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The Use of Medical Imaging Request Forms as Trigger Tools to Detect Intra-Hospital Adverse Events: A Pilot Study Cover

The Use of Medical Imaging Request Forms as Trigger Tools to Detect Intra-Hospital Adverse Events: A Pilot Study

Open Access
|Nov 2022

Figures & Tables

Table 1

Demographic characteristics of the included patients.

ADULT INPATIENTS
TOTALMALEFEMALEp-VALUE
Number (%)2938 (100%)1496 (50.9%)1442 (49.1%)0.3282
AgeMedian (CI 95%) [min–max]69 (68–70) [18–102]68 (67–69) [18–100]70 (69–71) [18–102]<0.05
Length of StayMedian (CI 95%) [min–max]6 (6–6) [3–212]6 (6–6) [3–197]6 (5–6) [3–212]>0.05
DepartmentMedicine/Surgery/
Intensive Care/Other
1308/1364/165/101
(44.5%/46.4%/5.6%/3.5%)
jbsr-106-1-2897-g1.jpg
Figure 1

Flowchart summarizing the selection of triggered charts and control group.

LOS: Length of Stay; TTUL: Trigger tool Upper Limb Venous Doppler Ultrasound; TTLL: Trigger Tool Lower Limb Venous Doppler Ultrasound; TTCR: Trigger Tool Chest Radiograph.

Table 2

Rate of detection of adverse events and demographic characteristics of patients in the study and control groups.

TRIGGER TOOLDEMOGRAPHIC CHRACTERISTICSSTUDY GROUP (TRIGGERED FILES)CONTROL GROUPp-VALUE **
TOTALAE+AE–P*TOTALAE+AE–
Doppler ultrasound of the upper limbNo. Of Cases
(No. Of patients)
24
(23)
6 AEULVT
(5)
18
(18)
25
(25)
025
(25)
P = 0.0096
Median Age
(CI 95%)
[min–max]
75.5
(68–79)
[36–96]
77
(55.4–85)
[55–86]
70
(65–79)
[36–96]
P = 0.787272
(67–77)
[54–90]
NA72
(67–77)
[54–90]
P = 0.984
Sex (M/F)15/94/211/7P = 114/11NA14/11P = 1
Department (Medicine/Surgery/ICU/Other)16/6/2/06/0/0/010/6/2/012/9/4/0NA12/9/4/0
Median LOS
(CI 95%)
[min–max]
15.5
(10–35)
[3–187]
52.5
(7.7–187)
[5–187]
12
(9–27)
[3–185]
P = 0.103127
(11–30)
[5–212]
NA27
(11–30)
[5–212]
P = 0.8415
Days before AE:
Median (CI 95%) [min–max]
NA23.5
(6.7–100.7)
[4–117]
NANANANA
Doppler ultrasound of the lower limbNo. Of Cases
(No. Of patients)
33
(33)
4 AELLVT
(4)
29
(29)
34
(34)
034
(34)
P = 0.0267
Median Age
(CI 95%)
[min–max]
70
(63.8–78.2)
[20–90]
53.5
(NC)
[30–90]
72
(64.5–79.5)
[20–88]
NC73
(67–77)
[25–90]
NA73
(67–77)
[25–90]
P = 0.395
Sex (M/F)16/171/315/140.601218/16NA18/16P = 0.8086
Median LOS
(CI 95%)
[min–max]
10
(7–20)
[3–197]
25.5
(NC)
[8/89]
9
(6–20)
[3–197]
NC20
(12–29)
[5–212]
NA20
(12–29)
[5–212]
P = 0.0784
Department (Medicine/Surgery/ICU/Other)16/13/3/12/1/1/014/12/2/119/10/4/1NA19/10/4/1
Days before AE:
Median (CI 95%) [min–max]
NA5.5 (NA)
[5–15]
NANANANA
Repeated chest radiographsNo. Of Cases
(No. Of patients
17 (14)6 AERC
(6)
11
(11)
20
(20)
020P = 0.0053
Median Age
(CI 95%)
[min–max]
73.5
(57–80)
[30–87]
72
(40–87)
[40–87]
77
(57–84)
[30–87]
176.5
(67.3–83.7)
[25–87]
NA76.5
(67.3–83.7)
[25–87]
P = 0.5287
Sex (M/F)8/62/48/30.161813/7NA13/7P = 0.7282
Median LOS (CI 95%)
[min–max]
18.5
(14–25)
[5–70]
23
(18–70)
[1–70]
16
(12–27)
[5–70]
0.158520
(14.5–29.7)
[6–87]
NA20
(14.5–29.7)
[6–87]
P = 0.4965
Department (Medicine/Surgery/ICU/Other)1/4/9/01/1/4/00/4/7/09/7/3/1NA9/7/3/1
Days before AE:
Median (CI 95%)
[min–max]
NA13.5
(6–17)
[6–17]
NANANANA

[i] AE+: Occurrence of an Adverse Event (AE).

AE–: Absence of an AE.

AEULVT: Adverse Event of an Upper limb venous thrombosis.

AELLVT: Adverse Event of a Lower limb venous thrombosis.

AERC: Adverse Event of a Respiratory complication.

CI: Confidence Interval; ICU: Intensive Care Unit; LOS: Length of Stay.

DOI: https://doi.org/10.5334/jbsr.2897 | Journal eISSN: 2514-8281
Language: English
Submitted on: Aug 12, 2022
|
Accepted on: Oct 27, 2022
|
Published on: Nov 10, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Melody Saikali, Marin Halut, Antoine Saab, Bruno Vande Berg, Nicolas Michoux, Charbel Mourad, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.