Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital
Identifieur interne : 005531 ( Main/Curation ); précédent : 005530; suivant : 005532Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital
Auteurs : R M Wilson [États-Unis] ; P. Michel [France] ; S. Olsen [Royaume-Uni] ; R W Gibberd [Australie] ; C. Vincent [Royaume-Uni] ; R. El-Assady [Égypte] ; O. Rasslan ; S. Qsous [Jordanie] ; W M Macharia [Kenya] ; A. Sahel [Maroc] ; S. Whittaker [Afrique du Sud] ; M. Abdo-Ali [Soudan] ; M. Letaief [Tunisie] ; N A Ahmed [Yémen] ; A. Abdellatif ; I. Larizgoitia [Suisse]Source :
- BMJ [ 0959-8138 ] ; 2012.
Descripteurs français
- Wicri :
- topic : Collecte de données, Soins de santé.
English descriptors
- KwdEn :
- Adverse, Adverse event, Adverse event rate, Adverse event rates, Adverse events, Adverse events table, African regions, Causation, Certain evidence, Clinical processes, Clinical staff, Contributory factors, Convenience sample, Corresponding author, Country leaders, Data collection, Data entry, Diagnostic error, Eastern mediterranean, Emergency department, Event rate, Executive sponsor, Explicit criteria, Further review, Further study, Head injury, Health care, Health problem, Health systems, Healthcare, Healthcare management, Hospital admissions, Inadequate training, Index admission, Initial screening stage, Insufficient data, Management causation, Medical record, Medical records, Modest evidence, More resources, Multiple codes, Other studies, Patient harm, Patient records, Patient safety, Permanent disability, Point scale, Preventability, Preventable, Previous admission, Previous studies, Primary review, Principal investigators, Readmission, Record review, Reliability, Representative sample, Reprint, Research table, Respective countries, Retrospective, Retrospective review, Reviewer, Same event, Secondary review, Senior physician, Strong evidence, Study population, Teaching hospitals, Therapeutic errors, Total number, Transitional countries, Transitional economies, World health organization.
- Teeft :
- Adverse, Adverse event, Adverse event rate, Adverse event rates, Adverse events, Adverse events table, African regions, Causation, Certain evidence, Clinical processes, Clinical staff, Contributory factors, Convenience sample, Corresponding author, Country leaders, Data collection, Data entry, Diagnostic error, Eastern mediterranean, Emergency department, Event rate, Executive sponsor, Explicit criteria, Further review, Further study, Head injury, Health care, Health problem, Health systems, Healthcare, Healthcare management, Hospital admissions, Inadequate training, Index admission, Initial screening stage, Insufficient data, Management causation, Medical record, Medical records, Modest evidence, More resources, Multiple codes, Other studies, Patient harm, Patient records, Patient safety, Permanent disability, Point scale, Preventability, Preventable, Previous admission, Previous studies, Primary review, Principal investigators, Readmission, Record review, Reliability, Representative sample, Reprint, Research table, Respective countries, Retrospective, Retrospective review, Reviewer, Same event, Secondary review, Senior physician, Strong evidence, Study population, Teaching hospitals, Therapeutic errors, Total number, Transitional countries, Transitional economies, World health organization.
Abstract
Objective To assess the frequency and nature of adverse events to patients in selected hospitals in developing or transitional economies. Design Retrospective medical record review of hospital admissions during 2005 in eight countries. Setting Ministries of Health of Egypt, Jordan, Kenya, Morocco, Tunisia, Sudan, South Africa and Yemen; the World Health Organisation (WHO) Eastern Mediterranean and African Regions (EMRO and AFRO), and WHO Patient Safety. Participants Convenience sample of 26 hospitals from which 15 548 patient records were randomly sampled. Main outcome measures Two stage screening. Initial screening based on 18 explicit criteria. Records that screened positive were then reviewed by a senior physician for determination of adverse event, its preventability, and the resulting disability. Results Of the 15 548 records reviewed, 8.2% showed at least one adverse event, with a range of 2.5% to 18.4% per country. Of these events, 83% were judged to be preventable, while about 30% were associated with death of the patient. About 34% adverse events were from therapeutic errors in relatively non-complex clinical situations. Inadequate training and supervision of clinical staff or the failure to follow policies or protocols contributed to most events. Conclusions Unsafe patient care represents a serious and considerable danger to patients in the hospitals that were studied, and hence should be a high priority public health problem. Many other developing and transitional economies will probably share similar rates of harm and similar contributory factors. The convenience sampling of hospitals might limit the interpretation of results, but the identified adverse event rates show an estimate that should stimulate and facilitate the urgent institution of appropriate remedial action and also to trigger more research. Prevention of these adverse events will be complex and involves improving basic clinical processes and does not simply depend on the provision of more resources.
