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Titre du document / Document title

The reliability of medical record review for estimating adverse event rates

Auteur(s) / Author(s)

THOMAS Eric J. ; STUDDERT David M. ; BRENNAN Troyen A. ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

Brigham and Women's Hospital and Harvard School of Public Health, Harvard University, Boston, Massachusetts, ETATS-UNIS
Medical University of South Carolina, Charleston, South Carolina, ETATS-UNIS
University of TexasHouston Medical School, Houston, Texas, ETATS-UNIS

Résumé / Abstract

Background: The data used by the U.S. Institute of Medicine to estimate deaths from medical errors come from a study that relied on nurse and physician reviews of medical records to detect the errors. Objective: To measure the reliability of medical record review for detecting adverse events and negligent adverse events. Design: Medical record review. Setting: Hospitalizations in Utah and Colorado in 1992. Measurements: After three independent reviews of 500 medical records, the following were measured: reliability and the effect of varying criteria for reviewer confidence in and reviewer agreement about the presence of adverse events. Results: For agreements in judgments of adverse events among the three sets of reviews, the K statistics ranged from 0.40 to 0.41 (95% CIs ranged from 0.30 to 0.51) for adverse events and from 0.19 to 0.23 (CIs, 0.05 to 0.37) for negligent adverse events. Rates for adverse events and for negligent adverse events varied substantially depending on the degree of agreement and the level of confidence that was required among reviewers. Conclusion: Estimates of adverse event rates from medical record review, including those reported by the Institute of Medicine in its 2000 report on medical errors, are highly sensitive to the degree of consensus and confidence among reviewers.

Revue / Journal Title

Annals of internal medicine    ISSN  0003-4819   CODEN AIMEAS 

Source / Source

2002, vol. 136, no11, pp. 812-816 (16 ref.)

Langue / Language

Anglais

Editeur / Publisher

American College of Physicians, Philadelphia, PA, ETATS-UNIS  (1927) (Revue)

Mots-clés anglais / English Keywords

Public health organization

;

Public health

;

Human

;

Reliability

;

Secondary effect

;

Medicine

;

Error estimation

;

Review

;

Managed care

;

Mots-clés français / French Keywords

Organisation santé

;

Santé publique

;

Homme

;

Fiabilité

;

Effet secondaire

;

Médecine

;

Estimation erreur

;

Article synthèse

;

Soin intégré

;

Mots-clés espagnols / Spanish Keywords

Organización salud

;

Salud pública

;

Hombre

;

Fiabilidad

;

Efecto secundario

;

Medicina

;

Estimación error

;

Artículo síntesis

;

Cuidado integrado

;

Localisation / Location

INIST-CNRS, Cote INIST : 2014, 35400010835750.0040

Nº notice refdoc (ud4) : 13705597



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