AI Article Synopsis

  • The study aimed to update the types of health care harm measures by gathering expert opinions on contemporary adverse event indicators through a modified World Café method.
  • Experts rated a total of 525 triggers and measures, with a significant portion deemed to have high clinical importance and suitability for evaluation via chart review or electronic monitoring.
  • The findings highlight the effective use of the World Café method in prioritizing critical healthcare measures, with plans for further validation of these measures to reduce reliance on manual chart reviews.

Article Abstract

Background: Twenty-five years after the seminal work of the Harvard Medical Practice Study, the numbers and specific types of health care measures of harm have evolved and expanded. Using the World Café method to derive expert consensus, we sought to generate a contemporary list of triggers and adverse event measures that could be used for chart review to determine the current incidence of inpatient and outpatient adverse events.

Methods: We held a modified World Café event in March 2018, during which content experts were divided into 10 tables by clinical domain. After a focused discussion of a prepopulated list of literature-based triggers and measures relevant to that domain, they were asked to rate each measure on clinical importance and suitability for chart review and electronic extraction (very low, low, medium, high, very high).

Results: Seventy-one experts from 9 diverse institutions attended (primary acceptance rate, 72%). Of 525 total triggers and measures, 67% of 391 measures and 46% of 134 triggers were deemed to have high or very high clinical importance. For those triggers and measures with high or very high clinical importance, 218 overall were deemed to be highly amenable to chart review and 198 overall were deemed to be suitable for electronic surveillance.

Conclusions: The World Café method effectively prioritized measures/triggers of high clinical importance including those that can be used in chart review, which is considered the gold standard. A future goal is to validate these measures using electronic surveillance mechanisms to decrease the need for chart review.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8612889PMC
http://dx.doi.org/10.1097/PTS.0000000000000754DOI Listing

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