Author:
Wetzels Raymond,Wolters René,van Weel Chris,Wensing Michel
Abstract
Abstract
Background
The validity and usefulness of incident reporting and other methods for identifying adverse events remains unclear. This study aimed to compare five methods in general practice.
Methods
In a prospective observational study, with five general practitioners, five methods were applied and compared. The five methods were physician reported adverse events, pharmacist reported adverse events, patients' experiences of adverse events, assessment of a random sample of medical records, and assessment of all deceased patients.
Results
A total of 68 events were identified using these methods. The patient survey accounted for the highest number of events and the pharmacist reports for the lowest number. No overlap between the methods was detected. The patient survey accounted for the highest number of events and the pharmacist reports for the lowest number.
Conclusion
A mix of methods is needed to identify adverse events in general practice.
Publisher
Springer Science and Business Media LLC
Reference22 articles.
1. Green LA, Fryer GE, Yawn BP, Lanier D, Dovey SM: The ecology of medical care revisited. N Engl J Med. 2001, 344: 2021-2025. 10.1056/NEJM200106283442611.
2. Sandars J, Esmail A: The frequency and nature of medical error in primary care: understanding the diversity across studies. Fam Pract. 2003, 20: 231-236. 10.1093/fampra/cmg301.
3. Mikkelsen TH, Sokolowski I, Olesen F: General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. Scand J Prim Health Care. 2006, 24: 27-32. 10.1080/02813430500508330.
4. WHO: Strengths and weaknesses of available methods for assessing the nature and scale of harm caused by the health system: a systematic literature review. Geneva. 2003
5. Britt H, Miller GC, Steven ID, Howarth GC, Nicholson PA, Bhasale AL, Norton KJ: Collecting data on adverse events: a method for monitoring incidents in general practice. Fam Pract. 1997, 14: 101-6. 10.1093/fampra/14.2.101.
Cited by
44 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献