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- Computerized Adverse Event Detection
Search results for "Computerized Adverse Event Detection"
Journal Article > Review
James JT. J Patient Saf. 2013;9:122-128.
The seminal 1999 Institute of Medicine study estimated that as many as 98,000 patients may die each year due to preventable errors, a number that has entered the popular lexicon. However, this study found that preventable adverse events may actually result in much more harm. Based on analysis of four studies using the Global Trigger Tool, the study concludes that between 210,000 and 400,000 patients experience harm contributing to their death each year. Although the accuracy of the Global Trigger Tool for assessing preventability of harm has been questioned, other studies have also concluded that the overall incidence of preventable adverse events has likely not improved over the past decade.
Journal Article > Study
Khoong EC, Cherian R, Rivadeneira NA, et al. Health Aff (Millwood). 2018;37:1760-1769.
California's Medicaid pay-for-performance program requires safety-net health care systems to report and improve upon diverse ambulatory safety measures. Researchers found that participating safety-net hospitals struggled to report accurate data. Systems had more success improving metrics that placed patients at risk of life-threatening harm when compared to metrics that required longer term follow-up or patient engagement.
Journal Article > Study
Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval.
Kennerly DA, Kudyakov R, da Graca B, et al. Health Serv Res. 2014;49:1407-1425.
Using the Institute for Healthcare Improvement's Global Trigger Tool, this retrospective study analyzed adverse events at a large health care system in Texas. Approximately one-third of patients experienced at least one adverse event during their hospital stay. The vast majority of these incidents were deemed potentially preventable. Surgical and procedural complications accounted for a large portion of adverse events in the hospital. Less than 5% of the hospital-acquired adverse events identified in this study would have been discovered through voluntary reporting or use of AHRQ Patient Safety Indicators, illustrating the challenges of detecting safety hazards. A previous AHRQ WebM&M interview with Dr. David Classen explored the use of trigger tools to measure patient safety.
Journal Article > Commentary
Bates DW, Wachter RM, Vanderveen T. Patient Saf Qual Healthc. July/August 2009;6:22-27.
This piece shares insights from an interactive audio conference regarding the potential impact of information technology on safe medication delivery.