Table 2.
Patient record review method and patient safety incident characteristics of the 15 studies assessing the use of patient chart review for detecting patient safety incidents in a primary care setting.
Method | Study | Quality score | Number of patient safety incidents per 100 records | Types of errors per 100 recordsa | |
---|---|---|---|---|---|
Trigger tool | Sears et al. [32] | 30 | 14.2 | Medication error = 2.3 | |
DeWet et al. [24] | 25 | 14.1 | Medication/prescribing errors = 4.9 Diagnosis errors = 0.3 |
Communication errors= 0.8 | |
DeWet and Bowie [25] | 24 | 12.8 | Medication errors = 7.6 | ||
Eggleton and Dovey [37] | 22 | 26.5 | Medication errors = 26.5 | ||
McKay et al. [26] | 22 | 15.4 | Data not provided | ||
Bowie et al. [15] | 10 | UTD | UTD | ||
Error definition | Gaal et al. [27] | 19 | 21.1 | Treatment errors = 3.1 Communication = 2.6 Diagnosis = 2.1 |
|
Khoo et al. [35] | 19 | UTD | Documentation errors = 98 Medication errors = 53.2 |
Diagnostic errors = 3.6 | |
Khoo et al. [36] | 19 | UTD | Intervention group (pre-intervention) Diagnostic error: 4.1 Medication errors: 43.2 |
Control group (pre-intervention) Diagnostic error: 3.4 Medication errors: 39 |
|
Intervention group (post-intervention) Diagnostic error: 2.5 Medication errors: 25.2 |
Control group (post-intervention) Diagnostic error: 0.9 Medication errors: 36.7 |
||||
Martijn et al. [28] | 17 | UTD | Data not provided | ||
Wetzels et al. [29] | 14 | Living patients: 7.3 Deceased patients: 14.8 |
Living patients Diagnosis errors: 0.7 Treatment errors: 2.7 Communication errors: 2.7 |
Deceased patients Diagnostic errors: 3.7 Communication errors: 7.4 |
|
Clinical judgement | Smits et al. [30] | 21 | 2.4 | Treatment errors = 1.3 | Diagnostic errors = 0.5 |
Wetzels et al. [31] | 13 | 7.3 | Therapeutic errors: 2.7 Communication errors: 2 |
Diagnostic errors: 0.7 | |
PRR following patient report | Montserrat-Capella et al. [34] | 22 | UTD | UTD | |
Solberg et al. [33] | 18 | 2.3 (‘real clinician errors’) | UTD |
Note: UTD: unable to determine.
The most commonly identified types of Patient Safety Incidents are presented here. See Supplementary Material 2 for detail on other types of errors.