Document Type : Review Article/ Systematic Review Article/ Meta Analysis
Authors
1 Associate professor of emergency medicine, ,Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Assistant professor of emergency medicine, Clinical Research Development Center, 22 Bahman Hospital, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran
Abstract
Keywords
Acknowledgments
The authors would like to thank the administrative staff of emergency department of Imam Reza hospital for their cooperation to access the patients' records.
Availability of data and materials
The dataset analyzed during the current study is available upon reasonable request from the corresponding author.
Conflicts of interest
The authors have no relevant conflict interests to declare.
Consent for publication
All authors agree to publish the article in the present form.
Ethics approval and consent to participate
The study was approved by ethical committee of Mashhad University of medical sciences, Mashhad, Iran. The study was conducted in accordance with the principles of the Helsinki Declaration.
Financial disclosure
This study was carried out by the financial support of vice chancellor of research, Mashhad University of medical sciences.
Author contributions
The study designed, conceptualized and registered by Pishbin E. Rahmani Sh, Review of records, data collection and interpretation were performed by Pishbin E., Rahmani Sh and Panahi M; Interpretation and data analysis was done by Pishbin E and Rahmani Sh. The manuscript was wrote by Rahmani Sh and all authors reviewed and approved it.
Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/
1. McGinty EE, Thompson DA, Pronovost PJ, Dixon LB, Guallar E, Ford DE, et al. Patient, Provider, and System Factors Contributing to Patient Safety Events During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness. J Nerv Ment Dis. 2017;205(6):495-501. https://doi.org/10.1097/NMD.0000000000000675 PMid:28557885 PMCid:PMC5559891 |
||||
2. Mougeot F, Occelli P, Buchet-Poyau K, Robelet M, Touzet S, Michel P. The emergence of patient safety issues in France. Sante Publique. 2017;29(6):869-877. https://doi.org/10.3917/spub.176.0869 PMid:29473401 |
||||
3. Arimany-Manso J, Martin-Fumadó C. The importance of patient safety. Med Clin (Barc). 2017;148(9):405-407. https://doi.org/10.1016/j.medcli.2016.12.008 PMid:28073511 |
||||
4. Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5):369-74 https://doi.org/10.7326/0003-4819-158-5-201303051-00002 PMid:23460092 PMCid:PMC4710092 |
||||
5. Mitchell I, Schuster A, Smith K, Pronovost P, Wu A. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.' BMJ Qual Saf. 2016;25(2):92-9. https://doi.org/10.1136/bmjqs-2015-004405 PMid:26217037 |
||||
6. Boucaud S, Dorschner D. Patient Safety Incident Reporting: Current Trends and Gaps Within the Canadian Health System. Healthc Q. 2016;18(4):66-71. https://doi.org/10.12927/hcq.2016.24547 PMid:27009711 |
||||
7. Duarte Sda C, Stipp MA, da Silva MM, de Oliveira FT. Adverse events and safety in nursing care. Rev Bras Enferm. 2015;68(1):136-46 https://doi.org/10.1590/0034-7167.2015680120p PMid:25946507 |
||||
8. Nabilou B, Feizi A, Seyedin H. Patient Safety in Medical Education: Students' Perceptions, Knowledge and Attitudes. PLoS One. 2015;10(8):118-123 https://doi.org/10.1371/journal.pone.0135610 PMid:26322897 PMCid:PMC4554725 |
||||
9. Griffey RT, Schneider RM, Todorov AA, Yaeger L, Sharp BR, Vrablik MC, et al. Critical Review, Development, and Testing of a Taxonomy for Adverse Events and Near Misses in the Emergency Department. Acad Emerg Med. 2019;26(6):670-679. https://doi.org/10.1111/acem.13724 PMid:30859666 |
||||
10. O'Leary KJ, Devisetty VK, Patel AR, Malkenson D, Sama P, Thompson WK, et al. Comparison of traditional trigger tool to data warehouse-based screening for identifying hospital adverse events. BMJ Qual Saf. 2013;22(2):130-8. https://doi.org/10.1136/bmjqs-2012-001102 PMid:23038408 |
||||
11. Geller AI, Lovegrove MC, Shehab N, Hicks LA, Sapiano MRP, Budnitz DS. National Estimates of Emergency Department Visits for Antibiotic Adverse Events Among Adults-United States, 2011-2015. J Gen Intern Med. 2018;33(7):1060-1068. https://doi.org/10.1007/s11606-018-4430-x PMid:29679226 PMCid:PMC6025673 |
||||
12. Ghahramanian A, Rezaei T, Abdullahzadeh F, Sheikhalipour Z, Dianat I. Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication. Health Promot Perspect. 2017;7(3):168-174. https://doi.org/10.15171/hpp.2017.30 PMid:28695106 PMCid:PMC5497369 |
||||
13. Aghaei Hashjin A, Kringos DS, Manoochehri J, Ravaghi H, Klazinga NS. Implementation of patient safety and patient-centeredness strategies in Iranian hospitals. PLoS One. 2014;9(9):23-34 https://doi.org/10.1371/journal.pone.0108831 PMid:25268797 PMCid:PMC4182570 |
||||
14. Azami-Aghdash S, Ebadifard Azar F, Rezapour A, Azami A, Rasi V, Klvany K. Patient safety culture in hospitals of Iran: a systematic review and meta-analysis. Med J Islam Repub Iran. 2015; 11 (2):249-251. | ||||
15. Azizi-Fini I, Adib-Hajbaghery M. Nursing Assistants, Medication Errors, and Patient Safety: A New Challenge in Iran. Nurs Midwifery Stud. 2016;5(1): 34-42 https://doi.org/10.17795/nmsjournal34273 PMid:27331061 PMCid:PMC4915206 |
||||
16. Pazokian M, Zagheri Tafreshi M, Rassouli M. Iranian nurses' perspectives on factors influencing medication errors. Int Nurs Rev. 2014;61(2):246-54. https://doi.org/10.1111/inr.12086 PMid:24571495 |
||||
17. Chapman SM, Fitzsimons J, Davey N, Lachman P. Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. BMJ Open. 2014;4(7):55- 66 https://doi.org/10.1136/bmjopen-2014-005066 PMid:24993759 PMCid:PMC4091511 |
||||
18. Beverly EA, Díaz S, Kerr AM, Balbo JT, Prokopakis KE, Fredricks TR. Students' Perceptions of Trigger Warnings in Medical Education. Teach Learn Med. 2018;30(1):5-14 https://doi.org/10.1080/10401334.2017.1330690 PMid:28753041 |
||||
19. Delgado-Rodríguez M, Sillero-Arenas M. Systematic review and meta-analysis. Med Intensiva. 2018;42(7):444-453 https://doi.org/10.1016/j.medin.2017.10.003 PMid:29169792 |
||||
20. Mohsenzadeh A, Rezapour S, Birjandi M. Frequency of medical errors in hospitalized children in khorramabad Madani hospital during six months in 2008. yafte. 2010; 11 (4):31-38 | ||||
21. khammarnia M, ravangard R, ghanbari jahromi M, Moradi A. Survey of Medical Errors in Shiraz Public Hospitals. JHOSP. 2014; 13 (3):17-24 | ||||
22. Azarabad S, Zaman S S, Nouri B, Valiee S. Frequency, Causes and Reporting Barriers of Nursing Errors in the Operating Room Students. RME. 2018; 10 (2):18-27 https://doi.org/10.29252/rme.10.2.18 |
||||
23. Kamrani F, Ghaemipour F, Nikravan M, Alavi Majd H. Prevalence of miss triage and outcomes under triage of patients in the emergency department. JHPM. 2013; 2 (3):17-23 https://doi.org/10.1016/j.aenj.2013.11.002 PMid:24507180 |
||||
