Measuring Harm in Health Care: Optimizing Adverse Event Review.

ABSTRACT:

Objective

The objective of this study was to identify modifiable factors that improve the reliability of ratings of severity of health care-associated harm in clinical practice improvement and research.

Methods

A diverse group of clinicians rated 8 types of adverse events: blood product, device or medical/surgical supply, fall, health care-associated infection, medication, perinatal, pressure ulcer, surgery. We used a generalizability theory framework to estimate the impact of number of raters, rater experience, and rater provider type on reliability.

Results

Pharmacists were slightly more precise and consistent in their ratings than either physicians or nurses. For example, to achieve high reliability of 0.83, 3 physicians could be replaced by 2 pharmacists without l

SUBMITTER: Walsh KE 

PROVIDER: S-EPMC5352561 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature