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Frequency of Adverse Events Before, During, and After Hospital Admission.
Croft, Lindsay D; Liquori, Michael E; Ladd, James; Day, Hannah R; Pineles, Lisa; Lamos, Elizabeth M; Mehrotra, Preeti; Perencevich, Eli N; Harris, Anthony D; Morgan, Daniel J.
Afiliación
  • Croft LD; From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, t
  • Liquori ME; From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, t
  • Ladd J; From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, t
  • Day HR; From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, t
  • Pineles L; From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, t
  • Lamos EM; From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, t
  • Mehrotra P; From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, t
  • Perencevich EN; From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, t
  • Harris AD; From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, t
  • Morgan DJ; From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, t
South Med J ; 109(10): 631-635, 2016 10.
Article en En | MEDLINE | ID: mdl-27706501
OBJECTIVES: Adverse events (AEs) are unintended physical injuries resulting from or contributed to by medical or surgical care. We determined the frequency and type of AEs before, during, and after hospital admission. METHODS: We conducted a cohort study of 296 adult hospital patients. We used the standardized Institute for Healthcare Improvement Global Trigger Tool for Measuring Adverse Events to review the medical records of the hospital patients for occurrence, timing relative to hospital admission, severity, and preventability of AEs. We also identified the primary physiologic system affected by the AE. RESULTS: Among 296 patients, we identified 338 AEs. AEs occurred with similar frequency before (n = 148; 43.8%) and during hospital admission (n = 162; 47.9%). Fewer AEs occurred after discharge (n = 28; 8.3%). Half of all AEs (n = 169; 50.0%) were severe, whereas 47.9% (n = 162) were preventable. CONCLUSIONS: AEs occur with similar frequency before and during hospitalization and may contribute more to hospital admissions than previously recognized. These findings suggest that efforts to improve patient safety should include outpatient settings in addition to the more commonly targeted acute care settings.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Errores Médicos / Hospitalización Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: South Med J Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Errores Médicos / Hospitalización Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: South Med J Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos