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. 2018 Aug 16;24(1):192–201. doi: 10.1080/13814788.2018.1491963

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.

a

The most commonly identified types of Patient Safety Incidents are presented here. See Supplementary Material 2 for detail on other types of errors.