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

Gerber, Anne and Da Silva Lopes, André and Szüts, Natacha and Simon, Michael and Ribordy-Baudat, Viviane and Ebneter, Andreas and Perrinjaquet, Claire and Gaignard, Marie-Estelle and Nicodet, Delphine and Betticher, Daniel and Bula, Grégoire and Cote, Maxime and Duchosal, Michel André and Berret, Pierre-André and Dietrich, Pierre-Yves and Brennan, Caitlin and Decosterd, Sandy and Ferreira Nobre, Sandrina and Peters, Solange and Koelliker, Reto and Ninane, Françoise and Jeitziner, Marie-Madlen and Colomer-Lahiguera, Sara and Eicher, Manuela. (2020) Describing adverse events in Swiss hospitalized oncology patients using the Global Trigger Tool. Health Science Reports, 3 (2). e160.

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Abstract

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.; 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.; 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.; 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.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:Simon, Michael
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Wiley
e-ISSN:2398-8835
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
Identification Number:
Last Modified:23 Jun 2020 08:32
Deposited On:23 Jun 2020 08:32

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