Identification of adverse events at an orthopedics department in Sweden.

Maria Unbeck; Olle Muren; Ulf Lillkrona

Study

Identification of adverse events at an orthopedics department in Sweden.

July 30, 2008

Unbeck M, Muren O, Lillkrona U. Acta Orthop. 2008;79(3):396-403.

View more articles from the same authors.

This study used multiple methods of error detection to determine the incidence of adverse events in patients discharged from an orthopedics department.

PubMed citation

Available at

Related Resources From the Same Author(s)

Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool."

May 8, 2013

Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare.

October 18, 2017

Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology.

August 5, 2020

Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology.

February 21, 2018

Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool.

January 25, 2023

The frequency of diagnostic errors in radiologic reports depends on the patient's age.

October 13, 2010

Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study.

January 19, 2022

Variation in detected adverse events using trigger tools: a systematic review and meta-analysis.

September 21, 2022

Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis.

January 25, 2023

Team types, perceived efficiency and team climate in Swedish cross-professional teamwork.

April 27, 2005

How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care.

December 21, 2022

Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology.

April 20, 2022

When do supervising physicians decide to entrust residents with unsupervised tasks?

September 8, 2010

Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial.

March 17, 2021

Advancing the next generation of handover research and practice with cognitive load theory.

January 27, 2016

Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness.

February 22, 2017

SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study.

February 12, 2014

Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers.

June 1, 2016

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study.

November 18, 2020

Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.

December 2, 2020

COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study.

February 3, 2021

Communication on safe caregiving between community nurse case managers and family caregivers.

April 7, 2021

Teaching students to administer medications safely.

April 19, 2017

COVID-19: making the right diagnosis.

August 5, 2020

Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department.

May 6, 2020

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

September 28, 2011

Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.

June 28, 2017

Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists.

February 26, 2014

A narrative review of strategies to increase patient safety event reporting by residents.

September 30, 2020

Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study.

February 23, 2022

Continuing education in patient safety: massive open online courses as a new training tool.

October 21, 2015

EACTS guidelines for the use of patient safety checklists.

March 29, 2012

PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors.

June 29, 2016

Root causes of errors in a simulated prehospital pediatric emergency.

February 29, 2012

Medication errors reported in a pediatric intensive care unit for oncologic patients.

September 14, 2011

Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff.

June 16, 2021

'More than words' - interpersonal communication, cognitive bias and diagnostic errors.

August 11, 2021

Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19).

April 29, 2020

Intervention study for the reduction of medication errors in elderly trauma patients.

September 2, 2020

Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy.

September 12, 2018

Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity.

August 30, 2017

Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study.

December 1, 2021

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

May 12, 2010

A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings.

August 4, 2010

Hospital safety climate and safety behavior: a social exchange perspective.

September 27, 2017

A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care.

March 27, 2019

Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study.

June 14, 2017

A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt.

May 15, 2019

Medication errors in an intensive care unit.

May 20, 2009

Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow.

January 20, 2021

Coping strategies in health care providers as second victims: a systematic review.

August 4, 2021

Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: a mixed-methods study.

July 21, 2021

Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments.

May 9, 2007

Medication errors in a neonatal intensive care unit.

April 16, 2008

Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study.

February 24, 2021

'The ABC of Handover': impact on shift handover in the emergency department.

February 8, 2012

Development and validation of a tool to assess emergency physicians' nontechnical skills.

April 18, 2012

Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature.

April 18, 2012

Certified registered nurse anesthetist perceptions of factors impacting patient safety.

April 26, 2017

Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest.

June 11, 2014

Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis.

May 28, 2014

Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop.

June 2, 2021

Errors in the administration of intravenous medication in Brazilian hospitals.

October 10, 2007

Communication patterns in a UK emergency department.

October 10, 2007

Feeling safe in the context of digitalization in healthcare: a scoping review.

April 10, 2024

Work conditions, mental workload and patient care quality: a multisource study in the emergency department.

October 14, 2015

Junior doctors' reflections on patient safety.

March 21, 2012

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU.

February 8, 2017

Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training.

December 4, 2013

Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety.

July 26, 2023

What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study.

March 3, 2021

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Benefits of direct observation in medication administration to detect errors.

January 9, 2008

Anticipating patient safety events in psychiatric care.

February 7, 2024

Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic.

November 10, 2021

Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward.

July 19, 2023

The normalization of deviance: do we (un)knowingly accept doing the wrong thing?

October 20, 2010

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.

August 5, 2009

Teams under pressure in the emergency department: an interview study.

January 25, 2012

Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study.

January 18, 2012

Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors.

March 29, 2012

Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory.

February 25, 2015

Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis.

January 13, 2021

Adolescents identifying errors and omissions in their electronic health records: a national survey.

June 7, 2023

Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action process approach.

April 13, 2022

Eliminating perioperative adverse events at Ascension Health.

May 9, 2007

Technology-induced errors associated with computerized provider order entry software for older patients.

August 23, 2017

Surgery is in itself a risk factor for the patient.

June 1, 2022

The impact of stress on surgical performance: a systematic review of the literature.

February 3, 2010

Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities.

January 11, 2017

Apologies following an adverse medical event: the importance of focusing on the consumer's needs.

July 22, 2015

The impact of health information technology on the management and follow-up of test results—a systematic review.

May 8, 2019

Managing intraoperative stress: what do surgeons want from a crisis training program?

April 8, 2009

Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality care.

May 31, 2023

Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study.

May 24, 2023

COVID-19 and open notes: a new method to enhance patient safety and trust.

July 7, 2021

Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews.

September 28, 2022

Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study

February 12, 2020

Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013.

June 3, 2020

Related Resources

Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study.

December 13, 2023

Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention.

November 29, 2023

On Patient Safety.

November 7, 2023

WebM&M Cases

Delay in Malignancy Diagnosis Reflects Systemic Failures

October 31, 2023

Developing surgical and anesthesia resident patient safety competencies through systems-based event analysis. Guide to curricular development and evaluation of longer-term resident perceptions.

October 18, 2023

WebM&M Cases

A Double “Never Event”: Wrong Patient and Wrong Side.

September 27, 2023

Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections.

September 6, 2023

Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons.

August 30, 2023

Student mistakes and teacher reactions in bedside teaching.

July 19, 2023

Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study.

March 8, 2023

Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice.

December 14, 2022

Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.

November 2, 2022

Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention.

September 21, 2022

Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study.

September 7, 2022

Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout?

August 31, 2022

Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients.

August 24, 2022

Trial and error: learning from malpractice claims in childhood surgery.

August 24, 2022

Implicit racial bias in pediatric orthopaedic surgery.

June 15, 2022

Medical adverse events in the US 2018 mortality data.

January 26, 2022

ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: a mixed-mode survey

December 22, 2021

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study.

November 10, 2021

WebM&M Cases

The Consequences of Miscommunication Regarding a Possible Artifact

June 30, 2021

Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey.

November 25, 2020

Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.

October 14, 2020

Operational measurement of diagnostic safety: state of the science.

October 7, 2020

Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data.

July 15, 2020

The next step in learning from sentinel events in healthcare.

April 15, 2020

Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?

December 4, 2019

A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts.

May 22, 2019

WebM&M Cases

Hip Fractures in Older Patients: the Case for Geriatrics Comanagement

April 1, 2019

See More About The Topic

Hospitals

Orthopedic Surgery

Epidemiology of Errors and Adverse Events

Error Reporting

Identification of adverse events at an orthopedics department in Sweden.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Identification of adverse events at an orthopedics department in Sweden.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site