Methods of detection of adverse events in critical care: a protocol for a systematic review
Introduction Adverse events, defined as unintended patient harm contributed to by healthcare, continue to increase morbidity, mortality and cost. Critically ill patients are at high risk of adverse events; however, the optimal approach to detection in this setting is unknown. Numerous approaches hav...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/11/e085545.full |
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| author | Oleksa Rewa Sandy Widder Jocelyn Slemko Janice Y Kung Jay Gorman |
| author_facet | Oleksa Rewa Sandy Widder Jocelyn Slemko Janice Y Kung Jay Gorman |
| author_sort | Oleksa Rewa |
| collection | DOAJ |
| description | Introduction Adverse events, defined as unintended patient harm contributed to by healthcare, continue to increase morbidity, mortality and cost. Critically ill patients are at high risk of adverse events; however, the optimal approach to detection in this setting is unknown. Numerous approaches have been used, including voluntary reporting, chart reviews and trigger tools. The objective of this systematic review is to gain insight into the capacity of individual methods to detect adverse events in the intensive care unit (ICU), to inform implementation, and to facilitate quality improvement.Methods and analysis Ovid MEDLINE, Ovid EMBASE, CINAHL, the Cochrane Library and Google Scholar were searched on 2 October 2023 for randomised controlled trials and observational studies evaluating the implementation or ongoing use of one or more systems of detection of adverse events in ICUs (neonatal to adult). Outcomes will include the total number of adverse events identified by detection method per 100 patient days (primary outcome), categories of adverse events, associated harm and whether detection informed quality improvement. A risk of bias assessment will be performed. The results will provide insight into each method’s capacity to detect adverse events in addition to their associated severity.Ethics and dissemination Ethics approval was not required as patient data will not be collected. A manuscript will be submitted to a peer-reviewed scientific journal.PROSPERO registration number CRD42024466584. |
| format | Article |
| id | doaj-art-9f5d2f788de643119f44611b48be74ef |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-9f5d2f788de643119f44611b48be74ef2024-12-14T23:50:08ZengBMJ Publishing GroupBMJ Open2044-60552024-11-01141110.1136/bmjopen-2024-085545Methods of detection of adverse events in critical care: a protocol for a systematic reviewOleksa Rewa0Sandy Widder1Jocelyn Slemko2Janice Y Kung3Jay Gorman4Department of Critical Care Medicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, CanadaDepartment of Critical Care Medicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, CanadaDepartment of Critical Care Medicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, CanadaJohn W Scott Health Sciences Library, University of Alberta, Edmonton, Alberta, CanadaDepartment of Critical Care Medicine, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, CanadaIntroduction Adverse events, defined as unintended patient harm contributed to by healthcare, continue to increase morbidity, mortality and cost. Critically ill patients are at high risk of adverse events; however, the optimal approach to detection in this setting is unknown. Numerous approaches have been used, including voluntary reporting, chart reviews and trigger tools. The objective of this systematic review is to gain insight into the capacity of individual methods to detect adverse events in the intensive care unit (ICU), to inform implementation, and to facilitate quality improvement.Methods and analysis Ovid MEDLINE, Ovid EMBASE, CINAHL, the Cochrane Library and Google Scholar were searched on 2 October 2023 for randomised controlled trials and observational studies evaluating the implementation or ongoing use of one or more systems of detection of adverse events in ICUs (neonatal to adult). Outcomes will include the total number of adverse events identified by detection method per 100 patient days (primary outcome), categories of adverse events, associated harm and whether detection informed quality improvement. A risk of bias assessment will be performed. The results will provide insight into each method’s capacity to detect adverse events in addition to their associated severity.Ethics and dissemination Ethics approval was not required as patient data will not be collected. A manuscript will be submitted to a peer-reviewed scientific journal.PROSPERO registration number CRD42024466584.https://bmjopen.bmj.com/content/14/11/e085545.full |
| spellingShingle | Oleksa Rewa Sandy Widder Jocelyn Slemko Janice Y Kung Jay Gorman Methods of detection of adverse events in critical care: a protocol for a systematic review BMJ Open |
| title | Methods of detection of adverse events in critical care: a protocol for a systematic review |
| title_full | Methods of detection of adverse events in critical care: a protocol for a systematic review |
| title_fullStr | Methods of detection of adverse events in critical care: a protocol for a systematic review |
| title_full_unstemmed | Methods of detection of adverse events in critical care: a protocol for a systematic review |
| title_short | Methods of detection of adverse events in critical care: a protocol for a systematic review |
| title_sort | methods of detection of adverse events in critical care a protocol for a systematic review |
| url | https://bmjopen.bmj.com/content/14/11/e085545.full |
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