Measuring Adverse Events in the Neonatal Intensive Care Units in Mit-Ghamr Central Hospital
(2023). Measuring Adverse Events in the Neonatal Intensive Care Units in Mit-Ghamr Central Hospital. EKB Journal Management System, 92(1), 6395-6402. doi: 10.21608/ejhm.2023.314502
. "Measuring Adverse Events in the Neonatal Intensive Care Units in Mit-Ghamr Central Hospital". EKB Journal Management System, 92, 1, 2023, 6395-6402. doi: 10.21608/ejhm.2023.314502
(2023). 'Measuring Adverse Events in the Neonatal Intensive Care Units in Mit-Ghamr Central Hospital', EKB Journal Management System, 92(1), pp. 6395-6402. doi: 10.21608/ejhm.2023.314502
Measuring Adverse Events in the Neonatal Intensive Care Units in Mit-Ghamr Central Hospital. EKB Journal Management System, 2023; 92(1): 6395-6402. doi: 10.21608/ejhm.2023.314502

Measuring Adverse Events in the Neonatal Intensive Care Units in Mit-Ghamr Central Hospital

The Egyptian Journal of Hospital Medicine
Article 142, Volume 92, Issue 1, July 2023, Page 6395-6402  XML PDF (684.32 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2023.314502
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Abstract
Background: Children in neonatal intensive care units (ICU) are more susceptible to medical errors. Measuring adverse events is a very important issue for patient safety and using trigger tool methodology as a different strategy is beneficial to both more focused as well as rapid chart review to establish whether or not an adverse event occurred.
Aim: For evaluation the prevalence of adverse events (AEs) in Mit-Ghamr Neonatal ICU using the trigger tool and to evaluate the prevalence of adverse events in Mit-Ghamr neonatal Intensive Care Unit with other hospitals in Egypt and abroad.
Subjects and Methods: A cross sectional analytic study using medical record review and charts study was done including 511 medical records, it consisted of all neonates admitted to Mit-Ghamr neonatal ICU between 1st January to 31 December 2017.
Results: a total of 465 adverse events with incidence rate of 0.91 adverse event/patient and 1.16 trigger/patient. The most common adverse event was nosocomial infections with more than half of the overall adverse events (n=282; 55.2%), followed by catheter infiltration (n=64; 12.5%), hypotension was 5.5%, respiratory arrest 4.7%, accidental extubation 4.1%, death 3.5%, renal insufficiency 2%, and seizures was 0.6%. Category (F) was the most prevalent harm category among the occurred adverse events (45.7%) followed by category (E) (28.8%). Only a minority (3.1%) had a permanent harm (category G) and category H was 22.4%.
Conclusion: Nosocomial infections constitute the majority of all adverse events, followed by catheter infiltration and hypotension.
 
Keywords
Patient Safety; Trigger Tool
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