Acquirement of the adverse event | Before admission | During hospital stay | |||
---|---|---|---|---|---|
All | Contributed or caused | All | Contributed or caused | ||
Number of patients as mean of the evaluations of two reviewers | n | n | n | n | % of pts |
Main category 1: Infections. Total | 26.5 | 16 | 36.5 | 21.5 in 18 pts | 7.1% |
Surgical Site Infection | 6 | 4 | 1.5 | 0.5 | 0.2% |
Systemic Fungal Infection or Fungal Pneumonia | 2.5 | 2.5 | 3.5 | 3 | 1.2% |
Clostridioides difficile Infection | 3 | 1.5 | 5.5 | 3 | 1.2% |
Catheter Associated Urinary Tract Infection | 1 | 0 | 3 | 0.5 | 0.2% |
Sepsis | 4 | 3 | 7 | 6.5 | 2.6% |
Extended Spectrum Beta Lactamase Producing Bacterial Infection | 1.5 | 0 | 0.5 | 0.5 | 0.2% |
Other Healthcare Acquired Infection | 7.5 | 4.5 | 14 | 6.5 | 2.6% |
Main category 2: Selected Complications. Total | 38.5 | 23 | 40 | 18.5 in 17.5 pts | 6.9% |
Adverse Drug Event (Name of Medication) | 12 | 6.5 | 14.5 | 7 | 2.8% |
Venous Thromboembolism | 4.5 | 3 | 3.5 | 2 | 0.8% |
Fall resulting in injury | 10.5 | 8.5 | 0.5 | 0 | 0.0% |
Technical surgical complication | 1 | 0 | 2 | 0 | 0.0% |
Technical surgical complication requiring reoperation and/or blood transfusion | 1.5 | 1 | 3 | 3 | 1.2% |
Anesthesia-related complication | 0.5 | 0 | 3 | 1 | 0.4% |
Interventional radiology procedure related complication | 0.5 | 0 | 2.5 | 0 | 0.0% |
Non-surgical procedure related complication | 1 | 0 | 2.5 | 0.5 | 0.2% |
Pressure ulcers | 3.5 | 1 | 1 | 0 | 0.0% |
Other complication | 3 | 2.5 | 6.5 | 4.5 | 1.8% |
Main category 3: Timeliness of interventions. Total | 9.5 | 2 | 29.5 | 11 in 8 pts | 3.2% |
Surgical procedure/operating room | 1.5 | 0 | 3.5 | 2.5 | 1.0% |
All other procedures | 1.5 | 0 | 2 | 0.5 | 0.2% |
Medication administration | 0.5 | 0 | 2 | 0.5 | 0.2% |
Obtaining imaging | 5.5 | 0 | 11 | 4 | 1.6% |
Obtaining blood work and/or results | 0 | 0 | 5.5 | 1 | 0.4% |
Clinical response | 0.5 | 2 | 4.5 | 2 | 0.8% |
Main category 4: Teamwork and Communication. Total | 1 | 0 | 16 | 2 in 2 pts | 0.8% |
Primary team and consult service | 1 | 0 | 3 | 0 | 0.0% |
Nursing and the covering team | 0 | 0 | 4 | 1 | 0.4% |
During transfer process to hospital | 0 | 0 | 1.5 | 0 | 0.0% |
Other communication issue | 0 | 0 | 3.5 | 0 | 0.0% |