| Validation of Hospital Administrative Dataset for adverse event screening. | |
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MedLine Citation:
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PMID: 20427309 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To assess whether the Belgian Hospital Discharge Dataset (B-HDDS) is a valid source for the detection of adverse events in acute hospitals. DESIGN, SETTING AND PARTICIPANTS: Retrospective review of 1515 patient records in eight acute Belgian hospitals for the year 2005. MAIN OUTCOME MEASURES: Predictive value of the B-HDDS and medical record reviews and degree of correspondence between the B-HDDS and medical record reviews for five indicators: pressure ulcer, postoperative pulmonary embolism or deep vein thrombosis, postoperative sepsis, ventilator-associated pneumonia and postoperative wound infection. RESULTS: Postoperative wound infection received the highest positive predictive value (62.3%), whereas postoperative sepsis and ventilator-associated pneumonia were rated as only 44.2% and 29.9% respectively. Excluding present on admission from the screening substantially decreased the positive predictive value of pressure ulcer from 74.5% to 54.3%, as pressure ulcers present on admission were responsible for more B-HDDS-medical record mismatches than any other indicator. Over half (56.8%) of false-positive cases for postoperative sepsis were due to a lack of specificity of the ICD-9-CM code, whereas in 58.6% of false-positive cases for ventilator-associated pneumonia, clinical criteria appeared to be too stringent. CONCLUSIONS: The B-HDDS has the potential to accurately detect some but not all adverse events. Adding a code 'present on admission' and improving the ICD-9-CM codes might already partially improve the correspondence between the B-HDDS and the medical record review. |
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Authors:
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Sandra Verelst; Jessica Jacques; Koen Van den Heede; Pierre Gillet; Philippe Kolh; Arthur Vleugels; Walter Sermeus |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-04-27 |
Journal Detail:
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Title: Quality & safety in health care Volume: 19 ISSN: 1475-3901 ISO Abbreviation: Qual Saf Health Care Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136980 Medline TA: Qual Saf Health Care Country: England |
Other Details:
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Languages: eng Pagination: e25 Citation Subset: H |
Affiliation:
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Center for Health Services and Nursing Research, University Hospital of Liège, Liège, Belgium. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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