K L Dunn1, P Reddy, A Moulden, G Bowes. 1. Department of Paediatrics, University of Melbourne, Australia. karen.dunn@rch.org.au
Abstract
AIMS AND METHODS: To determine whether a programme of continuous medical record review of deaths, unexpected intensive care unit (ICU) admissions, and admissions referred by medical and nursing staff for specific review, would provide a range of adverse events from which to gain insight into the healthcare system of a large paediatric referral hospital. A quality assurance programme was commenced in 1996. RESULTS: Over a six year period there were 103 255 admissions; 1612 (1.6%) records were reviewed, from which 325 adverse events were detected. Events were associated with operations, procedures and anaesthesia (56.5%), diagnosis and therapy (24%), drug and fluid management (12.6%), and system issues (7%). Medical records were reviewed from 23 of the 28 clinical units. Review of the records and analysis of the adverse events triggered many system changes. CONCLUSIONS: The findings suggest that continuous medical record review may be a valuable method for the detection of adverse events and identifying system issues in children's hospitals.
AIMS AND METHODS: To determine whether a programme of continuous medical record review of deaths, unexpected intensive care unit (ICU) admissions, and admissions referred by medical and nursing staff for specific review, would provide a range of adverse events from which to gain insight into the healthcare system of a large paediatric referral hospital. A quality assurance programme was commenced in 1996. RESULTS: Over a six year period there were 103 255 admissions; 1612 (1.6%) records were reviewed, from which 325 adverse events were detected. Events were associated with operations, procedures and anaesthesia (56.5%), diagnosis and therapy (24%), drug and fluid management (12.6%), and system issues (7%). Medical records were reviewed from 23 of the 28 clinical units. Review of the records and analysis of the adverse events triggered many system changes. CONCLUSIONS: The findings suggest that continuous medical record review may be a valuable method for the detection of adverse events and identifying system issues in children's hospitals.
Authors: Harvey J Murff; Alan J Forster; Josh F Peterson; Julie M Fiskio; Heather L Heiman; David W Bates Journal: J Am Med Inform Assoc Date: 2003-03-28 Impact factor: 4.497
Authors: Donna B Jeffe; William Claiborne Dunagan; Jane Garbutt; Thomas E Burroughs; Thomas H Gallagher; Patricia R Hill; Carolyn B Harris; Kerry Bommarito; Victoria J Fraser Journal: Jt Comm J Qual Saf Date: 2004-09
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
Authors: Asia N Rashed; Ian C K Wong; Noel Cranswick; Barbara Hefele; Stephen Tomlin; John Jackman; Kenneth Lee; Kam-Lun E Hon; Jeffrey Ong; Maisoon Ghaleb; Siew Siang Chua; Tea Ming Hui; Wolfgang Rascher; Antje Neubert Journal: Drug Saf Date: 2012-06-01 Impact factor: 5.606
Authors: Annemie Vlayen; Kristel Marquet; Ward Schrooten; Arthur Vleugels; Johan Hellings; Elke De Troy; Frank Weekers; Neree Claes Journal: BMC Res Notes Date: 2012-08-29
Authors: Kristel Marquet; Neree Claes; Elke De Troy; Gaby Kox; Martijn Droogmans; Ward Schrooten; Frank Weekers; Annemie Vlayen; Marjan Vandersteen; Arthur Vleugels Journal: Crit Care Med Date: 2015-05 Impact factor: 7.598