Adverse event in psychiatric hospital by Thai HA Psychiatric
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Date
2010-10-14
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Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย
Abstract
Objective To develop a psychiatric trigger tool on identifying adverse eventin Thai psychiatric patients and develop risk identifying system using trigger tool.Materials and methods Trigger tool was developed by the multidisciplinaryteam based on triggers of Harvard Medical Practice Study (HMPS). Data were collectedfor 15 trigger indicators from 9 sources. After pilot trial in Suanprung Psychiatric Hospitaland harmonization training for multidisciplinary teams from 7 participated psychiatrichospitals, a cross-sectional medical record review was conducted to identify adverseevents in medical record of the patients who were discharged from 7 psychiatric hospitalduring October 2007.Results Four hundred twenty two medical records were reviewed. The totalpatients-days were 97,745 days. Three hundred fifty three adverse events were identifiedwith mean rate of 5.1 per 1,000 patients days or 24.6 per 100 patients. The first threetriggers that detected most adverse events are; antibiotic receiving trigger, infection inhospital and unplanned readmission with the same diagnosis within 28 days respectively.Conclusion Psychiatric trigger tool can be used to detect adverse events moreeffectively in psychiatric patients. However, for efficiency, only the highly sensitivetrigger indicators which supported by the convenient retrievable completed data sourcesshould be used.Key words : adverse event, psychiatric, trigger tool
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Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย; Volume 18 Number 3 September 2010; 139-148