Url:
DOI: 10.1136/bmj.e832
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: Pour aller vers cette notice dans l'étape Curation :002501
- to stream Istex, to step Curation: Pour aller vers cette notice dans l'étape Curation :002501
- to stream Istex, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000456
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :005798
Links to Exploration step
ISTEX:C787854023F90678CC7EA8954F6A191F5705AF0ECuration
No country items
O. Rasslan<affiliation><wicri:noCountry code="subField">Cairo</wicri:noCountry>
</affiliation>
<affiliation><wicri:noCountry code="subField">Cairo</wicri:noCountry>
</affiliation>
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital</title>
<author><name sortKey="Wilson, R M" sort="Wilson, R M" uniqKey="Wilson R" first="R M" last="Wilson">R M Wilson</name>
</author>
<author><name sortKey="Michel, P" sort="Michel, P" uniqKey="Michel P" first="P" last="Michel">P. Michel</name>
</author>
<author><name sortKey="Olsen, S" sort="Olsen, S" uniqKey="Olsen S" first="S" last="Olsen">S. Olsen</name>
</author>
<author><name sortKey="Gibberd, R W" sort="Gibberd, R W" uniqKey="Gibberd R" first="R W" last="Gibberd">R W Gibberd</name>
</author>
<author><name sortKey="Vincent, C" sort="Vincent, C" uniqKey="Vincent C" first="C" last="Vincent">C. Vincent</name>
</author>
<author><name sortKey="El Assady, R" sort="El Assady, R" uniqKey="El Assady R" first="R" last="El-Assady">R. El-Assady</name>
</author>
<author><name sortKey="Rasslan, O" sort="Rasslan, O" uniqKey="Rasslan O" first="O" last="Rasslan">O. Rasslan</name>
</author>
<author><name sortKey="Qsous, S" sort="Qsous, S" uniqKey="Qsous S" first="S" last="Qsous">S. Qsous</name>
</author>
<author><name sortKey="Macharia, W M" sort="Macharia, W M" uniqKey="Macharia W" first="W M" last="Macharia">W M Macharia</name>
</author>
<author><name sortKey="Sahel, A" sort="Sahel, A" uniqKey="Sahel A" first="A" last="Sahel">A. Sahel</name>
</author>
<author><name sortKey="Whittaker, S" sort="Whittaker, S" uniqKey="Whittaker S" first="S" last="Whittaker">S. Whittaker</name>
</author>
<author><name sortKey="Abdo Ali, M" sort="Abdo Ali, M" uniqKey="Abdo Ali M" first="M" last="Abdo-Ali">M. Abdo-Ali</name>
</author>
<author><name sortKey="Letaief, M" sort="Letaief, M" uniqKey="Letaief M" first="M" last="Letaief">M. Letaief</name>
</author>
<author><name sortKey="Ahmed, N A" sort="Ahmed, N A" uniqKey="Ahmed N" first="N A" last="Ahmed">N A Ahmed</name>
</author>
<author><name sortKey="Abdellatif, A" sort="Abdellatif, A" uniqKey="Abdellatif A" first="A" last="Abdellatif">A. Abdellatif</name>
</author>
<author><name sortKey="Larizgoitia, I" sort="Larizgoitia, I" uniqKey="Larizgoitia I" first="I" last="Larizgoitia">I. Larizgoitia</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:C787854023F90678CC7EA8954F6A191F5705AF0E</idno>
<date when="2012" year="2012">2012</date>
<idno type="doi">10.1136/bmj.e832</idno>
<idno type="url">https://api.istex.fr/document/C787854023F90678CC7EA8954F6A191F5705AF0E/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">002501</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002501</idno>
<idno type="wicri:Area/Istex/Curation">002501</idno>
<idno type="wicri:Area/Istex/Checkpoint">000456</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000456</idno>
<idno type="wicri:doubleKey">0959-8138:2012:Wilson R:patient:safety:in</idno>
<idno type="wicri:Area/Main/Merge">005798</idno>
<idno type="wicri:Area/Main/Curation">005531</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a">Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital</title>
<author><name sortKey="Wilson, R M" sort="Wilson, R M" uniqKey="Wilson R" first="R M" last="Wilson">R M Wilson</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>New York City Health and Hospital Corporation, 125 Worth Street, New York, NY 10013</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
<affiliation></affiliation>
</author>
