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Identifying neonatal adverse events in preterm and term infants using a Paediatric Trigger Tool
Karolinska University Hospital, Astrid Lindgren Children's Hospital, Stockholm; Karolinska Institutet, Stockholm.
Dalarna University, School of Health and Welfare, Caring Science/Nursing. Danderyd Hospital, Karolinska Institutet, Stockholm.ORCID iD: 0000-0002-5090-0352
Karolinska University Hospital, Astrid Lindgren Children's Hospital, Stockholm; Karolinska Institutet, Stockholm.
Karolinska University Hospital, Astrid Lindgren's Children's Hospital, Stockholm.
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2023 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 112, no 8, p. 1670-1682Article in journal (Refereed) Published
Abstract [en]

AIM: To explore the incidence and characteristics of inpatient neonatal adverse events in a Swedish setting.

METHODS: A retrospective record review, using a trigger tool, performed by registered nurses and a neonatologist, at a University Hospital. The identified adverse events were categorised by, for example, preventability, severity and time of occurrence.

RESULTS: A random selection of 150 admissions representing 3531 patient days were reviewed (mean [SD] birthweight 2620 [1120]g). Three hundred sixty adverse events were identified in 78(52.0%) infants and 305(84.7%) of these were assessed as being preventable. The overall adverse event rate was 240 per 100 admissions and 102.0 per 1000 patient days. Preterm infants had a higher rate than term infants (353 versus 79 per 100 admissions, p=0.001), however with regard to the length of stay, the rates were similar. Most adverse events were temporary and less severe (n=338/360, 93.9%) and the most common type involved harm to skin, tissue or blood vessels (n=163/360, 45.3%). Forty percent (n=145) of adverse events occurred within the first week of admission.

CONCLUSION: Adverse events were common in neonatal care and many occurred during the first days of treatment. Characterisation of adverse events may provide focus areas for improvements in patient safety.

Place, publisher, year, edition, pages
2023. Vol. 112, no 8, p. 1670-1682
Keywords [en]
Adverse event, Neonatal care, Patient safety, Retrospective record review, Trigger tool
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:du-46008DOI: 10.1111/apa.16814ISI: 000993401200001PubMedID: 37151117Scopus ID: 2-s2.0-85159923406OAI: oai:DiVA.org:du-46008DiVA, id: diva2:1756236
Available from: 2023-05-11 Created: 2023-05-11 Last updated: 2023-07-17Bibliographically approved

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Unbeck, MariaFörberg, Ulrika

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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