Background Data about the frequency of adverse events related to inappropriate care in hospitals come from studies of medical records as if they represented a true record of adverse events.
In a prospective, observational design we analysed discussion of adverse events during the care of all patients admitted to three units of a large, urban teaching hospital affiliated to a university medical school.
Discussion took place during routine clinical meetings.
We undertook the study to enhance understanding of the incidence and scope of adverse events as a basis for preventing them.
Methods Ethnographers trained in qualitative observational research attended day-shift, weekday, regularly scheduled attending rounds, residents'work rounds, nursing shift changes, case conferences, and other scheduled meetings in three study units as well as various departmental and section meetings.
They recorded all adverse events during patient care discussed at these meetings and developed a classification scheme to code the data.
Data were collected about health-care providers'own assessments about the appropriateness of the care that patients received to assess the nature and impact of adverse events and how health-care providers and patients responded to the adverse events.
Findings Of the 1047 patients in the study, 185 (17.7%) were said to have had at least one serious adverse event ; having an initial event was linked to the seriousness of the patient's underlying illness. (...)
Mots-clés Pascal : Soin santé primaire, Méthode alternative, Stratégie, Evénement aléatoire, Dépistage, Etiologie, Incidence, Faute professionnelle, Relation médecin malade, Prévention, Service hospitalier, Homme, Organisation santé
Mots-clés Pascal anglais : Primary health care, Alternative method, Strategy, Random event, Medical screening, Etiology, Incidence, Malpractice, Physician patient relation, Prevention, Hospital ward, Human, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0148065
Code Inist : 002B30A04D. Création : 21/05/1997.