editoriale
Epidemiol Prev 2012; 36 (3-4): 147-147

Definizioni di "evento avverso"

"Adverse event" definition

  • Tommaso Bellandi1

  1. Centro gestione rischio clinico e sicurezza del paziente, Regione Toscana

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Definizioni adottate negli studi internazionali più citati (qui trovate la bibliografia completa).

ITALIAN STUDY (2010) The definition is very similar to the one used in the Spanish study and in any case comparable to the other definitions. «an unintended and unexpected incident, included in the case record and caused by health care management rather then patient’s baseline illness, that results in an injury and/or disability and/or extended hospital stay and/or death». «un incidente inatteso e indesiderato, incluso nella cartella clinica e attribuibile alla gestione sanitaria piuttosto che alla patologia di base del paziente, che ha provocato una lesione e/o disabilità e/o il prolungamento del ricovero e/o la morte»

BRAZILIAN STUDY (2009) «unintentional injuries or harm[...] associated with temporary or permanent disability and/or prolonged hospital stay or death». Mendes W, Martins M, Rozenfeld S, Travassos C. The assessment of adverse events in hospitals in Brazil. Int J Qual Health Care 2009; 21(4): 279-284.

SWEDISH STUDY (2009) «an unintended injury or complication, which results in [...] disability at discharge, death or prolongation of hospital stay, and [...] is caused by healthcare management (including omissions) rather than the patient’s disease». Soop M, Fryksmark U, Koster M, Haglund B. The incidence of adverse event in Swedish hospitals: a retrospettive medical record review study. Int J Qual Health Care 2009; 21(4): 285-291.

WHO TAXONOMY (2008) «A patient safety incident is an event or circumstance which could have resulted, or did result, in unnecessary harm to a patient. An adverse event is an incident which results in harm to a patient». World Health Organization. Conceptual Framework for the International Classification for Patient Safety. Version 1.1. Final technical report, January 2009. http://www.who.int/patientsafety/taxonomy/icps_full_report.pdf, 2009.

SPANISH STUDY (2006) «Any unforeseen or unexpected accident included in the case record which has caused an injury and/or disability and/or extended hospital stay and/or death, which stems from the healthcare and not the patient’s baseline illness». Aranaz-Andrés JM, Aiobar-Remòn C, Vitalle-Murillo J et al. Incidence of adverse events related to health care in Spain: results of the Spanish National study of Adverse events. J Epidemiol Community Health 2008; 62: 1022-1929.

WHO REPORTING GUIDELINES (2005) «An injury related to medical management, in contrast to complications of disease. Medical management includes all aspects of care, including diagnosis and treatment, failure to diagnose or treat, and the systems and equipment used to deliver care. Adverse events may be preventable or non-preventable». WHO reporting guidelines (2005) World Alliance for Patient Safety. WHO Draf Guideline for adverse event reporting and learning system 2005. http://www.who.int/patientsafety/events/05/Reporting_Guidelines.pdf, 2005.

CANADIAN STUDY (2004) «unintended injuries or complications that are caused by health care management, rather than by the patient’s underlying disease, and that lead to death, disability at the time of discharge or prolonged hospital stays». Baker, GR, Norton, PG, Flintoft, V et al. The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada. CMAJ 2004; 170: 1678–1686.

FRENCH STUDY (2003) «an unintended injury caused by medical management rather than by a disease process and which resulted in death, life threatening illness, disability at time of discharge, admission to hospital, or prolongation of hospital stay». Michel, P, Quenon, JL, de Sarasqueta, AM, Scemama, O. Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. BMJ 2004; 328 (7433): 199.

HARVARD STUDY (1991) «an injury that was caused by medical management (rather than the underlying disease) and that prolonged the hospitalization, produced a disability at the time of discharge, or both». Brennan, TA, Leape, LL, Laird, NM et al. Incidence of adverse events and negligence in hospitalized patients; results from the harvard medical practice study. N Eng J Med 1991; 324: 370–376.

DUTCH STUDY (2009) «an adverse event is an unintended injury that results in temporary or permanent disability, death or prolonged hospital stay and that is caused by health care management rather than by the patient's underlying disease process.» Zegers M, de Bruijne MC, Wagner C, et al. Design of a retrospective patient record study on the occur- rence of adverse events among patients in Dutch hospitals. BMC Health Serv Res. 2007; 7: 27. Zegers M, de Brijne MC, Wagner C et al. Adverse event and potenzially preventable deaths in Dutch hospitals: results of a retrospective patient records review study. Qual Saf Health Care 2009; 18: 297-302.

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