메뉴 건너뛰기




Volumn 13, Issue 1, 2013, Pages

Retrospective record review in proactive patient safety work - Identification of no-harm incidents

Author keywords

Harvard medical practice study method; Incidents; Patient safety; Retrospective record review

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; EVALUATION; FEMALE; HUMAN; MALE; MEDICAL AUDIT; MEDICAL ERROR; MIDDLE AGED; PATIENT SAFETY; RETROSPECTIVE STUDY; SAFETY; STANDARD; SWEDEN; VERY ELDERLY;

EID: 84880335272     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-13-282     Document Type: Article
Times cited : (6)

References (47)
  • 3
    • 0037976903 scopus 로고    scopus 로고
    • Near-miss incident management in the chemical process industry
    • DOI 10.1111/1539-6924.00326
    • Near-miss incident management in the chemical process industry. Phimister JR, Oktem U, Kleindorfer PR, Kunreuther H, Risk Anal 2003 23 3 445 459 10.1111/1539-6924.00326 12836838 (Pubitemid 36693478)
    • (2003) Risk Analysis , vol.23 , Issue.3 , pp. 445-459
    • Phimister, J.R.1    Oktem, U.2    Kleindorfer, P.R.3    Kunreuther, H.4
  • 4
    • 49749109732 scopus 로고    scopus 로고
    • Finland: VTT Technical research Centre of Finland Available from: http://www.vtt.fi /inf/pdf/ publications/2007/ P633.pdf. Access date 2013/05/28
    • Oedewald P, Reiman T, Special characteristics of safety critical organizations Finland: VTT Technical research Centre of Finland 2007 Available from: http://www.vtt.fi/inf/pdf/publications/2007/P633.pdf. Access date 2013/05/28
    • (2007) Special Characteristics of Safety Critical Organizations
    • Oedewald, P.1    Reiman, T.2
  • 5
    • 33845724544 scopus 로고    scopus 로고
    • An integrated framework for safety, quality and risk management: An information and incident management system based on a universal patient safety classification
    • An integrated framework for safety, quality and risk management: an information and incident management system based on a universal patient safety classification. Runciman W, Williamson J, Deakin A, Benveniste K, Bannon K, Hibbert P, Qual Saf Health Care 2006 15 Suppl 1 82 90
    • (2006) Qual Saf Health Care , vol.15 , Issue.SUPPL. 1 , pp. 82-90
    • Runciman, W.1    Williamson, J.2    Deakin, A.3    Benveniste, K.4    Bannon, K.5    Hibbert, P.6
  • 6
    • 33646695679 scopus 로고    scopus 로고
    • The investigation and analysis of critical incidents and adverse events in healthcare
    • 16303099
    • The investigation and analysis of critical incidents and adverse events in healthcare. Woloshynowych M, Rogers S, Taylor-Adams S, Vincent C, Health Technol Assess 2005 9 19 1 143 16303099
    • (2005) Health Technol Assess , vol.9 , Issue.19 , pp. 1-143
    • Woloshynowych, M.1    Rogers, S.2    Taylor-Adams, S.3    Vincent, C.4
  • 11
    • 33244474024 scopus 로고    scopus 로고
    • Relationship between complaints and quality of care in New Zealand: A descriptive analysis of complainants and non-complainants following adverse events
    • DOI 10.1136/qshc.2005.015743
    • Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events. Bismark MM, Brennan TA, Paterson RJ, Davis PB, Studdert DM, Qual Saf Health Care 2006 15 1 17 22 10.1136/qshc.2005.015743 16456205 (Pubitemid 43275521)
    • (2006) Quality and Safety in Health Care , vol.15 , Issue.1 , pp. 17-22
    • Bismark, M.M.1    Brennan, T.A.2    Paterson, R.J.3    Davis, P.B.4    Studdert, D.M.5
  • 14
    • 3242778734 scopus 로고    scopus 로고
    • Attitudes of doctors and nurses towards incident reporting: A qualitative analysis
    • Attitudes of doctors and nurses towards incident reporting: a qualitative analysis. Kingston MJ, Evans SM, Smith BJ, Berry JG, Med J Aust 2004 181 1 36 39 15233611 (Pubitemid 38967820)
    • (2004) Medical Journal of Australia , vol.181 , Issue.1 , pp. 36-39
