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Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review.

Abstract：

OBJECTIVES:Record review is the most used method to quantify patient safety. We systematically reviewed the reliability and validity of adverse event detection with record review. DESIGN:A systematic review of the literature. METHODS:We searched PubMed, EMBASE, CINAHL, PsycINFO and the Cochrane Library and from their inception through February 2015. We included all studies that aimed to describe the reliability and/or validity of record review. Two reviewers conducted data extraction. We pooled κ values (κ) and analysed the differences in subgroups according to number of reviewers, reviewer experience and training level, adjusted for the prevalence of adverse events. RESULTS:In 25 studies, the psychometric data of the Global Trigger Tool (GTT) and the Harvard Medical Practice Study (HMPS) were reported and 24 studies were included for statistical pooling. The inter-rater reliability of the GTT and HMPS showed a pooled κ of 0.65 and 0.55, respectively. The inter-rater agreement was statistically significantly higher when the group of reviewers within a study consisted of a maximum five reviewers. We found no studies reporting on the validity of the GTT and HMPS. CONCLUSIONS:The reliability of record review is moderate to substantial and improved when a small group of reviewers carried out record review. The validity of the record review method has never been evaluated, while clinical data registries, autopsy or direct observations of patient care are potential reference methods that can be used to test concurrent validity.

journal_name

BMJ Open

journal_title

BMJ open

authors

Hanskamp-Sebregts M,Zegers M,Vincent C,van Gurp PJ,de Vet HC,Wollersheim H

doi

10.1136/bmjopen-2016-011078

subject

Has Abstract

pub_date

2016-08-22 00:00:00

pages

e011078

issue

8

issn

2044-6055

pii

bmjopen-2016-011078

journal_volume

6

pub_type

杂志文章,评审

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