<author><name sortKey="Michel, P" sort="Michel, P" uniqKey="Michel P" first="P" last="Michel">P. Michel</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Aquitaine Regional Center for Quality and Safety, Bordeaux University Hospital</wicri:regionArea>
<wicri:noRegion>Bordeaux University Hospital</wicri:noRegion>
<wicri:noRegion>Bordeaux University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Olsen, S" sort="Olsen, S" uniqKey="Olsen S" first="S" last="Olsen">S. Olsen</name>
<affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Imperial Centre for Patient Safety and Service Quality, Department of Biosurgery and Technology, Imperial College, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gibberd, R W" sort="Gibberd, R W" uniqKey="Gibberd R" first="R W" last="Gibberd">R W Gibberd</name>
<affiliation wicri:level="1"><country xml:lang="fr">Australie</country>
<wicri:regionArea>University of Newcastle, NSW</wicri:regionArea>
<wicri:noRegion>NSW</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Vincent, C" sort="Vincent, C" uniqKey="Vincent C" first="C" last="Vincent">C. Vincent</name>
<affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Imperial Centre for Patient Safety and Service Quality, Department of Biosurgery and Technology, Imperial College, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="El Assady, R" sort="El Assady, R" uniqKey="El Assady R" first="R" last="El-Assady">R. El-Assady</name>
<affiliation wicri:level="1"><country xml:lang="fr">Égypte</country>
<wicri:regionArea>WHO Eastern Mediterranean Region, Cairo</wicri:regionArea>
<wicri:noRegion>Cairo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Rasslan, O" sort="Rasslan, O" uniqKey="Rasslan O" first="O" last="Rasslan">O. Rasslan</name>
<affiliation><wicri:noCountry code="subField">Cairo</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Qsous, S" sort="Qsous, S" uniqKey="Qsous S" first="S" last="Qsous">S. Qsous</name>
<affiliation wicri:level="1"><country xml:lang="fr">Jordanie</country>
<wicri:regionArea>Ministry of Health, Amman</wicri:regionArea>
<wicri:noRegion>Amman</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Macharia, W M" sort="Macharia, W M" uniqKey="Macharia W" first="W M" last="Macharia">W M Macharia</name>
<affiliation wicri:level="1"><country xml:lang="fr">Kenya</country>
<wicri:regionArea>Department of Paediatrics, Aga Khan University, Nairobi</wicri:regionArea>
<wicri:noRegion>Nairobi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sahel, A" sort="Sahel, A" uniqKey="Sahel A" first="A" last="Sahel">A. Sahel</name>
<affiliation wicri:level="1"><country xml:lang="fr">Maroc</country>
<wicri:regionArea>Quality Management Unit, Ministry of Health</wicri:regionArea>
<wicri:noRegion>Ministry of Health</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Whittaker, S" sort="Whittaker, S" uniqKey="Whittaker S" first="S" last="Whittaker">S. Whittaker</name>
<affiliation wicri:level="1"><country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Council for Health Service Accreditation of Southern Africa, Cape Town</wicri:regionArea>
<wicri:noRegion>Cape Town</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Abdo Ali, M" sort="Abdo Ali, M" uniqKey="Abdo Ali M" first="M" last="Abdo-Ali">M. Abdo-Ali</name>
<affiliation wicri:level="1"><country xml:lang="fr">Soudan</country>
<wicri:regionArea>National Ribat University, Khartoum</wicri:regionArea>
<wicri:noRegion>Khartoum</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Letaief, M" sort="Letaief, M" uniqKey="Letaief M" first="M" last="Letaief">M. Letaief</name>
<affiliation wicri:level="1"><country xml:lang="fr">Tunisie</country>
<wicri:regionArea>University Hospital of Monastir</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Ahmed, N A" sort="Ahmed, N A" uniqKey="Ahmed N" first="N A" last="Ahmed">N A Ahmed</name>
<affiliation wicri:level="1"><country xml:lang="fr">Yémen</country>
<wicri:regionArea>Ministry of Public Health and Population, Sanaa</wicri:regionArea>
<wicri:noRegion>Sanaa</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Abdellatif, A" sort="Abdellatif, A" uniqKey="Abdellatif A" first="A" last="Abdellatif">A. Abdellatif</name>
<affiliation><wicri:noCountry code="subField">Cairo</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Larizgoitia, I" sort="Larizgoitia, I" uniqKey="Larizgoitia I" first="I" last="Larizgoitia">I. Larizgoitia</name>
<affiliation wicri:level="1"><country xml:lang="fr">Suisse</country>
<wicri:regionArea>Patient Safety Programme, World Health Organization, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">BMJ</title>
<title level="j" type="abbrev">BMJ</title>
<idno type="ISSN">0959-8138</idno>
<idno type="eISSN">1468-5833</idno>
<imprint><publisher>British Medical Journal Publishing Group</publisher>
<date type="published" when="2012">2012</date>
<biblScope unit="volume">344</biblScope>
</imprint>
<idno type="ISSN">0959-8138</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0959-8138</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adverse</term>
<term>Adverse event</term>
<term>Adverse event rate</term>
<term>Adverse event rates</term>
<term>Adverse events</term>
<term>Adverse events table</term>
<term>African regions</term>
<term>Causation</term>
<term>Certain evidence</term>
<term>Clinical processes</term>
<term>Clinical staff</term>
<term>Contributory factors</term>
<term>Convenience sample</term>
<term>Corresponding author</term>
<term>Country leaders</term>
<term>Data collection</term>
<term>Data entry</term>
<term>Diagnostic error</term>
<term>Eastern mediterranean</term>
<term>Emergency department</term>
<term>Event rate</term>
<term>Executive sponsor</term>
<term>Explicit criteria</term>
<term>Further review</term>
<term>Further study</term>
<term>Head injury</term>
<term>Health care</term>
<term>Health problem</term>
<term>Health systems</term>
<term>Healthcare</term>
<term>Healthcare management</term>
<term>Hospital admissions</term>
<term>Inadequate training</term>
<term>Index admission</term>
<term>Initial screening stage</term>
<term>Insufficient data</term>
<term>Management causation</term>
<term>Medical record</term>
<term>Medical records</term>
<term>Modest evidence</term>
<term>More resources</term>
<term>Multiple codes</term>
<term>Other studies</term>
<term>Patient harm</term>
<term>Patient records</term>
<term>Patient safety</term>
<term>Permanent disability</term>
<term>Point scale</term>
<term>Preventability</term>
<term>Preventable</term>
<term>Previous admission</term>
<term>Previous studies</term>
<term>Primary review</term>
<term>Principal investigators</term>
<term>Readmission</term>
<term>Record review</term>
<term>Reliability</term>
<term>Representative sample</term>
<term>Reprint</term>
<term>Research table</term>
<term>Respective countries</term>
<term>Retrospective</term>
<term>Retrospective review</term>
<term>Reviewer</term>
<term>Same event</term>
<term>Secondary review</term>
<term>Senior physician</term>
<term>Strong evidence</term>
<term>Study population</term>
<term>Teaching hospitals</term>
<term>Therapeutic errors</term>
<term>Total number</term>
<term>Transitional countries</term>
<term>Transitional economies</term>
<term>World health organization</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Adverse</term>
<term>Adverse event</term>
<term>Adverse event rate</term>
<term>Adverse event rates</term>
<term>Adverse events</term>
<term>Adverse events table</term>
<term>African regions</term>
<term>Causation</term>
<term>Certain evidence</term>
<term>Clinical processes</term>
<term>Clinical staff</term>
<term>Contributory factors</term>
<term>Convenience sample</term>
<term>Corresponding author</term>
<term>Country leaders</term>
<term>Data collection</term>
<term>Data entry</term>
<term>Diagnostic error</term>
<term>Eastern mediterranean</term>
<term>Emergency department</term>
<term>Event rate</term>
<term>Executive sponsor</term>
<term>Explicit criteria</term>
<term>Further review</term>
<term>Further study</term>
<term>Head injury</term>
<term>Health care</term>
<term>Health problem</term>
<term>Health systems</term>
