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The Incidence, Nature and Consequences of Adverse Events in Iranian Hospitals Pubmed



Sari AA1 ; Doshmangir L2, 3, 4, 5, 6 ; Torabi F1 ; Rashidian A1 ; Sedaghat M3, 4 ; Ghomi R5, 6 ; Prasopaplaizier N7
Authors
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Authors Affiliations
  1. 1. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. School of Management and Medical Informatics, Tabriz University of Medical sciences, Tabriz, Iran
  3. 3. Iranian Center of Exellence in Health Management, Tabriz University of Medical sciences, Tabriz, Iran
  4. 4. Department of Social Sciences, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Tabriz Health Services Research Center, Tabriz University of Medical sciences, Tabriz, Iran
  6. 6. Department of Neonatal Intensive Care Nursing and Midwifery, School of Nursing, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. La Trobe University, World Health Organization, Geneva, Switzerland

Source: Archives of Iranian Medicine Published:2015


Abstract

INTRODUCTION: Adverse events are relatively common in healthcare, leading to extensive harm to patients and a significant drain on healthcare resources. Identifying the extent, nature and consequences of adverse events is an important step in preventing adverse events and their consequences which is the subject of this study. METHODS: This is a retrospective review of medical records randomly selected from patients admitted to4 general hospitals, staying more than 24 hours and discharged between April and September 2012. We randomly selected 1200 records and completed the record review for 1162 of these records. Standard forms (RF1 and RF2) were used to review medical records in two stages by nurses and medical doctors. RESULTS: Eighty-five (7.3%) of the 1162 records had an adverse event during the admission; and in 43 (3.7%) of the 1162 records, the patient was admitted to the hospital due to an adverse event that occurred before the admission. Therefore, a total of 128 (11.0%) adverse events occurred in 126 (10.9) records as two patients had more than one adverse event. Forty-four (34.3%) of these 128 adverse events were considered preventable. CONCLUSIONS: This study confirms that adverse events, particularly adverse drug reactions, post-operative infections, bedsore and hospital acquired infections are common and potentially preventable sources of harm to patients in Iranian hospitals. © 2015, Academy of Medical Sciences of the I.R. Iran. All rights reserved.