    • Kingston, M.J.1    Evans, S.M.2    Smith, B.J.3    Berry, J.G.4
  • 15
    • 19544388999 scopus 로고    scopus 로고
    • Chichester: Wiley- Blackwell 2
    • Vincent C, Patient Safety Chichester: Wiley- Blackwell 2 2010
    • (2010) Patient Safety
    • Vincent, C.1
  • 16
    • 0032942425 scopus 로고    scopus 로고
    • Reasons for not reporting adverse incidents: An empirical study
    • DOI 10.1046/j.1365-2753.1999.00147.x
    • Reasons for not reporting adverse incidents: an empirical study. Vincent C, Stanhope N, Crowley-Murphy M, J Eval Clin Pract 1999 5 1 13 21 10.1046/j.1365-2753.1999.00147.x 10468380 (Pubitemid 29093010)
    • (1999) Journal of Evaluation in Clinical Practice , vol.5 , Issue.1 , pp. 13-21
    • Vincent, C.1    Stanhope, N.2    Crowley-Murphy, M.3
  • 17
    • 0742287193 scopus 로고    scopus 로고
    • Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals
    • 10.1136/bmj.328.7433.199 14739187
    • Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. Michel P, Quenon J, de Sarasqueta AM, Scemama O, BMJ 2004 328 199 10.1136/bmj.328.7433.199 14739187
    • (2004) BMJ , vol.328 , pp. 199
    • Michel, P.1    Quenon, J.2    De Sarasqueta, A.M.3    Scemama, O.4
  • 19
    • 27144495831 scopus 로고    scopus 로고
    • Effectiveness of routine reporting to identify minor and serious adverse outcomes in surgical patients
    • DOI 10.1136/qshc.2004.013250
    • Effectiveness of routine reporting to identify minor and serious adverse outcomes in surgical patients. Marang-van de MPJ, van Hanegem N, Kievit J, Qual Saf Health Care 2005 14 5 378 382 10.1136/qshc.2004.013250 16195574 (Pubitemid 41495127)
    • (2005) Quality and Safety in Health Care , vol.14 , Issue.5 , pp. 378-382
    • Marang-Van De Mheen, P.J.1    Van Hanegem, N.2    Kievit, J.3
  • 20
    • 47249111739 scopus 로고    scopus 로고
    • Identification of adverse events at an orthopedics department in Sweden
    • DOI 10.1080/17453670710015319, PII 794950809
    • Identification of adverse events at an orthopedics department in Sweden. Unbeck M, Muren O, Lillkrona U, Acta Orthop 2008 79 3 396 403 10.1080/17453670710015319 18622845 (Pubitemid 352009337)
    • (2008) Acta Orthopaedica , vol.79 , Issue.3 , pp. 396-403
    • Unbeck, M.1    Muren, O.2    Lillkrona, U.3
  • 21
    • 47749096007 scopus 로고    scopus 로고
    • What can we learn about patient safety from information sources within an acute hospital: A step on the ladder of integrated risk management
    • 10.1136/qshc.2006.020008 18519628
    • What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management. Hogan H, Olsen S, Scobie S, Chapman E, Sachs R, McKee M, Vincent C, Thomson R, Qual Saf Health Care 2008 17 209 215 10.1136/qshc.2006.020008 18519628
    • (2008) Qual Saf Health Care , vol.17 , pp. 209-215
    • Hogan, H.1    Olsen, S.2    Scobie, S.3    Chapman, E.4    Sachs, R.5    McKee, M.6    Vincent, C.7    Thomson, R.8
  • 23
    • 84877036871 scopus 로고    scopus 로고
    • Is detection of adverse events affected by record review methodology? An evaluation of the "harvard Medical Practice Study" method and the "global Trigger Tool"
    • 10.1186/1754-9493-7-10 23587448
    • Is detection of adverse events affected by record review methodology? an evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool" Unbeck M, Schildmeijer K, Henriksson P, Jurgensen U, Muren O, Nilsson L, Pukk HK, Patient Saf Surg 2013 7 1 10 10.1186/1754-9493-7-10 23587448
    • (2013) Patient Saf Surg , vol.7 , Issue.1 , pp. 10
    • Unbeck, M.1    Schildmeijer, K.2    Henriksson, P.3    Jurgensen, U.4    Muren, O.5    Nilsson, L.6    Pukk, H.K.7
  • 24
    • 0025924692 scopus 로고
    • Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard medical practice study i
    • 10.1056/NEJM199102073240604 1987460