24. Pourali, M., Shojaee, M., Amini, A., Alimohammadi, H., & Hatamabadi, H. (1). 82 Cases of Medical Lawsuit against Emergency Medicine Specialists; a case study. Iranian Journal of Emergency Medicine, 2(3), 122-126. https://doi.org/10.22037/ijem.v2i3.9297 Lee WH, Zhang E, Chiang CY, Yen YL, Chen LL, Liu MH, Kung CT, Hung SC. Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department. J Patient Saf. 2019;15(1):61-68. https://doi.org/10.1097/PTS.0000000000000341 PMid:28098586 PMCid:PMC6407819 |
||||
25. Aaronson E, Borczuk P, Benzer T, Mort E, Temin E. 72h returns: A trigger tool for diagnostic error. Am J Emerg Med. 2018;36(3):359-361. https://doi.org/10.1016/j.ajem.2017.08.019 PMid:28811211 |
||||
26. Ji HH, Song L, Xiao JW, Guo YX, Wei P, Tang TT, et al. Adverse drug events in Chinese pediatric inpatients and associated risk factors: a retrospective review using the Global Trigger Tool. Sci Rep. 2018;8(1):2573-2581 https://doi.org/10.1038/s41598-018-20868-2 PMid:29416072 PMCid:PMC5803257 |
||||
27. Griffey RT, Schneider RM, Adler LM, Capp R, Carpenter CR, Farmer BM, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient Saf. 2016; 3 (7): 121-132 | ||||
28. Griffey RT, Schneider RM, Sharp BR, Pothof J, Vrablik MC, Granzella N, et al. Multicenter Test of an Emergency Department Trigger Tool for Detecting Adverse Events. J Patient Saf. 2018; 12(9): 2761-2772. | ||||
29. Calder L, Pozgay A, Riff S, Rothwell D, Youngson E, Mojaverian N, et al. Adverse events in patients with return emergency department visits. BMJ Qual Saf. 2015;24(2):142-8. https://doi.org/10.1136/bmjqs-2014-003194 PMid:25540424 PMCid:PMC4316869 |
||||
30. Deilkås ET, Bukholm G2, Lindstrøm JC, Haugen M. Monitoring adverse events in Norwegian hospitals from 2010 to 2013. BMJ. 2015 30;5(12):109-113. https://doi.org/10.1136/bmjopen-2015-008576 PMid:26719311 PMCid:PMC4710832 |
||||
31. Klasco RS, Wolfe RE, Wong M, Edlow J, Chiu D, Anderson PD, Grossman SA. Assessing the rates of error and adverse events in the ED. Am J Emerg Med. 2015;33(12):1786-9. https://doi.org/10.1016/j.ajem.2015.08.042 PMid:26458533 |
||||
32. Chen YC, Huang HH, Fan JS, Chen MH, Hsu TF, Yen DH, et al. Comparing characteristics of adverse drug events between older and younger adults presenting to a Taiwan emergency department. Medicine (Baltimore). 2015;94(7):547-452. https://doi.org/10.1097/MD.0000000000000547 PMid:25700322 PMCid:PMC4554176 |
||||
33. Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution by Information Technology: A Retrospective Cohort Study. Drug Saf. 2015;38(7):661-70. https://doi.org/10.1007/s40264-015-0303-y PMid:26013909 |
||||
34. Unbeck M, Lindemalm S, Nydert P, Ygge BM, Nylén U, Berglund C, et al. Validation of triggers and development of a pediatric trigger tool to identify adverse events. BMC Health Serv Res. 2014;14 (3):655-659. https://doi.org/10.1186/s12913-014-0655-5 PMid:25527905 PMCid:PMC4300839 |
||||
35. Suarez C, Menendez MD, Alonso J, Castaño N, Alonso M, Vazquez F. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am Geriatr Soc. 2014;62(5):896-900. https://doi.org/10.1111/jgs.12774 PMid:24697662 |
||||
36. Classen DC, Resar R, Griffin F, Federico F, Frankel T, Kimmel N, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 2011;30(4):581-9. https://doi.org/10.1377/hlthaff.2011.0190 PMid:21471476 |
||||
37. Takata GS, Mason W, Taketomo C, Logsdon T, Sharek PJ. Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitals. Pediatrics. 2008;121(4): 927-35. https://doi.org/10.1542/peds.2007-1779 PMid:18381521 |
||||
38. Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual Saf Health Care. 2003;12(3):194-200. https://doi.org/10.1136/qhc.12.3.194 PMid:12792009 PMCid:PMC1743719 |