2017 Fiscal Year Final Research Report
Epidemiology of adverse event in surgical patients
| Project/Area Number |
15K21535
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Multi-year Fund |
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| Research Field |
Medical and hospital managemen
Anesthesiology
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| Research Institution | Hyogo Medical University |
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Principal Investigator |
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| Project Period (FY) |
2015-04-01 – 2018-03-31
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| Keywords | 医療の質 / 臨床疫学研究 / 手術関連有害事象 / 医原性有害事象 |
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| Outline of Final Research Achievements |
We evaluated the epidemiology of Adverse Event (AE) in the cardiology outpatients and the surgical inpatients. In the cardiology outpatients we identified 144 AEs in 124 patients (16.3%) and 17 fatal or life-threatening AEs. The causes of all AEs were determined, and multiple cases were permitted. Of the 144 AEs, 120 were adverse drug events (ADEs) and 51 were non-ADEs: 17 operation-related AEs, 5 procedure-related AEs, 22 decision-making-related AEs and 7 others. Of the 17 fatal or life-threatening AEs, 7 were ADEs and 13 were non-ADEs including 9 operation-related AEs. We showed non-ADEs were higher risk AEs (p=0.0003). In the surgical inpatients the incidents of AEs was 69 AEs per 1,000 patient-days and the incidence of preventable AEs was 17 per 1,000 patient-days. Operation related-AEs were common and high risk in surgical patients and were especially important.
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| Free Research Field |
麻酔科学、内科学、集中治療医学、救急医学
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