Literature DB >> 14645755

Case record review of adverse events: a new approach.

M Woloshynowych1, G Neale, C Vincent.   

Abstract

OBJECTIVES: To redesign the existing clinical review form (RF2) used in previous retrospective case record review studies in order to clarify the review process and provide a more powerful analysis of adverse events; and then to ask clinicians to pilot and evaluate the new modular review form (MRF2). The review form is divided into five sections, each with a defined purpose, providing a modular structure.
DESIGN: Design and testing of the MRF2 on a sample of medical and nursing records, and evaluation of the reviewers' responses regarding the new review form.
SETTING: Hospital based teams from eight countries.
RESULTS: The modular review form was reported to be comprehensive, well structured, and clear. Most of the reviewers agreed with the positive statements regarding the review form. Overall, the modular structure was thought to be helpful. Several modifications have been made to the final version to take account of criticisms and suggestions.
CONCLUSIONS: The full potential of case record review has yet to be explored. The benefits of this review form include a modular format which enables reviewers or project leaders to select the focus of their review based on resources and the purpose of the review, and to identify contributory factors which indicate areas for improvement and prevention. The training of reviewers is of vital importance for record review. Record review remains one of the primary methods for assessing the incidence of adverse events and the new format is suitable for both prospective and retrospective review.

Entities:  

Mesh:

Year:  2003        PMID: 14645755      PMCID: PMC1758034          DOI: 10.1136/qhc.12.6.411

Source DB:  PubMed          Journal:  Qual Saf Health Care        ISSN: 1475-3898


  14 in total

1.  How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and risk management protocol.

Authors:  C Vincent; S Taylor-Adams; E J Chapman; D Hewett; S Prior; P Strange; A Tizzard
Journal:  BMJ       Date:  2000-03-18

2.  Adverse events in British hospitals: preliminary retrospective record review.

Authors:  C Vincent; G Neale; M Woloshynowych
Journal:  BMJ       Date:  2001-03-03

3.  Exploring the causes of adverse events in NHS hospital practice.

Authors:  G Neale; M Woloshynowych; C Vincent
Journal:  J R Soc Med       Date:  2001-07       Impact factor: 5.344

4.  Adverse events regional feasibility study: indicative findings.

Authors:  P Davis; R Lay-Yee; S Schug; R Briant; A Scott; S Johnson; W Bingley
Journal:  N Z Med J       Date:  2001-05-11

5.  [Incidence of adverse events in hospitals. A retrospective study of medical records].

Authors:  T Schiøler; H Lipczak; B L Pedersen; T S Mogensen; K B Bech; A Stockmarr; A R Svenning; A Frølich
Journal:  Ugeskr Laeger       Date:  2001-09-24

6.  Measuring errors and adverse events in health care.

Authors:  Eric J Thomas; Laura A Petersen
Journal:  J Gen Intern Med       Date:  2003-01       Impact factor: 5.128

7.  Retrospective case record review: a blunt instrument that needs sharpening.

Authors:  G Neale; M Woloshynowych
Journal:  Qual Saf Health Care       Date:  2003-02

8.  Medical insurance feasibility study. A technical summary.

Authors:  D H Mills
Journal:  West J Med       Date:  1978-04

9.  Incidence and types of adverse events and negligent care in Utah and Colorado.

Authors:  E J Thomas; D M Studdert; H R Burstin; E J Orav; T Zeena; E J Williams; K M Howard; P C Weiler; T A Brennan
Journal:  Med Care       Date:  2000-03       Impact factor: 2.983

10.  Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.

Authors:  T A Brennan; L L Leape; N M Laird; L Hebert; A R Localio; A G Lawthers; J P Newhouse; P C Weiler; H H Hiatt
Journal:  N Engl J Med       Date:  1991-02-07       Impact factor: 91.245

View more
  21 in total

1.  Reliability and Usability of a 7-Minute Chart Review Tool to Identify Pediatric Prehospital Adverse Safety Events.

Authors:  Carl O Eriksson; Nicole Ovregaard; Matthew Hansen; Garth Meckler; Barbara Skarica; Jeanne-Marie Guise
Journal:  Hosp Pediatr       Date:  2018-08

2.  Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place.

Authors:  Sisse Olsen; Graham Neale; Kat Schwab; Beth Psaila; Tejal Patel; E Jane Chapman; Charles Vincent
Journal:  Qual Saf Health Care       Date:  2007-02

3.  Medication errors with electronic prescribing (eP): Two views of the same picture.

Authors:  Imogen Savage; Tony Cornford; Ela Klecun; Nick Barber; Sarah Clifford; Bryony Dean Franklin
Journal:  BMC Health Serv Res       Date:  2010-05-24       Impact factor: 2.655

4.  Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital.

Authors:  Ali Baba-Akbari Sari; Trevor A Sheldon; Alison Cracknell; Alastair Turnbull; Yvonne Dobson; Celia Grant; William Gray; Aileen Richardson
Journal:  Qual Saf Health Care       Date:  2007-12

5.  Learning from preventable deaths: exploring case record reviewers' narratives using change analysis.

Authors:  Helen Hogan; Frances Healey; Graham Neale; Richard Thomson; Nick Black; Charles Vincent
Journal:  J R Soc Med       Date:  2014-04-29       Impact factor: 5.344

6.  Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.

Authors:  Amirta Benning; Maisoon Ghaleb; Anu Suokas; Mary Dixon-Woods; Jeremy Dawson; Nick Barber; Bryony Dean Franklin; Alan Girling; Karla Hemming; Martin Carmalt; Gavin Rudge; Thirumalai Naicker; Ugochi Nwulu; Sopna Choudhury; Richard Lilford
Journal:  BMJ       Date:  2011-02-03

7.  To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports?

Authors:  Ingrid Christiaans-Dingelhoff; Marleen Smits; Laura Zwaan; Sanne Lubberding; Gerrit van der Wal; Cordula Wagner
Journal:  BMC Health Serv Res       Date:  2011-02-28       Impact factor: 2.655

8.  Preventable hospital mortality: learning from retrospective case record review.

Authors:  Olanrewaju O Sorinola; Chamindri Weerasinghe; Ruth Brown
Journal:  JRSM Short Rep       Date:  2012-11-30

9.  Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison.

Authors:  F P Cappuccio; A Bakewell; F M Taggart; G Ward; C Ji; J P Sullivan; M Edmunds; R Pounder; C P Landrigan; S W Lockley; E Peile
Journal:  QJM       Date:  2009-01-27

10.  Record review to explore the adequacy of post-operative vital signs monitoring using a local modified early warning score (mews) chart to evaluate outcomes.

Authors:  Una Kyriacos; Jennifer Jelsma; Sue Jordan
Journal:  PLoS One       Date:  2014-01-31       Impact factor: 3.240

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.