Application of Global Trigger Tools in University Hospital and Comparison to Volunteer Adverse Events Reporting System

Basit Öğe Kaydı
dc.authoridekici, mustafa ayhan/0000-0002-0745-0907;en_US
dc.authorscopusid57219490253en_US
dc.authorscopusid56247043700en_US
dc.authorscopusid57211747341en_US
dc.authorwosidekici, mustafa ayhan/ABE-2764-2020en_US
dc.authorwosidKurutkan, Nurullah/L-6180-2019en_US
dc.contributor.authorEkici, Zeynep
dc.contributor.authorKurutkan, Mehmet N.
dc.contributor.authorEkici, Mustafa A.
dc.date.accessioned2024-08-23T16:03:22Z
dc.date.available2024-08-23T16:03:22Z
dc.date.issued2024en_US
dc.departmentDüzce Üniversitesien_US
dc.description.abstractBackground: A voluntary reporting system (VRS) is still used to detect adverse events (AEs) in health-care services in many countries. We attempted to apply the Global Trigger Tool (GTT) for the first time in our country and searched for an answer to the question of whether there could be new triggers. Methods: Two hundred and forty inpatient records were selected from total of 1,807 inpatient files in the university obstetrics and gynecology clinic between 2018 and 2020. Twenty files per month were reviewed retrospectively using GTT, an approach developed by the American Institute for Health Development. VRS records of the same period were examined. The data were evaluated according to the National Coordinating Council for Medication Error Reporting and Prevention scale and those in the E, F, G, H, I categories were included. Results: The number of AEs per 1,000 patient days was 47.81, AEs per 1,000 patient hospitalizations was 95.83, and hospitalizations with AEs was 9.58%. In the VRS data, 10 of 85 reporting cases were listed in the E category (Damage is temporary and requires intervention), 6 of them were related to fall of the patient, and 4 of them were related to medical device and material safety. By applying GTT, 45 cases in category E and 35 cases in category F (Damage is temporary and requires hospitalization or prolonged hospitalization) AEs were detected in 23 patients (9.58%). The number of AEs reported was 8.3 times higher in the GTT than with VRS. Healthcare related infection, development of complications from any procedure, APTT>100 Seconds, INR>6, Organ Injury - Repair or Removal, All Kinds of Operative Complications were found to be the most sensitive triggers (PPV = 100). There was no difference between the patients with and without AEs in terms of age and number of hospitalization days (p: 0.707, p: 0.618). The sensitivity rate of vaginal dinoprostone use and CRP elevation (30% and 22%, respectively) was higher than the mean sensitivity rate of GTT triggers (15.6%). Conclusions: The GTT is more effective than VRS in detecting AEs. Using vaginal dinoprostone (propess) and high CRP levels could be used as a trigger. The GTT is a credible and fruitful instrument for determining AEs when adapted to the departmental practices.en_US
dc.description.sponsorshipChairman of the Department of Obstetrics and Gynecology at Izzet Baysal Universityen_US
dc.description.sponsorshipThe authors thank the Chairman of the Department of Obstetrics and Gynecology at Izzet Baysal University for their support in this study, and Neslihan Kaya, Melike Sevim, and Ihsan Safak, who were in the file review team, for their assistance.en_US
dc.identifier.doi10.7754/Clin.Lab.2023.230641
dc.identifier.endpage319en_US
dc.identifier.issn1433-6510
dc.identifier.issue2en_US
dc.identifier.pmid38345987en_US
dc.identifier.scopus2-s2.0-85185097406en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage311en_US
dc.identifier.urihttps://doi.org/10.7754/Clin.Lab.2023.230641
dc.identifier.urihttps://hdl.handle.net/20.500.12684/13696
dc.identifier.volume70en_US
dc.identifier.wosWOS:001179306700020en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherClin Lab Publen_US
dc.relation.ispartofClinical Laboratoryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectadverse eventen_US
dc.subjectpatient safetyen_US
dc.subjectglobal trigger toolen_US
dc.subjectvolun- tary reporting systemen_US
dc.subjectInpatientsen_US
dc.subjectSafetyen_US
dc.subjectErrorsen_US
dc.subjectHarmen_US
dc.titleApplication of Global Trigger Tools in University Hospital and Comparison to Volunteer Adverse Events Reporting Systemen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu