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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
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
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.
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.
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.
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;


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