| Author | Pavão, Ana Luiza Braz | |
| Author | Camacho, Luiz Antônio Bastos | |
| Author | Martins, Mônica Silva | |
| Author | Mendes, Walter | |
| Author | Travassos, Claudia Maria de Rezende | |
| Access date | 2013-03-15T14:18:07Z | |
| Available date | 2013-03-15T14:18:07Z | |
| Document date | 2012 | |
| 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 | en_US |
| ISSN | 1353-4505 | |
| ISSN | 1464-3677 | |
| URI | https://www.arca.fiocruz.br/handle/icict/6381 | |
| Language | eng | en_US |
| Publisher | Oxford University Press | en_US |
| Rights | open access | en_US |
| Title | Reliability and accuracy of the screening for adverse events in Brazilian hospitals | en_US |
| Type | Article | en_US |
| DOI | 10.1093/intqhc/mzs050 | |
| 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. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Publica Sergio Arouca. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Subject | Agreement | en_US |
| Subject | Sensitivity | en_US |
| Subject | Specificity | en_US |
| Subject | Screening | en_US |
| Subject | Adverse events | en_US |
| DeCS | Sensibilidade e Especificidade | en_US |
| DeCS | Programas de Rastreamento | en_US |
| DeCS | Estudos de Coortes | en_US |
| DeCS | Avaliação de Desempenho | en_US |
