Departamento de Enfermagem Geral e Especializada, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brasil.
Rev Gaucha Enferm. 2020;41:e20190364. doi: 10.1590/1983-1447.2020.20190364. Epub 2020 Jul 13.
To highlight the scientific production related to the use of the retrospective chart review methods to assess the incidence and preventability of adverse events in hospitals.
An integrative review in the MEDLINE, LILACS, SCOPUS, Web of Science and EMBASE databases conducted in May 2019 with the following guiding question: What is known about the retrospective chart review methods to assess the incidence and preventability of adverse events in hospitals? Subsequently, the categorization, synthesis, and classification of the evidence levels of the included publications were performed.
In the 13 selected studies, the instruments adopted to assess the occurrence of adverse events were the Harvard Medical Practice Study, the Canadian Adverse Event Study, the Quality in Australian Health Care Study, and the Global Trigger Tool. Incidence ranged from 5.7 to 14.2%, while preventability ranged from 31 to 83%.
Differences in incidence and preventability were found, showing different results in the quality of care provided, the information registered in medical records, the screening criteria used, and the assessments of the reviewers.
强调使用回顾性图表审查方法评估医院不良事件发生率和可预防率的科学文献产出。
2019 年 5 月，在 MEDLINE、LILACS、SCOPUS、Web of Science 和 EMBASE 数据库中进行了综合回顾，问题如下：回顾性图表审查方法在评估医院不良事件发生率和可预防率方面的相关研究有哪些？随后，对纳入文献的证据水平进行了分类、综合和分类。
在 13 项选定的研究中，评估不良事件发生的工具采用了哈佛医疗实践研究、加拿大不良事件研究、澳大利亚医疗质量研究和全球触发工具。发生率范围为 5.7%至 14.2%，而可预防率范围为 31%至 83%。
发生率和可预防率存在差异，表明在提供的医疗质量、医疗记录中登记的信息、使用的筛选标准以及审查员的评估方面存在不同结果。
