Hospital Infection Rates in St Elsewhere

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Methods Design and setting We performed a longitudinal retrospective patient record review study in 21 randomly sampled hospitals in 2004, and 20 in 2008 out of the total of 93 Dutch hospitals. Eight hospitals were studied in both years. Both samples were stratified for hospital type, university, tertiary teaching and general hospitals, and a proper representation of both urban and rural settings in the samples were verified. Tertiary teaching hospitals in The Netherlands provide specialised care and train doctors. The level of care given is between that given in a university hospital and in a general hospital. Generally speaking, university hospitals and, to some extent, tertiary teaching hospitals tend to treat more complex patients…show more content…
Below are the sections of our review form concerning these preparatory questions as well as the final judgement. Causation, preparatory questions: Is there a note in the medical record indicating that a healthcare professional, or healthcare management, caused the injury? (No/Yes/Not applicable) Is there a note in the medical record suggesting the possibility of an unintended injury from the patient's disease? (No/Yes/Not applicable) Does the timing of events suggest that the injury is related to the treatment? (Likely/Possibly/Unlikely/Not applicable) Does the timing of events suggest that the injury was related to the lack of treatment? (Likely/Possibly/Unlikely/Not applicable) Are there other reasonable explanations for the cause of the unintended injury? (No/Yes/Possibly/Not applicable) Was there an opportunity prior to the occurrence of the injury for intervention which might have prevented it? (No/Yes/Possibly/Not applicable) Is lack of treatment or delayed treatment a recognised cause of this injury? (Widely recognised/Recognised by other specialists/No/Not applicable) Is the lack of diagnosis or delayed diagnosis a recognised cause of this injury? (Widely recognised/Recognised by other specialists/No/Not applicable) Is the treatment given to the patient a recognised cause of this injury? (Widely recognised/Recognised by other specialists/No/Not
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