Preventable and mitigable adverse events in cancer care: Measuring risk and harm across the continuum.
Identifieur interne : 009391 ( Ncbi/Merge ); précédent : 009390; suivant : 009392Preventable and mitigable adverse events in cancer care: Measuring risk and harm across the continuum.
Auteurs : Allison Lipitz-Snyderman [États-Unis] ; David Pfister [États-Unis] ; David Classen [États-Unis] ; Coral L. Atoria [États-Unis] ; Aileen Killen [États-Unis] ; Andrew S. Epstein [États-Unis] ; Christopher Anderson [États-Unis] ; Elizabeth Fortier [États-Unis] ; Saul N. Weingart [États-Unis]Source :
- Cancer [ 1097-0142 ] ; 2017.
Abstract
Patient safety is a critical concern in clinical oncology, but the ability to measure adverse events (AEs) across cancer care is limited by a narrow focus on treatment-related toxicities. The objective of this study was to assess the nature and extent of AEs among cancer patients across inpatient and outpatient settings.
DOI: 10.1002/cncr.30916
PubMed: 28817180
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Atoria</name><affiliation wicri:level="2"><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Memorial Sloan Kettering Cancer Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Killen, Aileen" sort="Killen, Aileen" uniqKey="Killen A" first="Aileen" last="Killen">Aileen Killen</name><affiliation wicri:level="2"><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Memorial Sloan Kettering Cancer Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Epstein, Andrew S" sort="Epstein, Andrew S" uniqKey="Epstein A" first="Andrew S" last="Epstein">Andrew S. Epstein</name><affiliation wicri:level="2"><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Memorial Sloan Kettering Cancer Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Anderson, Christopher" sort="Anderson, Christopher" uniqKey="Anderson C" first="Christopher" last="Anderson">Christopher Anderson</name><affiliation wicri:level="2"><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Memorial Sloan Kettering Cancer Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Fortier, Elizabeth" sort="Fortier, Elizabeth" uniqKey="Fortier E" first="Elizabeth" last="Fortier">Elizabeth Fortier</name><affiliation wicri:level="2"><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Memorial Sloan Kettering Cancer Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Weingart, Saul N" sort="Weingart, Saul N" uniqKey="Weingart S" first="Saul N" last="Weingart">Saul N. Weingart</name><affiliation wicri:level="2"><nlm:affiliation>Tufts Medical Center, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Tufts Medical Center, Boston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Cancer</title><idno type="eISSN">1097-0142</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patient safety is a critical concern in clinical oncology, but the ability to measure adverse events (AEs) across cancer care is limited by a narrow focus on treatment-related toxicities. The objective of this study was to assess the nature and extent of AEs among cancer patients across inpatient and outpatient settings.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28817180</PMID><DateCreated><Year>2017</Year><Month>08</Month><Day>17</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>17</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-0142</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Aug</Month><Day>17</Day></PubDate></JournalIssue><Title>Cancer</Title><ISOAbbreviation>Cancer</ISOAbbreviation></Journal><ArticleTitle>Preventable and mitigable adverse events in cancer care: Measuring risk and harm across the continuum.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1002/cncr.30916</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Patient safety is a critical concern in clinical oncology, but the ability to measure adverse events (AEs) across cancer care is limited by a narrow focus on treatment-related toxicities. The objective of this study was to assess the nature and extent of AEs among cancer patients across inpatient and outpatient settings.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a retrospective cohort study of 400 adult patients selected by stratified random sampling who had breast (n = 128), colorectal (n = 136), or lung cancer (n = 136) treated at a comprehensive cancer center in 2012. Candidate AEs, or injuries due to medical care, were identified by trained nurse reviewers over the course of 1 year from medical records and safety-reporting databases. Physicians determined the AE harm severity and the likelihood of preventability and harm mitigation.