<term>Healthcare</term>
<term>Healthcare management</term>
<term>Hospital admissions</term>
<term>Inadequate training</term>
<term>Index admission</term>
<term>Initial screening stage</term>
<term>Insufficient data</term>
<term>Management causation</term>
<term>Medical record</term>
<term>Medical records</term>
<term>Modest evidence</term>
<term>More resources</term>
<term>Multiple codes</term>
<term>Other studies</term>
<term>Patient harm</term>
<term>Patient records</term>
<term>Patient safety</term>
<term>Permanent disability</term>
<term>Point scale</term>
<term>Preventability</term>
<term>Preventable</term>
<term>Previous admission</term>
<term>Previous studies</term>
<term>Primary review</term>
<term>Principal investigators</term>
<term>Readmission</term>
<term>Record review</term>
<term>Reliability</term>
<term>Representative sample</term>
<term>Reprint</term>
<term>Research table</term>
<term>Respective countries</term>
<term>Retrospective</term>
<term>Retrospective review</term>
<term>Reviewer</term>
<term>Same event</term>
<term>Secondary review</term>
<term>Senior physician</term>
<term>Strong evidence</term>
<term>Study population</term>
<term>Teaching hospitals</term>
<term>Therapeutic errors</term>
<term>Total number</term>
<term>Transitional countries</term>
<term>Transitional economies</term>
<term>World health organization</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Collecte de données</term>
<term>Soins de santé</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract">Objective To assess the frequency and nature of adverse events to patients in selected hospitals in developing or transitional economies. Design Retrospective medical record review of hospital admissions during 2005 in eight countries. Setting Ministries of Health of Egypt, Jordan, Kenya, Morocco, Tunisia, Sudan, South Africa and Yemen; the World Health Organisation (WHO) Eastern Mediterranean and African Regions (EMRO and AFRO), and WHO Patient Safety. Participants Convenience sample of 26 hospitals from which 15 548 patient records were randomly sampled. Main outcome measures Two stage screening. Initial screening based on 18 explicit criteria. Records that screened positive were then reviewed by a senior physician for determination of adverse event, its preventability, and the resulting disability. Results Of the 15 548 records reviewed, 8.2% showed at least one adverse event, with a range of 2.5% to 18.4% per country. Of these events, 83% were judged to be preventable, while about 30% were associated with death of the patient. About 34% adverse events were from therapeutic errors in relatively non-complex clinical situations. Inadequate training and supervision of clinical staff or the failure to follow policies or protocols contributed to most events. Conclusions Unsafe patient care represents a serious and considerable danger to patients in the hospitals that were studied, and hence should be a high priority public health problem. Many other developing and transitional economies will probably share similar rates of harm and similar contributory factors. The convenience sampling of hospitals might limit the interpretation of results, but the identified adverse event rates show an estimate that should stimulate and facilitate the urgent institution of appropriate remedial action and also to trigger more research. Prevention of these adverse events will be complex and involves improving basic clinical processes and does not simply depend on the provision of more resources.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Asie/explor/AustralieFrV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 005531 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 005531 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Asie |area= AustralieFrV1 |flux= Main |étape= Curation |type= RBID |clé= ISTEX:C787854023F90678CC7EA8954F6A191F5705AF0E |texte= Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital }}
![]() | This area was generated with Dilib version V0.6.33. | ![]() |