Reliability and Validity of Judgments Concerning Adverse Events Suffered by Hospitalized Patients
Bibliographic Data
| ID | 9097104 |
|---|---|
| Authors | Troyen A Brennan (corresponding author), Russsell J Localio, Nan L Laird |
| Year | 1989 |
| Volume | 27 |
| Issue | 12 |
| Pages | 1148-1158 |
| Publication date | 1989-12-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198912000-00006 |
| PMID | 2593729 |
| OpenAlex | W2053017136 |
| Language | EN |
| Citations received | 9 |
| References cited | 3 |
To evaluate a process for identifying adverse events through review of medical records, multiple reviews of 360 medical records from two teaching hospital were performed. The data from these multiple reviews provided information about the validity and reliability of our two-phase review process. In particular, it was found that the initial phase, involving review of the medical records by medical-record-room administrators using explicit criteria, was valid, with a sensitivity of 84% and negative predictive value of 92%. Results also showed that the second phase, involving judgments by physicians guided by an adverse event analysis form, was reliable (Spearman Brown Rm = 0.78, m = 2) and demonstrated construct validity when compared with a review by a set of senior physicians employing a different method of review (Kappa = 0.57). In addition, it was found that these cases classified as difficult to judge from causation were judged less reliable (Rm = 0.48, for difficult case, Rm = 0.65, for other cases, m = 1). These results indicate that a two-step review process of medical records can produce judgments about adverse events that are both reliable and valid
Adverse effect · Causation · Construct (python library) · Construct validity · Kappa · Medical record · Psychometrics · Reliability (semiconductor) · Set (abstract data type) · Validity · Clinical Psychology · Clinical Reasoning and Diagnostic Skills · Computer Science · Internal Medicine · Mathematics · Medical Malpractice and Liability Issues · Medicine · Patient Safety and Medication Errors · Psychology · Surgery
A Classification Tree Analysis of Selection for Discretionary Treatment
The Nature of Adverse Events in Hospitalized Patients
Incidence of Adverse Events and Negligence in Hospitalized Patients
Discussion Between Reviewers Does Not Improve Reliability of Peer Review of Hospital Quality
Structured Implicit Review
Assessment of the Validity and Reliability of Three Systems of Medical Record Screening for Quality of Care Assessment
Incidence and Types of Adverse Events and Negligent Care in Utah and Colorado
Identifying Poor-Quality Hospitals
Formação de recursos humanos em epidemiologia e avaliação dos programas de saúde
| Citations per year | 0.26 |
|---|---|
| Citation span | 1991 - 2000 (10) |
| Highly cited | No |