A Research Study : Fife Are Retrospective And One Prospective Study
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Six studies conducted in the USA , fife are retrospective and one prospective study , the first study was set in Three large Tertiary care center and the sample size was795 patients. Used list of triggers like (medication stop order, an abnormal lab result, or use of an antidote medication).
Second study was set in Bon Secor, Atlantic Health, Cleveland Clinic, and the University of Kentucky the sample size was 86 hospitals reviewed 2837 charts.Used list of triggers like(Diphenhydramine , Vitamin K , Flumazenil , Droperidol , Naloxone , Antidiarrheals , Sodium polystyrene , PTT >100 seconds , INR >6 , Serum glucose < 70 mg/dL, INR > 4.5, K+ ≥ 5.5 mmol/L, K+ ≤3.5 mmol/L, Platelets < 75,000/mm3,, aPTT > 100, ALT/AST ≥3x ULN, Na+ < 130…show more content… One study conducted in five Danish hospital in Denmark.the sample size are 1000 patients its large sample size .and the study are Retrospective observational study.used list of triggers(VTE,pressure ulcer ,medication ,infection,falls,procedure ,gastrointestinal device failure)
The result are The average harm rate for all hospitals was 60 per 1000 patient-days ranging from 34 to 84. The percentage of harmed patients was 25 and ranged from 18 to 33. Overall, 96% of harms were temporary. Infections, pressure ulcers procedure-related and gastrointestinal problems were common. Teams reported differences in training and review procedures such as the role of the secondary reviewer.
Strengths and limitations of this study are that the study supplies detailed contextual information that is relevant for the implementation of the GTT that increasingly is being used to monitor the safety in hospitals. And the observational study design dose not allow for conclusions on causality and quantification of the contributions of different factors with relevance for the implementation of GTT reviews. One study in European set in pediatric and adolescent medicine the sample size was 761 acute medical and surgical patient contacts .the trigger used (Tissue damage or pressure ulcer, Readmission within 30 days, Abnormal cranial imaging, Respiratory or cardiac