    • Incidence of adverse events and negligence in hospitalized patients: results of the Harvard medical practice study I. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Newhouse JP, Weiler PC, Hiatt HH, N Engl J Med 1991 324 6 370 376 10.1056/NEJM199102073240604 1987460
    • (1991) N Engl J Med , vol.324 , Issue.6 , pp. 370-376
    • Brennan, T.A.1    Leape, L.L.2    Laird, N.M.3    Hebert, L.4    Localio, A.R.5    Newhouse, J.P.6    Weiler, P.C.7    Hiatt, H.H.8
  • 27
    • 67949106657 scopus 로고    scopus 로고
    • The incidence of adverse events in Swedish hospitals: A retrospective medical record review study
    • 10.1093/intqhc/mzp025 19556405
    • The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. Soop M, Fryksmark U, Koster M, Haglund B, Int J Qual Health Care 2009 21 4 285 291 10.1093/intqhc/mzp025 19556405
    • (2009) Int J Qual Health Care , vol.21 , Issue.4 , pp. 285-291
    • Soop, M.1    Fryksmark, U.2    Koster, M.3    Haglund, B.4
  • 29
    • 0035799063 scopus 로고    scopus 로고
    • Adverse events in British hospitals: Preliminary retrospective record review
    • Adverse events in British hospitals: preliminary retrospective record review. Vincent C, Neale G, Woloshynowych M, BMJ 2001 322 7285 517 519 10.1136/bmj.322.7285.517 11230064 (Pubitemid 32230913)
    • (2001) British Medical Journal , vol.322 , Issue.7285 , pp. 517-519
    • Vincent, C.1    Neale, G.2    Woloshynowych, M.3
  • 30
    • 0032507502 scopus 로고    scopus 로고
    • Framework for analysing risk and safety in clinical medicine
    • Framework for analysing risk and safety in clinical medicine. Vincent C, Taylor-Adams S, Stanhope N, BMJ 1998 316 7138 1154 1157 10.1136/bmj.316.7138. 1154 9552960 (Pubitemid 28156466)
    • (1998) British Medical Journal , vol.316 , Issue.7138 , pp. 1154-1157
    • Vincent, C.1    Taylor-Adams, S.2    Stanhope, N.3
  • 31
    • 33847344617 scopus 로고    scopus 로고
    • 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
    • DOI 10.1136/qshc.2005.017616
    • Hospital staff should use more than one method to detect adverse events and local real-time record review may all have a place. Olsen S, Neale G, Schwab K, Psaila B, Patel T, Chapman E, Vincent C, Qual Saf Health Care 2007 16 40 44 10.1136/qshc.2005.017616 17301203 (Pubitemid 46347949)
    • (2007) Quality and Safety in Health Care , vol.16 , Issue.1 , pp. 40-44
    • Olsen, S.1    Neale, G.2    Schwab, K.3    Psaila, B.4    Patel, T.5    Chapman, E.J.6    Vincent, C.7
  • 32
    • 37749028046 scopus 로고    scopus 로고
    • Extent, nature and consequences of adverse events: Results of a retrospective casenote review in a large NHS hospital
    • 10.1136/qshc.2006.021154 18055887
    • Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital. Sari A, Sheldon T, Cracknell A, Turnbull A, Dobson Y, Grant C, Grey W, Richardson A, Qual Saf Health Care 2007 16 6 434 439 10.1136/qshc.2006.021154 18055887
    • (2007) Qual Saf Health Care , vol.16 , Issue.6 , pp. 434-439
    • Sari, A.1    Sheldon, T.2    Cracknell, A.3    Turnbull, A.4    Dobson, Y.5    Grant, C.6    Grey, W.7    Richardson, A.8
  • 34
    • 79952064620 scopus 로고    scopus 로고
    • To what extent are adverse events found in patient records reported by patients and healtcare professionals via complaints, claims and incident reports?
    • 10.1186/1472-6963-11-49 21356056
    • To what extent are adverse events found in patient records reported by patients and healtcare professionals via complaints, claims and incident reports? Christiaans-Dingelhoff I, Smits M, Zwaan L, Lubberding S, van der Wai G, Wagner C, BMC Health Serv Res 2011 11 49 10.1186/1472-6963-11-49 21356056
    • (2011) BMC Health Serv Res , vol.11 , pp. 49
    • Christiaans-Dingelhoff, I.1    Smits, M.2    Zwaan, L.3    Lubberding, S.4    Van Der Wai, G.5    Wagner, C.6
  • 36
    • 79959661552 scopus 로고    scopus 로고
