Department of Medicine, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
Avedis Donabedian Research Institute (FAD), Universitat Autònoma de Barcelona, Barcelona, Spain.
PLoS One. 2023 Mar 16;18(3):e0280200. doi: 10.1371/journal.pone.0280200. eCollection 2023.
It is widely recognized that providing healthcare may produce harm to the patient. Different approaches have been developed to measure the burden of adverse events (AEs) to plan and measure the effects of interventions. One of the most widely used instruments is the Trigger Tool, which has previously been modified to be used on various settings and translated into many languages. Multimorbidity complicates care and may increase the number of AEs patients experience. Currently there is no instrument designed to measure AEs in multimorbid patients. In Estonia, there is currently no validated instrument to measure the burden of AEs.
The aim of this study will be evaluating the characteristics and ocurrence of AEs in multimorbid patients in hospitalised internal medicine patients of Estonia, and describes the development of a trigger tool for this purpose.
We will search for the evidence on measuring AEs in the population of multimorbid patients focusing on trigger tools, and synthesize the data. Data collection of the triggers from the literature will be followed by translating triggers from English to Estonian. An expert multidisciplinary panel will select the suitable triggers for this population. Trigger tool will be pre-tested to assess agreement among professionals and usability of the tool. Validation will be done using 90 medical records. A cross-sectional study in internal medicine departments of two Estonian tertiary care hospitals will be performed to identify the frequency and characteristics of AEs in 960 medical records. We will also provide preventability potential and influencing factors.
Results will be disseminated to healthcare providers and stakeholders at national and international conferences, and as a doctoral medical thesis.
人们普遍认识到，提供医疗保健可能会对患者造成伤害。已经开发出不同的方法来衡量不良事件（AE）的负担，以规划和衡量干预措施的效果。使用最广泛的工具之一是触发工具，该工具之前已被修改用于各种环境并翻译成多种语言。多病共存使护理变得复杂，并可能增加患者经历的 AE 数量。目前尚无专门用于测量多病共存患者 AE 的工具。在爱沙尼亚，目前尚无经过验证的工具来衡量 AE 的负担。
本研究的目的将评估爱沙尼亚住院内科患者中多病共存患者 AE 的特征和发生情况，并描述为此目的开发触发工具的情况。
我们将搜索有关在多病共存患者人群中测量 AE 的证据，重点是触发工具，并对数据进行综合分析。我们将从文献中收集有关触发器的数据，然后将触发器从英语翻译成爱沙尼亚语。一个多学科专家小组将为该人群选择合适的触发器。将对触发工具进行预测试，以评估专业人员之间的一致性和工具的可用性。将使用 90 份病历进行验证。将在爱沙尼亚两家三级保健医院的内科部门进行横断面研究，以确定 960 份病历中 AE 的频率和特征。我们还将提供可预防的可能性和影响因素。
研究结果将在国家和国际会议以及博士医学论文中向医疗保健提供者和利益相关者传播。
