Reliability and accuracy of the screening for adverse events in Brazilian hospitals

Detalhes bibliográficos
Autor(a) principal: Pavão, Ana Luiza Braz
Data de Publicação: 2012
Outros Autores: Camacho, Luiz Antônio Bastos, Martins, Mônica Silva, Mendes, Walter, Travassos, Claudia Maria de Rezende
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/6381
Resumo: Fundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos. Rio de Janeiro, RJ, Brasil.
id CRUZ_1a27c4a93bb0bf807795cee476de2524
oai_identifier_str oai:www.arca.fiocruz.br:icict/6381
network_acronym_str CRUZ
network_name_str Repositório Institucional da FIOCRUZ (ARCA)
repository_id_str 2135
spelling Pavão, Ana Luiza BrazCamacho, Luiz Antônio BastosMartins, Mônica SilvaMendes, WalterTravassos, Claudia Maria de Rezende2013-03-15T14:18:07Z2013-03-15T14:18:07Z2012PAVÃO, A. L. B. et al. Reliability and accuracy of the screening for adverse events in Brazilian hospitals. International Journal for Quality in Health Care, New York, v. 24, n.5, p. 532-537, 8 ago. 20121353-45051464-3677https://www.arca.fiocruz.br/handle/icict/638110.1093/intqhc/mzs050engOxford University PressReliability and accuracy of the screening for adverse events in Brazilian hospitalsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Publica Sergio Arouca. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Objective To analyze the reliability and accuracy of the screening for adverse events (AEs) conducted by nurses taking the assessment by medical residents as the reference. Design A validation study of the screening phase of a previous retrospective cohort study based on the patient record review that estimated the incidence of AEs (base study). Setting Three general teaching hospitals in the State of Rio de Janeiro, Brazil. Participants A subsample of 242 medical records randomly selected from an original sample of 1103 previously evaluated records. Main Outcome Measure(s) A two-step approach was used for analysis: the identification of at least one screening criterion (first endpoint) and the validation of each identified criterion (second endpoint), taking the assessment by medical residents as the reference. Kappa coefficient; simple percentage agreement; sensitivity; specificity; positive and negative predictive values were calculated. Results The total agreement between medical residents and nurses on the presence of screening criteria was moderate (78.9%, K = 0.55). Specificity (81.6%) was higher than sensitivity (74.4%). Nurses detected more screening criteria that were later confirmed as true AEs (179 vs. 171, respectively). Significant differences in the detection of the screening criteria: ‘Other complications’, ‘Hospitalization injury’ and ‘Prior admission’ were observed. Conclusion The results suggested a good performance of the nurses in the screening for detection of AE and showed significant differences in relation to detection of specific screening criteria among reviewers. A better understanding of the screening process and the performance of reviewers was provided.AgreementSensitivitySpecificityScreeningAdverse eventsSensibilidade e EspecificidadeProgramas de RastreamentoEstudos de CoortesAvaliação de Desempenhoinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/6381/1/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD51ORIGINALReliability and accuracy of the screening.pdfReliability and accuracy of the screening.pdfapplication/pdf126351https://www.arca.fiocruz.br/bitstream/icict/6381/2/Reliability%20and%20accuracy%20of%20the%20screening.pdf403b387d8f09e1f0ffa64bb544fc0683MD52TEXTReliability and accuracy of the screening.pdf.txtReliability and accuracy of the screening.pdf.txtExtracted texttext/plain29907https://www.arca.fiocruz.br/bitstream/icict/6381/5/Reliability%20and%20accuracy%20of%20the%20screening.pdf.txtd2ac43cc8a73af9f0eb3ac5a7463aab7MD55THUMBNAILReliability and accuracy of the screening.pdf.jpgReliability and accuracy of the screening.pdf.jpgGenerated Thumbnailimage/jpeg2286https://www.arca.fiocruz.br/bitstream/icict/6381/4/Reliability%20and%20accuracy%20of%20the%20screening.pdf.jpg52be835c06ea1a7d3542804bee92876aMD54icict/63812023-01-10 11:01:21.88oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-01-10T14:01:21Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Reliability and accuracy of the screening for adverse events in Brazilian hospitals
