Differences between serious and nonserious patient safety incidents in the largest hospital district in Finland

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http://hdl.handle.net/10138/325863

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Jämsä , J O , Palojoki , S H , Lehtonen , L & Tapper , A-M 2018 , ' Differences between serious and nonserious patient safety incidents in the largest hospital district in Finland ' , Journal of healthcare risk management , vol. 38 , no. 2 , pp. 27-35 . https://doi.org/10.1002/jhrm.21310

Title: Differences between serious and nonserious patient safety incidents in the largest hospital district in Finland
Author: Jämsä, J.O.; Palojoki, S.H.; Lehtonen, L.; Tapper, A.-M.
Contributor: University of Helsinki, Clinicum
University of Helsinki, Department of Public Health
University of Helsinki, Department of Obstetrics and Gynecology
Date: 2018
Language: eng
Number of pages: 9
Belongs to series: Journal of healthcare risk management
ISSN: 2040-0861
URI: http://hdl.handle.net/10138/325863
Abstract: OBJECTIVES: To determine if and in what ways serious patient safety incidents differ from nonserious patient safety incidents. METHODS: Statistical analysis was performed on patient safety incident reports that were reported in 2015 in Finland's largest hospital district (Helsinki and Uusimaa, HUS). Reports were divided into two groups: nonserious incidents and serious incidents. Differences between groups were studied from several types of categorically divided information. RESULTS: Of the total number of reports (15,863), 1% were serious incidents (175). Serious and nonserious incidents differed significantly from each other. Serious incidents concerning laboratory, imaging, or medical equipment were more common. On the other hand, incidents concerning medication, infusion, and blood transfusion were less frequent. In serious incidents, the proportion of doctors reporting was greater, and contributing factors were better recognized, the most common being working of procedures. CONCLUSIONS: In the future, special attention should be given to the particular aspects of serious patient safety incidents, such as safe use of medical equipment, training, and handling of procedures. Root cause analysis is an effective way to handle serious incidents and enables the prevention of their reoccurrence. However, a systematic follow-up of the root cause analysis should be developed. © 2018 American Society for Health Care Risk Management of the American Hospital Association.
Subject: comparative study
Finland
human
injury scale
medical error
patient safety
risk management
root cause analysis
safety
statistics and numerical data, Finland
Humans
Medical Errors
Patient Safety
Risk Management
Root Cause Analysis
Safety Management
Trauma Severity Indices
3141 Health care science
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