Table 2 Screening criteria modified after the Harvard medical practice study[27] ordered by positive predictive value for no-harm incident
From: Retrospective record review in proactive patient safety work – identification of no-harm incidents
Screening criteria | Positive screening criteria n (%) | Screening criteria related to no-harm incident n | PPV for no-harm incident% |
|---|---|---|---|
Any other undesirable outcome not covered above | 87 (18.8) | 72 | 82.8 |
Adverse drug reaction | 33 (7.1) | 15 | 45.5 |
Hospital-incurred patient injury or no-harm incident | 129 (27.9) | 32 | 24.8 |
Dissatisfaction with care documented in the patient’s medical record | 16 (3.4) | 3 | 18.8 |
Other patient complication | 13 (2.8) | 2 | 15.4 |
Unplanned return to the operating room | 10 (2.1) | 1 | 10.0 |
The index admission was an unplanned admission related to previous healthcare management within 30 days | 25 (5.4) | 1 | 4.0 |
Unplanned readmission after discharge from index admission within 30 days including outpatient visits | 85 (18.3) | 3 | 3.5 |
Unplanned transfer from general care to intensive care | 5 (1.0) | - | - |
Unplanned removal, injury or repair of an organ during surgery | 5 (1.0) | - | - |
Development of neurological deficit not present on admission | 5 (1.0) | - | - |
Healthcare associated infection or sepsis | 38 (8.2) | - | - |
Cardiac or respiratory arrest | 2 (0.4) | - | - |
Documentation or correspondence indicating litigation | 3 (0.6) | - | - |
Inappropriate discharge to home | 5 (1.0) | - | - |
Unplanned transfer to another acute care hospital | 1 (0.2) | - | - |
Unexpected death | 0 (0.0) | - | - |
Injury related to abortion or delivery | NA | ||
Total | 462 (100) | 129 | 27.9 |