers and 169 AEs in 94 of them (42%). Pain related to care was the most frequent AE (n = 29), followed by constipation (n = 17). AEs rates were 75.4 per 100 admissions and 106.6 per 1000 patient days. Most of the identified AEs (78%) caused temporary harm to the patient and required an intervention. Among AEs during hospitalization (n = 125), 76 (61%) were considered not preventable, 28 (22%) preventable, and 21 (17%) undetermined. Conclusion About half of the hospitalized oncology patients suffered from at least one AE related to care during their hospitalization. Pain, constipation, and nosocomial infections were the most frequent AEs. It is, therefore, essential to identify AEs to guide future clinical practice initiatives to ensure patient safety.

【 授权许可】

Unknown