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The 400-patient sample represented 133,358 days of follow-up. Three hundred four AEs were identified for an overall rate of 2.3 events per 1000 patient days (91.2 per 1000 inpatient days and 0.9 per 1000 outpatient days). Thirty-four percent of the patients had 1 or more AEs (95% confidence interval, 29%-39%), and 16% of the patients had 1 or more preventable or mitigable AEs (95% confidence interval, 13%-20%). The AE rate for patients with breast cancer was lower than the rate for patients with colorectal or lung cancer (P ≤ .001). The preventable or mitigable AE rate was 0.9 per 1000 patient days. Six percent of AEs and 4% of preventable AEs resulted in serious harm. Examples included lymphedema, abscess, and renal failure.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A heavy burden of AEs, including preventable or mitigable events, has been identified. Future research should examine risk factors and improvement strategies for reducing their burden. Cancer 2017. © 2017 American Cancer Society.</AbstractText><CopyrightInformation>© 2017 American Cancer Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lipitz-Snyderman</LastName><ForeName>Allison</ForeName><Initials>A</Initials><Identifier Source="ORCID">http://orcid.org/0000-0003-2423-2220</Identifier><AffiliationInfo><Affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pfister</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Classen</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Pascal Metrics, Washington, DC.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Utah School of Medicine, Salt Lake City, Utah.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Atoria</LastName><ForeName>Coral L</ForeName><Initials>CL</Initials><AffiliationInfo><Affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Killen</LastName><ForeName>Aileen</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Epstein</LastName><ForeName>Andrew S</ForeName><Initials>AS</Initials><AffiliationInfo><Affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Anderson</LastName><ForeName>Christopher</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fortier</LastName><ForeName>Elizabeth</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Memorial Sloan Kettering Cancer Center, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weingart</LastName><ForeName>Saul N</ForeName><Initials>SN</Initials><AffiliationInfo><Affiliation>Tufts Medical Center, Boston, Massachusetts.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Tufts University School of Medicine, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>08</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Cancer</MedlineTA><NlmUniqueID>0374236</NlmUniqueID><ISSNLinking>0008-543X</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">adverse events</Keyword><Keyword MajorTopicYN="N">harm</Keyword><Keyword MajorTopicYN="N">medical error</Keyword><Keyword MajorTopicYN="N">oncology</Keyword><Keyword MajorTopicYN="N">patient safety</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>06</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>8</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28817180</ArticleId><ArticleId IdType="doi">10.1002/cncr.30916</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>District de Columbia</li><li>Massachusetts</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Lipitz Snyderman, Allison" sort="Lipitz Snyderman, Allison" uniqKey="Lipitz Snyderman A" first="Allison" last="Lipitz-Snyderman">Allison Lipitz-Snyderman</name></region><name sortKey="Anderson, Christopher" sort="Anderson, Christopher" uniqKey="Anderson C" first="Christopher" last="Anderson">Christopher Anderson</name><name sortKey="Atoria, Coral L" sort="Atoria, Coral L" uniqKey="Atoria C" first="Coral L" last="Atoria">Coral L. Atoria</name><name sortKey="Classen, David" sort="Classen, David" uniqKey="Classen D" first="David" last="Classen">David Classen</name><name sortKey="Epstein, Andrew S" sort="Epstein, Andrew S" uniqKey="Epstein A" first="Andrew S" last="Epstein">Andrew S. Epstein</name><name sortKey="Fortier, Elizabeth" sort="Fortier, Elizabeth" uniqKey="Fortier E" first="Elizabeth" last="Fortier">Elizabeth Fortier</name><name sortKey="Killen, Aileen" sort="Killen, Aileen" uniqKey="Killen A" first="Aileen" last="Killen">Aileen Killen</name><name sortKey="Pfister, David" sort="Pfister, David" uniqKey="Pfister D" first="David" last="Pfister">David Pfister</name><name sortKey="Weingart, Saul N" sort="Weingart, Saul N" uniqKey="Weingart S" first="Saul N" last="Weingart">Saul N. Weingart</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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