Development of Case Review Form for Detecting Adverse Events

Ock, Min-su; Lee, Sang-il; Kim, Yoon; Lee, Jae-ho; Lee, Jin-yong; Jo, Min-woo; Kim, Seon-ha; Son, Woo-seung; Kim, Hyun-joo

doi:2015.21.1.66

Qual Improv Health Care > Volume 21(1); 2015 > Article

Quality Improvement in Health Care 2015;21(1): 66.
DOI: https://doi.org/10.14371/QIH.2015.21.1.66 Published online June 30, 2015.

위해사건 확인을 위한 증례검토지 개발

옥민수¹, 이상일¹, 김윤², 이재호³, 이진용⁴, 조민우¹, 김선하⁵, 손우승¹, 김현주⁶

¹울산대학교 의과대학 예방의학교실
²서울대학교 의과대학 의료관리학교실 서울대학교 의학연구원 의료관리연구소
³울산대학교 서울아산병원 응급의학과
⁴서울대학교 보라매병원 공공의료사업단
⁵단국대학교 간호학과
⁶건양대학교병원

Development of Case Review Form for Detecting Adverse Events

Min-su Ock¹, Sang-il Lee¹, Yoon Kim², Jae-ho Lee³, Jin-yong Lee⁴, Min-woo Jo¹, Seon-ha Kim⁵, Woo-seung Son¹, Hyun-joo Kim⁶

¹Department of Preventive Medicine, University of Ulsan College of Medicine
²Institute of Health Policy and Management, Medical Research Center, Seoul National University/ Institute of Health Policy and Management, Seoul National University Medical Research Institute
³Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine
⁴Public Health Medical Service, Seoul National University Boramae Medical Center
⁵Department of Nursing, Dankook University
⁶Konyang University Hospital

Abstract

Objectives
The purpose of this study is to develop a case review form for detecting adverse events through a medical records review in hospitalized patients in South Korea.
Methods
To develop the case review form, several literatures were reviewed, first. Through the clinical expert meeting, screening criteria were selected and case review form was developed.
Result
The Korean version of case review form consisted of the review form-1 for adverse event screening and form-2 for adverse event identification. The applied methodology for the case review form is determined according to the previous studies. For example, the method used in the first stage review is nurse review. Furthermore, the National Coordinating Council for Medication Errors Reporting and Prevention index is used to categorize disability, and a scale of 1 to 6 was used in the causation scores and preventability scores, respectively. Through the clinical expert meeting, a total of 41 screening criteria were selected.
Conclusion
The Korean specific case review form was developed for detecting adverse events in hospitalized patients. The results from this study can be used in a large-scale study regarding the nationwide incidence of adverse events.

Key words Patient safety;Adverse event;Case review form;