Describing adverse events in Swiss hospitalized oncology patients using the Global Trigger Tool

Gerber, Anne (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland ; Institute of Higher Education and Research in Healthcare (IUFRS) Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland) ; Da Silva Lopes, André (Institute of Higher Education and Research in Healthcare (IUFRS) Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland ; Department of Oncology, Lausanne University Hospital CHUV-UNIL, Lausanne, Switzerland) ; Szüts, Natacha (Internal Medicine, Cantonal Hospital, Hôpital Fribourgeois, Fribourg, Switzerland) ; Simon, Michael (Institute of Nursing Science, University of Basel, Basel, Switzerland ; Nursing Research Unit, Inselspital University Hospital, Berne, Switzerland) ; Ribordy-Baudat, Viviane (Internal Medicine, Cantonal Hospital, Hôpital Fribourgeois, Fribourg, Switzerland) ; Ebneter, Andreas (Internal Medicine, Cantonal Hospital, Hôpital Fribourgeois, Fribourg, Switzerland) ; Perrinjaquet, Claire (Department of Oncology, Lausanne University Hospital CHUV-UNIL, Lausanne, Switzerland) ; Gaignard, Marie-Estelle (Division of Oncology, University Hospitals Geneva, Geneva, Switzerland) ; Nicodet, Delphine (Department of Oncology, Lausanne University Hospital CHUV-UNIL, Lausanne, Switzerland) ; Betticher, Daniel (Internal Medicine, Cantonal Hospital, Hôpital Fribourgeois, Fribourg, Switzerland) ; Bula, Grégoire (Division of Oncology, University Hospitals Geneva, Geneva, Switzerland) ; Cote, Maxime (Department of Oncology, Lausanne University Hospital CHUV-UNIL, Lausanne, Switzerland) ; Duchosal, Michel André (Department of Oncology, Lausanne University Hospital CHUV-UNIL, Lausanne, Switzerland) ; Berret, Pierre-André (Division of Oncology, University Hospitals Geneva, Geneva, Switzerland) ; Dietrich, Pierre-Yves (Division of Oncology, University Hospitals Geneva, Geneva, Switzerland) ; Brennan, Caitlin (Clinical Improvement, Cyft, Inc., Cambridge, Massachusetts) ; Decosterd, Sandy (Division of Oncology, University Hospitals Geneva, Geneva, Switzerland) ; Ferreira Nobre, Sandrina (Internal Medicine, Cantonal Hospital, Hôpital Fribourgeois, Fribourg, Switzerland) ; Peters, Solange (Department of Oncology, Lausanne University Hospital CHUV-UNIL, Lausanne, Switzerland) ; Koelliker, Reto (Internal Medicine, Cantonal Hospital, Hôpital Fribourgeois, Fribourg, Switzerland) ; Ninane, Françoise (Department of Oncology, Lausanne University Hospital CHUV-UNIL, Lausanne, Switzerland) ; Jeitziner, Marie-Madlen (Intensive Care, Inselspital University Hospital, Berne, Switzerland) ; Colomer-Lahiguera, Sara (Institute of Higher Education and Research in Healthcare (IUFRS) Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland ; Department of Oncology, Lausanne University Hospital CHUV-UNIL, Lausanne, Switzerland) ; Eicher, Manueal (Institute of Higher Education and Research in Healthcare (IUFRS) Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland ; Department of Oncology, Lausanne University Hospital CHUV-UNIL, Lausanne, Switzerland)

Background and aims : The occurrence rate of adverse events (AEs) related to care among hospitalized oncology patients in Switzerland remains unknown. The primary objective of this study was to describe, for the first time, the occurrence rate, type, severity of harm, and preventability of AEs related to care, reported in health records of hospitalized hematological and solid‐tumor cancer patients in three Swiss hospitals. Methods :Using an adapted version of the validated Global Trigger Tool (GTT) from the Institute for Healthcare Improvement, we conducted a retrospective record review of patients discharged from oncology units over a 6‐week period during 2018. Our convenience sample included all records from adult patients (≥18 years of age), diagnosed with cancer, and hospitalized (>24 hours). Per the GTT method, two trained nurses independently assessed patient records to identify AEs using triggers, and physicians from the included units analyzed the consensus of the two nurses. Together, they assessed the severity and preventability of each AE. Results: From the sample of 224 reviewed records, we identified 661 triggers and 169 AEs in 94 of them (42%). Pain related to care was the most frequent AE (n = 29), followed by constipation (n = 17). AEs rates were 75.4 per 100 admissions and 106.6 per 1000 patient days. Most of the identified AEs (78%) caused temporary harm to the patient and required an intervention. Among AEs during hospitalization (n = 125), 76 (61%) were considered not preventable, 28 (22%) preventable, and 21 (17%) undetermined. Conclusion :About half of the hospitalized oncology patients suffered from at least one AE related to care during their hospitalization. Pain, constipation, and nosocomial infections were the most frequent AEs. It is, therefore, essential to identify AEs to guide future clinical practice initiatives to ensure patient safety.


Keywords:
Article Type:
scientifique
Faculty:
Santé
Branch:
Soins infirmiers
School:
HESAV
Institute:
Unité de recherche en santé, HESAV
Subject(s):
Santé
Date:
2020-05
Pagination:
13 p.
Published in:
Health science reports
Numeration (vol. no.):
June 2020, vol. 3, no. 2, article e160
DOI:
ISSN:
2398-8835
Appears in Collection:



 Record created 2020-06-11, last modified 2020-10-27

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