The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a retrospective record review study.

Hdl Handle:
http://hdl.handle.net/10147/596554
Title:
The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a retrospective record review study.
Authors:
Rafter, Natasha; Hickey, Anne; Conroy, Ronan M; Condell, Sarah; O'Connor, Paul; Vaughan, David; Walsh, Gillian; Williams, David J
Citation:
The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a retrospective record review study. 2016: BMJ Qual Saf
Publisher:
BMJ
Journal:
BMJ quality & safety
Issue Date:
9-Feb-2016
URI:
http://hdl.handle.net/10147/596554
DOI:
10.1136/bmjqs-2015-004828
PubMed ID:
26862223
Additional Links:
http://qualitysafety.bmj.com/content/early/2016/02/09/bmjqs-2015-004828.full.pdf+html
Abstract:
Irish healthcare has undergone extensive change recently with spending cuts and a focus on quality initiatives; however, little is known about adverse event occurrence.; To assess the frequency and nature of adverse events in Irish hospitals.; 1574 (53% women, mean age 54 years) randomly selected adult inpatient admissions from a sample of eight hospitals, stratified by region and size, across the Republic of Ireland in 2009 were reviewed using two-stage (nurse review of patient charts, followed by physician review of triggered charts) retrospective chart review with electronic data capture. Results were weighted to reflect the sampling strategy. The impact on adverse event rate of differing application of international adverse event criteria was also examined.; 45% of charts were triggered. The prevalence of adverse events in admissions was 12.2% (95% CI 9.5% to 15.5%), with an incidence of 10.3 events per 100 admissions (95% CI 7.5 to 13.1). Over 70% of events were considered preventable. Two-thirds were rated as having a mild-to-moderate impact on the patient, 9.9% causing permanent impairment and 6.7% contributing to death. A mean of 6.1 added bed days was attributed to events, representing an expenditure of €5550 per event. The adverse event rate varied substantially (8.6%-17.0%) when applying different published adverse event eligibility criteria.; This first study of adverse events in Ireland reports similar rates to other countries. In a time of austerity, adverse events in adult inpatients were estimated to cost over €194 million. These results provide important baseline data on the adverse event burden and, alongside web-based chart review, provide an incentive and methodology to monitor future patient-safety initiatives.
Item Type:
Article
Language:
en
Description:
Irish healthcare has undergone extensive change recently with spending cuts and a focus on quality initiatives; however, little is known about adverse event occurrence
Keywords:
HOSPITALS; ADVERSE EFFECTS; QUALITY
ISSN:
2044-5423

Full metadata record

DC FieldValue Language
dc.contributor.authorRafter, Natashaen
dc.contributor.authorHickey, Anneen
dc.contributor.authorConroy, Ronan Men
dc.contributor.authorCondell, Sarahen
dc.contributor.authorO'Connor, Paulen
dc.contributor.authorVaughan, Daviden
dc.contributor.authorWalsh, Gillianen
dc.contributor.authorWilliams, David Jen
dc.date.accessioned2016-02-17T15:45:40Zen
dc.date.available2016-02-17T15:45:40Zen
dc.date.issued2016-02-09en
dc.identifier.citationThe Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a retrospective record review study. 2016: BMJ Qual Safen
dc.identifier.issn2044-5423en
dc.identifier.pmid26862223en
dc.identifier.doi10.1136/bmjqs-2015-004828en
dc.identifier.urihttp://hdl.handle.net/10147/596554en
dc.descriptionIrish healthcare has undergone extensive change recently with spending cuts and a focus on quality initiatives; however, little is known about adverse event occurrenceen
dc.description.abstractIrish healthcare has undergone extensive change recently with spending cuts and a focus on quality initiatives; however, little is known about adverse event occurrence.en
dc.description.abstractTo assess the frequency and nature of adverse events in Irish hospitals.en
dc.description.abstract1574 (53% women, mean age 54 years) randomly selected adult inpatient admissions from a sample of eight hospitals, stratified by region and size, across the Republic of Ireland in 2009 were reviewed using two-stage (nurse review of patient charts, followed by physician review of triggered charts) retrospective chart review with electronic data capture. Results were weighted to reflect the sampling strategy. The impact on adverse event rate of differing application of international adverse event criteria was also examined.en
dc.description.abstract45% of charts were triggered. The prevalence of adverse events in admissions was 12.2% (95% CI 9.5% to 15.5%), with an incidence of 10.3 events per 100 admissions (95% CI 7.5 to 13.1). Over 70% of events were considered preventable. Two-thirds were rated as having a mild-to-moderate impact on the patient, 9.9% causing permanent impairment and 6.7% contributing to death. A mean of 6.1 added bed days was attributed to events, representing an expenditure of €5550 per event. The adverse event rate varied substantially (8.6%-17.0%) when applying different published adverse event eligibility criteria.en
dc.description.abstractThis first study of adverse events in Ireland reports similar rates to other countries. In a time of austerity, adverse events in adult inpatients were estimated to cost over €194 million. These results provide important baseline data on the adverse event burden and, alongside web-based chart review, provide an incentive and methodology to monitor future patient-safety initiatives.en
dc.languageENGen
dc.language.isoenen
dc.publisherBMJen
dc.relation.urlhttp://qualitysafety.bmj.com/content/early/2016/02/09/bmjqs-2015-004828.full.pdf+htmlen
dc.rightsArchived with thanks to BMJ quality & safetyen
dc.subjectHOSPITALSen
dc.subjectADVERSE EFFECTSen
dc.subjectQUALITYen
dc.titleThe Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a retrospective record review study.en
dc.typeArticleen
dc.identifier.journalBMJ quality & safetyen

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