Dataset Information

Impact of patient communication problems on the risk of preventable adverse events in acute care settings.

ABSTRACT:

Background

Up to 50% of adverse events that occur in hospitals are preventable. Language barriers and disabilities that affect communication have been shown to decrease quality of care. We sought to assess whether communication problems are associated with an increased risk of preventable adverse events.

Methods

We randomly selected 20 general hospitals in the province of Quebec with at least 1500 annual admissions. Of the 145,672 admissions to the selected hospitals in 2000/01, we randomly selected and reviewed 2355 charts of patients aged 18 years or older. Reviewers abstracted patient characteristics, including communication problems, and details of hospital admission, and assessed the cause and preventability of identified adverse events. The primary outcome was adverse events.

Results

Of 217 adverse events, 63 (29%) were judged to be preventable, for an overall population rate of 2.7% (95% confidence interval [CI] 2.1%-3.4%). We found that patients with preventable adverse events were significantly more likely than those without such events to have a communication problem (odds ratio [OR] 3.00; 95% CI 1.43-6.27) or a psychiatric disorder (OR 2.35; 95% CI 1.09-5.05). Patients who were admitted urgently were significantly more likely than patients whose admissions were elective to experience an event (OR 1.64, 95% CI 1.07-2.52). Preventable adverse events were mainly due to drug errors (40%) or poor clinical management (32%). We found that patients with communication problems were more likely than patients without these problems to experience multiple preventable adverse events (46% v. 20%; p = 0.05).

Interpretation

Patients with communication problems appeared to be at highest risk for preventable adverse events. Interventions to reduce the risk for these patients need to be developed and evaluated.

SUBMITTER: Bartlett G

PROVIDER: S-EPMC2396356 | biostudies-literature | 2008 Jun

REPOSITORIES: biostudies-literature

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Publications

Impact of patient communication problems on the risk of preventable adverse events in acute care settings.

Bartlett Gillian G Blais Régis R Tamblyn Robyn R Clermont Richard J RJ MacGibbon Brenda B

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 20080601 12

<h4>Background</h4>Up to 50% of adverse events that occur in hospitals are preventable. Language barriers and disabilities that affect communication have been shown to decrease quality of care. We sought to assess whether communication problems are associated with an increased risk of preventable adverse events.<h4>Methods</h4>We randomly selected 20 general hospitals in the province of Quebec with at least 1500 annual admissions. Of the 145,672 admissions to the selected hospitals in 2000/01, w ...[more]

PMID: 18519903

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Dataset Information

Impact of patient communication problems on the risk of preventable adverse events in acute care settings.

Background

Methods

Results

Interpretation

Publications

Impact of patient communication problems on the risk of preventable adverse events in acute care settings.

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