Medical Record Study on Adverse Events Requiring a Higher Level of Care in Flemish Hospitals
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 878
- 试验地点
- 1
- 主要终点
- Incidence of adverse events requiring a higher level of care
研究概览
简要总结
An adverse event (AE) is defined as unintended injury or complication, which results in disability, death or prolongation of hospital stay, and is caused by healthcare management (including omissions) rather than the patient's disease. Retrospective record reviews in several countries have shown that 2,9% to 16,6% of patients in acute hospitals experience one or more AEs. A patient with an AE may require a higher level of care. Although all AEs are important, preventable AEs that result in an upgraded level of patient care are of particular concern. In this study it's defined as an unplanned admission to intensive care unit (ICU) or a Mobile Emergency Team (MET) intervention. The objectives of this study are to determine the incidence of (preventable) adverse events requiring ICU admission or MET intervention and to assess the level of harm of each AE.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients being transferred to a higher level of care during the study period (November 2011 - May 2012)
- •In practice, the higher level of care means
- •(1) (re)admission to the Intensive Care Unit from other care units in the hospital providing lower intensity care,
- •(2) to an intervention by a Medical Emergency Team due to an unanticipated change in the patient's clinical status
排除标准
- 未提供
结局指标
主要结局
Incidence of adverse events requiring a higher level of care
时间窗: 6 months
An adverse event is an unintended injury or complication, which results in disability at discharge, death or prolongation of hospital stay, and is caused by healthcare management (including omissions) rather than the patient's disease. (Wilson, 1995)
The number of participants with preventable adverse events
时间窗: 6 months
Assess the preventability of these adverse events using six point scale with a range of not preventable until totally preventable
次要结局
- Clinical impact of adverse events in terms of outcome(6 months)
- Quality of the chart review(6 months)
- Type adverse events(6 months)
研究者
prof. dr. Neree Claes
prof. dr.
Hasselt University