Evidence map›Paper›PMID 41855391›Full record

ArticleJournal of evaluation in clinical practice2026

Prevalence of Adverse Events in Mexico Using the Institute for Healthcare Improvement-Global Trigger Tool Method: A Retrospective Study.

Luis Meave Gutierrez-Mendoza, Elizabeth Manias, Patricia Nicholson

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Luis Meave Gutierrez-MendozaSchool of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-2793-8248
Elizabeth ManiasFaculty of Medicine, Nursing and Health Science, Monash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-3747-0087
Patricia NicholsonSchool of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-7802-6863

Funding

Luis Meave Gutierrez-Mendoza holds a Deakin University Postgraduate Research Scholarship
6 · The paper itself

Abstract

rationaleGlobally, adverse events (AEs) are a major contributor to mortality, often arising from healthcare management rather than patients' underlying conditions. AIMS AND

objectivesThis study aimed to estimate the prevalence of AEs in three different hospitals in central-north Mexico using the Institute for Healthcare Improvement Global Trigger Tool (IHI-GTT) method.

methodA retrospective review of hospital discharges (July 2022 to June 2023) was conducted in three hospitals using the IHI-GTT method. Records of patients aged ≥ 18 years with hospital stays longer than 24 h were reviewed, with obstetric and paediatrics cases excluded. One experienced physician performed the two-stages review process, with inter-rater reliability assessed on 1% of records. Logistic regression analysis was used to identify factors associated with AEs.

resultsAmong 3354 discharges, 36.6% (n = 1227) experienced at least one adverse event (AE), corresponding to 72.79 AEs per 1000 patient-days or 53.04 AEs per 100 admissions. Of these, 72.8% (n = 893) were preventable. The most frequent AEs were medication errors (23.6%), intravenous line errors (23.5%), hospital acquired infections (16.4%), and surgical (9.9%). The AEs contributed to the death of the patient in 14.6% (n = 179) of cases. Risk factors for AEs included hospital transfers (OR: 1.53; 95% CI: 1.25-1.87, p < 0.001), age ≥ 60 years (OR: 1.49; 95% CI: 1.22-1.83, p < 0.001), comorbidities (OR: 1.15; 95% CI: 1.08-1.23, p < 0.001), and longer hospital stay (OR: 1.13; 95% CI: 1.11-1.14, p < 0.001). Elective admissions showed a protective effect (OR: 0.77; 95% CI: 0.62-0.97, p = 0.027).

conclusionThe prevalence of AEs in Mexico, a middle-income country, is higher than previously reported. These finding underscore a pressing public health challenge requiring targeted interventions.

Indexed as

Medical ErrorsQuality ImprovementAdultAgedFemaleHumansMaleMexicoMiddle AgedPrevalenceRetrospective Studiesadverse eventsglobal trigger toolhospitalised patientsmedical record reviewpatient safetyprevalence

Identifiers

PMID41855391
PMCPMC13002140

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.