title Reliability and accuracy of the screening for adverse events in Brazilian hospitals
spellingShingle Reliability and accuracy of the screening for adverse events in Brazilian hospitals
Pavão, Ana Luiza Braz
Agreement
Sensitivity
Specificity
Screening
Adverse events
Sensibilidade e Especificidade
Programas de Rastreamento
Estudos de Coortes
Avaliação de Desempenho
title_short Reliability and accuracy of the screening for adverse events in Brazilian hospitals
title_full Reliability and accuracy of the screening for adverse events in Brazilian hospitals
title_fullStr Reliability and accuracy of the screening for adverse events in Brazilian hospitals
title_full_unstemmed Reliability and accuracy of the screening for adverse events in Brazilian hospitals
title_sort Reliability and accuracy of the screening for adverse events in Brazilian hospitals
author Pavão, Ana Luiza Braz
author_facet Pavão, Ana Luiza Braz
Camacho, Luiz Antônio Bastos
Martins, Mônica Silva
Mendes, Walter
Travassos, Claudia Maria de Rezende
author_role author
author2 Camacho, Luiz Antônio Bastos
Martins, Mônica Silva
Mendes, Walter
Travassos, Claudia Maria de Rezende
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Pavão, Ana Luiza Braz
Camacho, Luiz Antônio Bastos
Martins, Mônica Silva
Mendes, Walter
Travassos, Claudia Maria de Rezende
dc.subject.en.pt_BR.fl_str_mv Agreement
Sensitivity
Specificity
Screening
Adverse events
topic Agreement
Sensitivity
Specificity
Screening
Adverse events
Sensibilidade e Especificidade
Programas de Rastreamento
Estudos de Coortes
Avaliação de Desempenho
dc.subject.decs.pt_BR.fl_str_mv Sensibilidade e Especificidade
Programas de Rastreamento
Estudos de Coortes
Avaliação de Desempenho
description Fundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos. Rio de Janeiro, RJ, Brasil.
publishDate 2012
dc.date.issued.fl_str_mv 2012
dc.date.accessioned.fl_str_mv 2013-03-15T14:18:07Z
dc.date.available.fl_str_mv 2013-03-15T14:18:07Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv PAVÃO, A. L. B. et al. Reliability and accuracy of the screening for adverse events in Brazilian hospitals. International Journal for Quality in Health Care, New York, v. 24, n.5, p. 532-537, 8 ago. 2012
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/6381
dc.identifier.issn.pt_BR.fl_str_mv 1353-4505
1464-3677
dc.identifier.doi.none.fl_str_mv 10.1093/intqhc/mzs050
identifier_str_mv PAVÃO, A. L. B. et al. Reliability and accuracy of the screening for adverse events in Brazilian hospitals. International Journal for Quality in Health Care, New York, v. 24, n.5, p. 532-537, 8 ago. 2012
1353-4505
1464-3677
10.1093/intqhc/mzs050
url https://www.arca.fiocruz.br/handle/icict/6381
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/6381/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/6381/2/Reliability%20and%20accuracy%20of%20the%20screening.pdf
https://www.arca.fiocruz.br/bitstream/icict/6381/5/Reliability%20and%20accuracy%20of%20the%20screening.pdf.txt
https://www.arca.fiocruz.br/bitstream/icict/6381/4/Reliability%20and%20accuracy%20of%20the%20screening.pdf.jpg
bitstream.checksum.fl_str_mv 7d48279ffeed55da8dfe2f8e81f3b81f
403b387d8f09e1f0ffa64bb544fc0683
d2ac43cc8a73af9f0eb3ac5a7463aab7
52be835c06ea1a7d3542804bee92876a
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv repositorio.arca@fiocruz.br
_version_ 1813008938201776128

Registros relacionados