Safety moments license#

However, pilot studies have been conducted to develop a case report form for identifying adverse events 16 and to report the incidence of adverse events from 1 or 2 medical institutions. 8–15 In the Republic of Korea (hereinafter Korea), a large-scale, national-level medical records review to obtain an estimate of adverse events has not yet been performed. Since it was first used in the United States, 6,7 medical records review has been used worldwide for the identification of adverse events, including in Australia and Canada. 4 Thus, medical records review has become the worldwide criterion standard for comprehensively assessing patient safety using adverse events as the index.

2 Although identifying adverse events costs more and takes more time, 3 it has been shown to increase the reliability of medical records reviewers hence, it is important. 1 Although various methods have been suggested to identify this current status, the use of medical records review has consistently been the most frequently used method. There is a crucial need to enhance patient safety therefore, an understanding of the current status of patient safety is essential. ConclusionsĪ review of medical records aids in identifying adverse events in medical institutions with varying characteristics, thus helping prioritize interventions to reduce their incidence.

Duration of hospitalization was extended for 463 (44.9%) adverse events, with “diagnosis-related” (30.8%) and “surgery/procedural-related” (30.1%) types extended by at least 21 days. The preventability score was high for “patient care–related” and “diagnosis-related” adverse events. In 1032 adverse events, the majority (33.5%) were “patient care–related.” By severity, the majority (638 70.8%) were temporary, requiring intervention, whereas 38 (4.2%) resulted in death. By type of institution, adverse event incidence varied widely from 1.2% to 45.6%. ResultsĪmong 7500 patients, 4159 (55.5%) had at least 1 screening criterion 745 (9.9%) experienced 901 adverse events (incidence, 12.0%). Third, a 9-member committee conducted a final review and compiled the final adverse event report. Second, 2 physicians independently reviewed the records of those patients with at least 1 screening criterion from the first stage for adverse events occurrence and their characteristics. First, for each hospital, 2 nurses independently reviewed the medical records, using 41 screening criteria. Medical records data of 500 randomly selected patients (discharged in 2016) were extracted from each of the 15 studied hospitals and reviewed in 3 stages. This study determined the incidence and detailed the characteristics of adverse events at 15 regional public hospitals in the Republic of Korea. In 2019, the Korean National Patient Safety Incidents Inquiry was conducted in the Republic of Korea to identify the national-level incidence of adverse events. The work cannot be changed in any way or used commercially without permission from the journal.

Safety moments license#

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. This research was funded by the Ministry of Health & Welfare, Republic of Korea. §Department of Nursing Management, College of Nursing Science, Kyung Hee University, Seoul, Republic of Korea.Ĭorrespondence: Minsu Ock, MD, PhD, Ulsan University Hospital, University of Ulsan College of Medicine, 877 Bangeojinsunhwando-ro, Dong-gu, Ulsan 44033, Republic of Korea (e-mail: ). ‡Department of Preventive Medicine, University of Ulsan College of Medicine

†Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan From the ∗Korea Institute for Healthcare Accreditation, Seoul