    • Mapping the limits of safety reporting systems in health care-what lessons can we actually learn?
    • 21692720
    • Mapping the limits of safety reporting systems in health care-what lessons can we actually learn? Thomas MJ, Schultz TJ, Hannaford N, Runciman WB, Med J Aust 2011 194 12 635 639 21692720
    • (2011) Med J Aust , vol.194 , Issue.12 , pp. 635-639
    • Thomas, M.J.1    Schultz, T.J.2    Hannaford, N.3    Runciman, W.B.4
  • 38
    • 0037244466 scopus 로고    scopus 로고
    • Measuring errors and adverse events in health care
    • DOI 10.1046/j.1525-1497.2003.20147.x
    • Measuring errors and adverse events in health care. Thomas EJ, Petersen LA, J Gen Intern Med 2003 18 1 61 67 10.1046/j.1525-1497.2003.20147.x 12534766 (Pubitemid 36114967)
    • (2003) Journal of General Internal Medicine , vol.18 , Issue.1 , pp. 61-67
    • Thomas, E.J.1    Petersen, L.A.2
  • 40
    • 0348216526 scopus 로고    scopus 로고
    • Methodology and rationale for the measurement of harm with trigger tools
    • Methodology and rationale for the measurement of harm with trigger tools. Resar R, Rozich J, Classen D, Qual Saf Health Care 2003 12 Suppl 2 39 45
    • (2003) Qual Saf Health Care , vol.12 , Issue.SUPPL. 2 , pp. 39-45
    • Resar, R.1    Rozich, J.2    Classen, D.3
  • 41
    • 2442663666 scopus 로고    scopus 로고
    • National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) http://www.nccmerp.org/pdf/indexBW2001-06-12.pdf. Access date 2013/05/28
    • National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP), NCC MERP Index for Categorizing Medication Errors http://www.nccmerp.org/pdf/indexBW2001-06-12.pdf. Access date 2013/05/28
    • NCC MERP Index for Categorizing Medication Errors
  • 42
    • 0036489342 scopus 로고    scopus 로고
    • Barriers to incident reporting in a healthcare system
    • Barriers to incident reporting in a healthcare system. Lawton R, Parker D, Qual Saf Health Care 2002 11 1 15 18 10.1136/qhc.11.1.15 12078362 (Pubitemid 35265296)
    • (2002) Quality and Safety in Health Care , vol.11 , Issue.1 , pp. 15-18
    • Lawton, R.1    Parker, D.2
  • 44
    • 84878692165 scopus 로고    scopus 로고
    • Surgical safety checklist:Implementation in an ambulatory surgical facility
    • 10.1007/s12630-013-9916-8 23504355
    • Surgical safety checklist:implementation in an ambulatory surgical facility. Morgan P, Cunningham L, Mitra S, Wong N, Wu W, Noguera V, Li M, Semple J, Can J Anesth 2013 60 6 528 538 10.1007/s12630-013-9916-8 23504355
    • (2013) Can J Anesth , vol.60 , Issue.6 , pp. 528-538
    • Morgan, P.1    Cunningham, L.2    Mitra, S.3    Wong, N.4    Wu, W.5    Noguera, V.6    Li, M.7    Semple, J.8
  • 46
    • 84875771605 scopus 로고    scopus 로고
    • Compliance with the WHO surgical checklist:Deviations and possible improvements
    • 10.1093/intqhc/mzt004 23335056
    • Compliance with the WHO surgical checklist:deviations and possible improvements. Rydenfält C, Johansson G, Odenrick P, Åkerman K, Larsson P, Int J Qual Health Care 2013 25 2 182 187 10.1093/intqhc/mzt004 23335056
    • (2013) Int J Qual Health Care , vol.25 , Issue.2 , pp. 182-187
    • Rydenfält, C.1    Johansson, G.2    Odenrick, P.3    Åkerman, K.4    Larsson, P.5
  • 47
    • 84858753104 scopus 로고    scopus 로고
    • Assessment of adverse events in medical care: Lack of consistency between experienced teams using the Global Trigger Tool
    • 10.1136/bmjqs-2011-000279 22362917
    • Assessment of adverse events in medical care: lack of consistency between experienced teams using the Global Trigger Tool. Schildmeijer K, Nilsson L, Årestedt K, Perk J, BMJ Qual Saf 2012 21 4 307 314 10.1136/bmjqs-2011- 000279 22362917
    • (2012) BMJ Qual Saf , vol.21 , Issue.4 , pp. 307-314
    • Schildmeijer, K.1    Nilsson, L.2    Årestedt, K.3    Perk, J.4


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.