ArticlePatient safety in surgery2016
Adverse events in orthopedic care identified via the Global Trigger Tool in Sweden - implications on preventable prolonged hospitalizations.
Article in Patient safety in surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic integrative review of specialized nurses' role to establish a culture of patient safety: A modelling perspective.Journal of advanced nursing · 2025Pooled it
- Variation in detected adverse events using trigger tools: A systematic review and meta-analysis.PloS one · 2022Pooled it
- An economic evaluation of a hospital-wide bundle intervention to reduce hospital-acquired infections and bladder distension among hip fracture patients in Sweden.Antimicrobial resistance and infection control · 2025Trial
- Plasma calprotectin as infection biomarker in hip fracture patients: a prospective cohort study.Acta orthopaedica · 2026Article
- Assessing Inter-Rater Agreement Across Five Teams Applying the Global Trigger Tool to Review 200 Inpatient Medical Records.Journal of patient safety · 2026Article
- Lesson learned from implementing measures to prevent urinary tract infection and bladder distension in patients with hip fractures - a process evaluation.BMC geriatrics · 2025Article
- Adherence to evidence-based guidelines for prevention of urinary retention in hip surgery patients: a multicentre observational study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Observational
- Hospital spending and length of stay attributable to perioperative adverse events for inpatient hip, knee, and spine surgery: a retrospective cohort study.BMC health services research · 2023Article
- A co-created nurse-driven catheterisation protocol can reduce bladder distension in acute hip fracture patients - results from a longitudinal observational study.BMC nursing · 2022Article
- Antibiotic Use, Incidence and Risk Factors for Orthopedic Surgical Site Infections in a Teaching Hospital in Madhya Pradesh, India.Antibiotics (Basel, Switzerland) · 2022Article
- Adverse events in women giving birth in a labor ward: a retrospective record review study.BMC health services research · 2021Article
- Analysis of National Bariatric Surgery Related Clinical Incidents: Lessons Learned and a Proposed Safety Checklist for Bariatric Surgery.Obesity surgery · 2021Article
- Adverse Events due to Lack of Precision in Total Hip Arthroplasty: The Potential of Provocation-Based CT for Diagnosis of Implant Loosening.TheScientificWorldJournal · 2021Article
- Applying the Global Trigger Tool in German Hospitals: A Pilot in Surgery and Neurosurgery.Journal of patient safety · 2020Article
- Operating theatre nurse specialist competence to ensure patient safety in the operating theatre: A discursive paper.Nursing open · 2020Article
- Detection and Remediation of Misidentification Errors in Radiology Examination Ordering.Applied clinical informatics · 2020Article
- Validation of adverse events after hip arthroplasty: a Swedish multi-centre cohort study.BMJ open · 2019Article
- Incidence of adverse events in Sweden during 2013-2016: a cohort study describing the implementation of a national trigger tool.BMJ open · 2018Article
- Standard Elements in Studies of Adverse Events and Medical Error (SESAME): explanation and elaboration.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe national incidence of adverse events (AEs) in Swedish orthopedic care has never been described. A new national database has made it possible to describe incidence, nature, preventability and consequences of AEs in Swedish orthopedic care.
methodsWe used national data from a structured two-stage record review with a Swedish modification of the Global Trigger Tool. The sample was 4,994 randomly selected orthopedic admissions in 56 hospitals during 2013 and 2014. The AEs were classified according to the Swedish Patient Safety Act into preventable or non-preventable.
resultsAt least one AE occurred in 733 (15 %, 95 % CI 13.7-15.7) admissions. Of 950 identified AEs, 697 (73 %) were judged preventable. More than half of the AEs (54 %) were of temporary nature. The most common types of AE were healthcare-associated infections and distended urinary bladder. Patients ≥65 years had more AEs (
conclusionsUsing a national database, we found AEs in 15 % of orthopedic admissions. The majority of the AEs was of temporary nature and judged preventable. Our results can be used to guide focused patient safety work.
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