دورية أكاديمية

Studying Critical Values: Adverse Event Identification Following a Critical Laboratory Values Study at the Ohio State University Medical Center.

التفاصيل البيبلوغرافية
العنوان: Studying Critical Values: Adverse Event Identification Following a Critical Laboratory Values Study at the Ohio State University Medical Center.
المؤلفون: James Jenkins, J. Mac Crawford, Michael Bissell
المصدر: American Journal of Clinical Pathology; Oct2007, Vol. 128 Issue 4, p604-609, 6p
مصطلحات موضوعية: ADVERSE health care events, PATIENTS, MEDICAL records, MEDICAL centers, HOSPITALS
مصطلحات جغرافية: OHIO
مستخلص: No study to date has used laboratory critical values to evaluate variations in patient adverse events. We retrospectively analyzed a database of critical values to determine their distribution by hospital unit over time. The data were drawn from the Ohio State University Medical Center Information Warehouse (Columbus) for a 58-month period. Critical values were plotted over time on statistical control charts and analyzed for unusual peaks in monthly occurrence rates. Chart review of individual patient results yielded several predictor variables for the unusual peaks. Of these, occurrence of patient adverse events was the most relevant independent predictor variable for a month with an unusual number of critical values vs a normal month. This result epidemiologically confirms the basic premise of critical value reporting and suggests that the control-chart method of this type could be a new statistical tool to compare clinical activity of different hospital locations at different times. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:00029173
DOI:10.1309/J3BWPCHDLRN4WXA8