Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/6381
Title: Reliability and accuracy of the screening for adverse events in Brazilian hospitals
Authors: Pavão, Ana Luiza Braz
Camacho, Luiz Antônio Bastos
Martins, Mônica Silva
Mendes, Walter
Travassos, Claudia Maria de Rezende
Affilliation: Fundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Publica Sergio Arouca. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Abstract: Objective To analyze the reliability and accuracy of the screening for adverse events (AEs) conducted by nurses taking the assessment by medical residents as the reference. Design A validation study of the screening phase of a previous retrospective cohort study based on the patient record review that estimated the incidence of AEs (base study). Setting Three general teaching hospitals in the State of Rio de Janeiro, Brazil. Participants A subsample of 242 medical records randomly selected from an original sample of 1103 previously evaluated records. Main Outcome Measure(s) A two-step approach was used for analysis: the identification of at least one screening criterion (first endpoint) and the validation of each identified criterion (second endpoint), taking the assessment by medical residents as the reference. Kappa coefficient; simple percentage agreement; sensitivity; specificity; positive and negative predictive values were calculated. Results The total agreement between medical residents and nurses on the presence of screening criteria was moderate (78.9%, K = 0.55). Specificity (81.6%) was higher than sensitivity (74.4%). Nurses detected more screening criteria that were later confirmed as true AEs (179 vs. 171, respectively). Significant differences in the detection of the screening criteria: ‘Other complications’, ‘Hospitalization injury’ and ‘Prior admission’ were observed. Conclusion The results suggested a good performance of the nurses in the screening for detection of AE and showed significant differences in relation to detection of specific screening criteria among reviewers. A better understanding of the screening process and the performance of reviewers was provided.
Keywords: Agreement
Sensitivity
Specificity
Screening
Adverse events
DeCS: Sensibilidade e Especificidade
Programas de Rastreamento
Estudos de Coortes
Avaliação de Desempenho
Issue Date: 2012
Publisher: Oxford University Press
Citation: PAVÃO, A. L. B. et al. Reliability and accuracy of the screening for adverse events in Brazilian hospitals. International Journal for Quality in Health Care, New York, v. 24, n.5, p. 532-537, 8 ago. 2012
DOI: 10.1093/intqhc/mzs050
ISSN: 1353-4505
1464-3677
Copyright: open access
Appears in Collections:Biomanguinhos - Artigos de Periódicos
ENSP - Artigos de Periódicos
ICICT - Artigos de Periódicos

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