Adverse events related to coordination between primary and secondary health care services in Norway
Master thesis
Permanent lenke
http://hdl.handle.net/11250/184210Utgivelsesdato
2013-11-15Metadata
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Sammendrag
At present, nearly 25 percent of all patients experience some variety of adverse event during
the life cycle of their patient experience in a hospital admission (Kable, et al. 2008). It is
critical to effectively gain a comprehensive understanding of the types, frequencies, causes
and consequences of adverse events related to coordination of care between primary and
specialized health care services in Norway, in order to effective prevent future adverse events.
This research seeks to determine the primary characterizations of adverse events, as they
relate to patient transfers between care providers, as well as to identify details and additional
areas for research associated with these characterizations. The research was accomplished
through review of adverse event reports using a developed taxonomy to appropriately sort and
present event occurrences. Within the findings were a number of significant results, including
a higher propensity for errors associated with improper or inadequate communication, caused
by multiple causal factors. In utilizing a number of existing taxonomic structures to sort,
evaluate and classify adverse events, it became apparent that there is no existing taxonomy
that is fully suited to apply to patient handovers occurring between primary and specialized
health care providers in Norway, resulting in the need to develop one. Additionally, resulting
data supported a need for further research and development of best-practice defensive barriers
to mitigate hazards within patient handovers and care transfers, to better protect against multifactorial
risks associated with typical adverse events.
Beskrivelse
Master's thesis in Health and social sciences