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

BMC Health Services Research

Volumn 11, Issue , 2011, Pages

  Christiaans Dingelhoff, Ingrid ^a   Smits, Marleen ^b   Zwaan, Laura ^a   Lubberding, Sanne ^b   Van Der Wal, Gerrit ^a   Wagner, Cordula ^a,b  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^b NETHERLANDS INSTITUTE FOR HEALTH SERVICES RESEARCH   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HUMAN; MEDICAL AUDIT; MEDICAL ERROR; NETHERLANDS; RETROSPECTIVE STUDY; RISK MANAGEMENT; STATISTICS;

HUMANS; MEDICAL AUDIT; MEDICAL ERRORS; NETHERLANDS; RETROSPECTIVE STUDIES; RISK MANAGEMENT;

EID: 79952064620     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-11-49     Document Type: Article

References (28)

1. Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals. M Zegers MC de Bruijne C Wagner PP Groenewegen R Waaijman G van der Wal, BMC Health Serv Res 2007 7 27 10.1186/1472-6963-7-27 17319971
2. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. TA Brennan LL Leape NM Laird L Hebert AR Localio AG Lawthers JP Newhouse PC Weiler HH Hiatt, N Engl J Med 1991 324 370 376 10.1056/NEJM199102073240604 1987460
3. The Quality in Australian Health Care Study. RM Wilson WB Runciman RW Gibberd BT Harrison L Newby JD Hamilton, MJA 1995 163 458 471 7476634
4. Incidence and types of adverse events and negligent care in Utah and Colorado. EJ Thomas DM Studdert HR Burstin EJ Orav T Zeena EJ Williams KM Howard PC Weiler TA Brennan, Med Care 2000 38 261 271 10.1097/00005650-200003000-00003 10718351
5. Danish Adverse Event Study: Incidence of adverse events in hospitals. A retrospective study of medical records. T Schioler H Lipczak BL Pedersen TS Mogensen KB Bech A Stockmarr AR Svenning A Frolich, Ugeskr Laeger 2001 163 5370 5378 11590953
6. Adverse events in British hospitals: preliminary retrospective record review. C Vincent G Neale M Woloshynowych, BMJ 2001 322 517 519 10.1136/bmj.322.7285.517 11230064 (Pubitemid 32230913)
7. Adverse events in New Zealand public hospitals 1: occurrence and impact. P Davis R Lay-Yee R Briant W Ali A Scott S Schug, N Z Med J 2002 115 271 12552260
8. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. GR Baker PG Norton V Flintoft R Blais A Brown J Cox E Etchells WA Ghali P Hebert SR Majumdar M O'Beirne L Palacios-Derflingher RJ Reid S Sheps R Tamblyn, CMAJ 2004 170 1678 1686 15159366 (Pubitemid 38758745)
9. Adverse events and potentially preventable deaths in Dutch hospitals. Results of a retrospective patient record review study. M Zegers MC de Bruijne C Wagner LHF Hoonhout R Waaijman M Smits FAG Hout L Zwaan I Christiaans- Dingelhoff DRM Timmermans PP Groenewegen G Van der Wal, Qual Saf Health Care 2009 18 297 302 10.1136/qshc.2007.025924 19651935
10. Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. P Michel JL Quenon AM de Sarasqueta O Scemama, BMJ 2004 328 199 10.1136/bmj.328.7433.199 14739187
11. Case record review of adverse events: a new approach. M Woloshynowych G Neale C Vincent, Qual Saf Health Care 2003 12 411 415 10.1136/qhc.12.6.411 14645755 (Pubitemid 37542020)
12. Department of Health, An organisation with a memory: Report of an expert group on learning from adverse events in the NHS London: The Stationery Office 2000
13. Sensitivity of routine systems for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. ABA Sari TA Sheldon A Cracknell A Turnbull, BMJ 2007 334 79 10.1136/bmj.39031.507153.AE 17175566
14. The incident reporting system does not detect adverse events: a problem for quality improvement. DJ Cullen DW Bates SD Small JB Cooper AR Nemeskal LL Leape, Jt Comm J Qual Improv 1995 21 541 548 8556111
15. Hospitals should use more than one method to detect adverse events and potential adverse event: incident reporting, pharmacist surveillance and local real-time record reviews may all have a place. S Olsen G Neale K Schwab B Psaila T Patel EJ Chapman C Vincent, Qual Saf Health Care 2007 16 40 44 10.1136/qshc.2005.017616 17301203 (Pubitemid 46347949)
16. Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events. MM Bismark TA Brennan RJ Paterson PB Davis DM Studdert, Qual Saf Health Care 2006 15 17 22 10.1136/qshc.2005.015743 16456205 (Pubitemid 43275521)
17. WHO Draft Guidelines for Adverse Event Reporting and Learning. 2005
18. Patient expectations of fair complaint handling in hospitals: empirical data. RD Friele EM Sluijs, BMC Health Serv Res 2006 6 106 10.1186/1472-6963-6- 106 16919165
19. Reasons for not reporting adverse incidents: an empirical study. C Vincent N Stanhope M Crowley-Murphy, J Eval Clin Pract 1999 5 13 21 10.1046/j.1365-2753.1999.00147.x 10468380 (Pubitemid 29093010)
20. Reporting of adverse events. LL Leape, N Engl J Med 2002 347 1633 1638 10.1056/NEJMNEJMhpr011493 12432059 (Pubitemid 35315854)
21. Biases in incident reporting databases: an empirical study in the chemical process industry. T van der Schaaf L Kanse, Safety Science 2004 42 57 67 10.1016/S0925-7535(03)00023-7 (Pubitemid 37272229)
22. Attitudes and barriers to incident reporting: a collaborative hospital study. SM Evans JG Berry BJ Smith A Esterman P Selim J O' Shaughnessy M DeWit, Qual Saf Health Care 2006 15 39 43 10.1136/qshc.2004.012559 16456208 (Pubitemid 43275524)
23. Knelpunten rond het melden. I Christiaans-Dingelhoff RMS Doppegieter J Legemaate, Melden van incidenten in de Gezondheidszorg. Report of ZonMw Utrecht 2006 59 63 (Barriers towards reporting. Report: Incident Reporting in Health Care)
24. Barriers to incident notification in a regional prehospital setting. PA Jennings J Stella, Emerg Med J 2010
25. Physician perception of hospital safety and barriers to incident reporting. JM Schectman ML Plews-Ogan, Jt Comm J Qual Patient Saf 2006 32 337 343 16776388
26. Factors influencing incident reporting in surgical care. S Kreckler K Catchpole P McCulloch A Handa, Qual Saf Health Care 2009 18 116 120 10.1136/qshc.2008.026534 19342525
27. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. RA Hayward TP Hofer, JAMA 2001 286 415 420 10.1001/jama.286.4.415 11466119 (Pubitemid 32681483)
28. The reliability of medical record review for estimating adverse event rates. SR Lipsitz DM Studdert TA Brennan, Ann Intern Med 2002 136 812 816 12044129 (Pubitemid 34568651)