Differences between serious and nonserious patient safety incidents in the largest hospital district in Finland

Research output: Contribution to journalArticleScientificpeer-review

Abstract

OBJECTIVES: To determine if and in what ways serious patient safety incidents differ from nonserious patient safety incidents. METHODS: Statistical analysis was performed on patient safety incident reports that were reported in 2015 in Finland's largest hospital district (Helsinki and Uusimaa, HUS). Reports were divided into two groups: nonserious incidents and serious incidents. Differences between groups were studied from several types of categorically divided information. RESULTS: Of the total number of reports (15,863), 1% were serious incidents (175). Serious and nonserious incidents differed significantly from each other. Serious incidents concerning laboratory, imaging, or medical equipment were more common. On the other hand, incidents concerning medication, infusion, and blood transfusion were less frequent. In serious incidents, the proportion of doctors reporting was greater, and contributing factors were better recognized, the most common being working of procedures. CONCLUSIONS: In the future, special attention should be given to the particular aspects of serious patient safety incidents, such as safe use of medical equipment, training, and handling of procedures. Root cause analysis is an effective way to handle serious incidents and enables the prevention of their reoccurrence. However, a systematic follow-up of the root cause analysis should be developed. © 2018 American Society for Health Care Risk Management of the American Hospital Association.
Original languageEnglish
JournalJournal of healthcare risk management
Volume38
Issue number2
Pages (from-to)27-35
Number of pages9
DOIs
Publication statusPublished - 2018
MoE publication typeA1 Journal article-refereed

Fields of Science

  • comparative study
  • Finland
  • human
  • injury scale
  • medical error
  • patient safety
  • risk management
  • root cause analysis
  • safety
  • statistics and numerical data, Finland
  • Humans
  • Medical Errors
  • Patient Safety
  • Risk Management
  • Root Cause Analysis
  • Safety Management
  • Trauma Severity Indices
  • 3141 Health care science

Cite this

@article{4a9cb3ea83e942cba46edf0bef935822,
title = "Differences between serious and nonserious patient safety incidents in the largest hospital district in Finland",
abstract = "OBJECTIVES: To determine if and in what ways serious patient safety incidents differ from nonserious patient safety incidents. METHODS: Statistical analysis was performed on patient safety incident reports that were reported in 2015 in Finland's largest hospital district (Helsinki and Uusimaa, HUS). Reports were divided into two groups: nonserious incidents and serious incidents. Differences between groups were studied from several types of categorically divided information. RESULTS: Of the total number of reports (15,863), 1{\%} were serious incidents (175). Serious and nonserious incidents differed significantly from each other. Serious incidents concerning laboratory, imaging, or medical equipment were more common. On the other hand, incidents concerning medication, infusion, and blood transfusion were less frequent. In serious incidents, the proportion of doctors reporting was greater, and contributing factors were better recognized, the most common being working of procedures. CONCLUSIONS: In the future, special attention should be given to the particular aspects of serious patient safety incidents, such as safe use of medical equipment, training, and handling of procedures. Root cause analysis is an effective way to handle serious incidents and enables the prevention of their reoccurrence. However, a systematic follow-up of the root cause analysis should be developed. {\circledC} 2018 American Society for Health Care Risk Management of the American Hospital Association.",
keywords = "comparative study, Finland, human, injury scale, medical error, patient safety, risk management, root cause analysis, safety, statistics and numerical data, Finland, Humans, Medical Errors, Patient Safety, Risk Management, Root Cause Analysis, Safety Management, Trauma Severity Indices, 3141 Health care science",
author = "J.O. J{\"a}ms{\"a} and S.H. Palojoki and L. Lehtonen and A.-M. Tapper",
year = "2018",
doi = "10.1002/jhrm.21310",
language = "English",
volume = "38",
pages = "27--35",
journal = "Journal of healthcare risk management",
issn = "1074-4797",
publisher = "American Society for Healthcare Risk Management",
number = "2",

}

Differences between serious and nonserious patient safety incidents in the largest hospital district in Finland. / Jämsä, J.O.; Palojoki, S.H.; Lehtonen, L.; Tapper, A.-M.

In: Journal of healthcare risk management, Vol. 38, No. 2, 2018, p. 27-35.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Differences between serious and nonserious patient safety incidents in the largest hospital district in Finland

AU - Jämsä, J.O.

AU - Palojoki, S.H.

AU - Lehtonen, L.

AU - Tapper, A.-M.

PY - 2018

Y1 - 2018

N2 - OBJECTIVES: To determine if and in what ways serious patient safety incidents differ from nonserious patient safety incidents. METHODS: Statistical analysis was performed on patient safety incident reports that were reported in 2015 in Finland's largest hospital district (Helsinki and Uusimaa, HUS). Reports were divided into two groups: nonserious incidents and serious incidents. Differences between groups were studied from several types of categorically divided information. RESULTS: Of the total number of reports (15,863), 1% were serious incidents (175). Serious and nonserious incidents differed significantly from each other. Serious incidents concerning laboratory, imaging, or medical equipment were more common. On the other hand, incidents concerning medication, infusion, and blood transfusion were less frequent. In serious incidents, the proportion of doctors reporting was greater, and contributing factors were better recognized, the most common being working of procedures. CONCLUSIONS: In the future, special attention should be given to the particular aspects of serious patient safety incidents, such as safe use of medical equipment, training, and handling of procedures. Root cause analysis is an effective way to handle serious incidents and enables the prevention of their reoccurrence. However, a systematic follow-up of the root cause analysis should be developed. © 2018 American Society for Health Care Risk Management of the American Hospital Association.

AB - OBJECTIVES: To determine if and in what ways serious patient safety incidents differ from nonserious patient safety incidents. METHODS: Statistical analysis was performed on patient safety incident reports that were reported in 2015 in Finland's largest hospital district (Helsinki and Uusimaa, HUS). Reports were divided into two groups: nonserious incidents and serious incidents. Differences between groups were studied from several types of categorically divided information. RESULTS: Of the total number of reports (15,863), 1% were serious incidents (175). Serious and nonserious incidents differed significantly from each other. Serious incidents concerning laboratory, imaging, or medical equipment were more common. On the other hand, incidents concerning medication, infusion, and blood transfusion were less frequent. In serious incidents, the proportion of doctors reporting was greater, and contributing factors were better recognized, the most common being working of procedures. CONCLUSIONS: In the future, special attention should be given to the particular aspects of serious patient safety incidents, such as safe use of medical equipment, training, and handling of procedures. Root cause analysis is an effective way to handle serious incidents and enables the prevention of their reoccurrence. However, a systematic follow-up of the root cause analysis should be developed. © 2018 American Society for Health Care Risk Management of the American Hospital Association.

KW - comparative study

KW - Finland

KW - human

KW - injury scale

KW - medical error

KW - patient safety

KW - risk management

KW - root cause analysis

KW - safety

KW - statistics and numerical data, Finland

KW - Humans

KW - Medical Errors

KW - Patient Safety

KW - Risk Management

KW - Root Cause Analysis

KW - Safety Management

KW - Trauma Severity Indices

KW - 3141 Health care science

U2 - 10.1002/jhrm.21310

DO - 10.1002/jhrm.21310

M3 - Article

VL - 38

SP - 27

EP - 35

JO - Journal of healthcare risk management

JF - Journal of healthcare risk management

SN - 1074-4797

IS - 2

ER -