Preventable adverse drug events and their causes and contributing factors: the analysis of register data

Jylhä, Virpi; Saranto, Kaija; Bates, David W.

doi:10.1093/intqhc/mzq085

Cited by 21 publications

(26 citation statements)

References 20 publications

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“…Eight studies (14%) did not recruit participants from healthcare settings; participants were recruited from the general population (e.g., flyer, website), associations or some other mechanism. This included a study of work system factors contributing to adverse drug events through a mixed data analysis of patient complaints to the Finnish national health authority (Jylhä, Saranto, & Bates, 2011). The rest of the studies took place primarily in inpatient settings (20 studies or 34%) or outpatient settings (20 studies or 34%), whereas five studies (9%) involved both inpatient and outpatient settings.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of mixed methods research on human factors and ergonomics in health care

Carayon

Kianfar

et al. 2015

Applied Ergonomics

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This systematic literature review provides information on the use of mixed methods research in human factors and ergonomics (HFE) research in health care. Using the PRISMA methodology, we searched four databases (PubMed, PsycInfo, Web of Science, and Engineering Village) for studies that met the following inclusion criteria: (1) field study in health care, (2) mixing of qualitative and quantitative data, (3) HFE issues, and (4) empirical evidence. Using an iterative and collaborative process supported by a structured data collection form, the six authors identified a total of 58 studies that primarily address HFE issues in health information technology (e.g., usability) and in the work of healthcare workers. About two-thirds of the mixed methods studies used the convergent parallel study design where quantitative and qualitative data were collected simultaneously. A variety of methods were used for collecting data, including interview, survey and observation. The most frequent combination involved interview for qualitative data and survey for quantitative data. The use of mixed methods in healthcare HFE research has increased over time. However, increasing attention should be paid to the formal literature on mixed methods research to enhance the depth and breadth of this research.

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Section: Resultsmentioning

confidence: 99%

A systematic review of mixed methods research on human factors and ergonomics in health care

Carayon

Kianfar

et al. 2015

Applied Ergonomics

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“…These concepts were operationalized under three headings: information management practices (9 items), information behaviors (14 items), and information management incidents (11 items). The items were derived from the results of previous research in information management [6, 7] and information culture studies [1, 2] on the causes of and the factors that contribute to information breakdowns. The survey items are presented in ► Table 1 along with the means and the Cronbach alphas for the study variables.…”

Section: Methodsmentioning

confidence: 99%

“…We developed and evaluated a structural equation model that describes how organizational factors are associated with work processes and outcomes. Research questions and hypotheses (see ► Figure 1) were based on Reason’s model for the stages of development of organizational accidents [13] and previous studies of causes and contributing factors for adverse events [6, 7, 11, 18]. Each hypothesis includes one or more paths.…”

Section: Objectivementioning

confidence: 99%

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The Impact of Information Culture on Patient Safety Outcomes

Jylhä¹,

Mikkonen²,

Saranto³

et al. 2017

Methods Inf Med

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SummaryBackgroundAn organization’s information culture and information management practices create conditions for processing patient information in hospitals. Information management incidents are failures that could lead to adverse events for the patient if they are not detected.ObjectivesTo test a theoretical model that links information culture in acute care hospitals to information management incidents and patient safety outcomes.MethodsReason’s model for the stages of development of organizational accidents was applied. Study data were collected from a cross-sectional survey of 909 RNs who work in medical or surgical units at 32 acute care hospitals in Finland. Structural equation modeling was used to assess how well the hypothesized model fit the study data.ResultsFit indices indicated a good fit for the model. In total, 18 of the 32 paths tested were statistically significant. Documentation errors had the strongest total effect on patient safety outcomes. Organizational guidance positively affected information availability and utilization of electronic patient records, whereas the latter had the strongest total effect on the reduction of information delays.ConclusionsPatient safety outcomes are associated with information management incidents and information culture. Further, the dimensions of the information culture create work conditions that generate errors in hospitals.

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“…1–3 Adverse drug events, 45 falls, 6 pressure ulcers, 7 urinary tract infections, 8 physical restraint use, 9 and weight loss, 10 are common safety issues in long term care settings. Older NH residents are especially vulnerable to adverse clinical events due to reduced functional status, multiple co-morbidities, polypharmacy, and cognitive impairment.…”

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confidence: 99%

First Evidence on the Validity and Reliability of the Safety Organizing Scale–Nursing Home Version (SOS-NH)

Ausserhofer¹,

Anderson²,

Colón‐Emeric³

et al. 2013

Journal of the American Medical Directors Association

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Background The Safety Organizing Scale is a valid and reliable measure on safety behaviors and practices in hospitals. Purpose of the study This study aimed to explore the psychometric properties of the Safety Organizing Scale-Nursing Home version (SOS-NH). Design and Methods In a cross-sectional analysis of staff survey data, we examined validity and reliability of the 9-item Safety SOS-NH using American Educational Research Association guidelines. Subjects and Setting This sub-study of a larger trial used baseline survey data collected from staff members (n=627) in a variety of work roles in 13 NHs in North Carolina and Virginia, USA. Results Psychometric evaluation of the SOS-NH revealed good response patterns with low average of missing values across all items (3.05%). Analyses of the SOS-NH’s internal structure (e.g., comparative fit indices = 0.929, standardized root mean square error of approximation = 0.045) and consistency (composite reliability = 0.94) suggested its one-dimensionality. Significant between-facility variability, intraclass correlations, within-group agreement and design effect confirmed appropriateness of the SOS-NH for measurement at the NH level, justifying data aggregation. The SOS-NH showed discriminate validity from one related concept, communication openness. Implications Initial evidence regarding validity and reliability of the SOS-NH supports its’ utility in measuring safety behaviors and practices among a wide range of NH staff members, including those with low literacy. Further psychometric evaluation should focus on testing concurrent and criterion validity, using resident outcome measures (e.g., patient fall rates).

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Preventable adverse drug events and their causes and contributing factors: the analysis of register data

Abstract: Information management processes need to be improved to improve medication safety.

Cited by 21 publications

References 20 publications

A systematic review of mixed methods research on human factors and ergonomics in health care

A systematic review of mixed methods research on human factors and ergonomics in health care

The Impact of Information Culture on Patient Safety Outcomes

First Evidence on the Validity and Reliability of the Safety Organizing Scale–Nursing Home Version (SOS-NH)

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