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2016-03-05 发布于广东
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the canadian adverse events strongstudystrong the incidence of adverse.ppt

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the canadian adverse events strongstudystrong the incidence of adverse

The Canadian Adverse Events Study: the incidence of adverse events in hospitalized patients in Canada ENSP-FIOCRUZ May 31, 2006 The Canadian Adverse Events Study: the incidence of adverse events in hospitalized patients in Canada CMAJ May 25, 2004 Authors From Reviewers The CAES First national study of the incidence of adverse events in Canadian healthcare Based on methods used in the Harvard Medical Practice Study, developed further in the Australia and UK studies Uses reviews of hospital records to identify adverse events and assess whether these events might be prevented Study initiated in 2002 and data collection was completed Fall 2003 Study funded by CIHI and CIHR Paper published in the CMAJ May 25, 2004 Study Goals To identify the incidence of adverse events in a representative sample of Canadian hospitals To compare the incidence between medical and surgical patients and between different types of hospitals To compare the incidence to results from similar studies in England, Australia, New Zealand and elsewhere To compare results from chart based review obtained from administrative data and hospital incident reporting systems (not reported in initial article) Adverse Event Bad outcomes from care An adverse event is “an unintended injury or complication which results in disability, death or prolonged hospital stay and is caused by health care management” (Wilson et al.) Some AEs are not preventable Some errors do not cause AEs Adverse event = focus on outcome and patient experience Error = focus on process and often on the practitioner What was known when we started Previous studies Methods Five Province - BC, AB, ON, QC and NS 1 teaching, 1 large and two small hospitals from each Randomly selected charts for adult patients from fiscal 2000 230 for large and teaching 142 for small Obstetrics or psychiatry were excluded Methods Five Province - BC, AB, ON, QC and NS 1 teaching, 1 large and two small hospitals from each Randomly selected charts for