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Commentary

Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research.

Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. BMJ Qual Saf. 2020;29(4). doi:10.1136/bmjqs-2019-009731.

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March 25, 2020
Shojania KG, Marang-van de Mheen PJ. BMJ Qual Saf. 2020;29(4).
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This commentary discusses the two ‘gold standard’ research methods used to identify adverse events– retrospective record review and prospective surveillance using triggers. The authors note that these approaches have served to demonstrate the scope of the patient safety problem and to engage clinicians, managers, researchers and policy makers. However, looking forward, they advocate moving away from the imperfect gold standard of adverse event rates and embracing more specific measures of important safety problems.

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Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. BMJ Qual Saf. 2020;29(4). doi:10.1136/bmjqs-2019-009731.

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