Detection of potentially avoidable harm in oncology from patient medical records Journal Article


Authors: Lipitz-Snyderman, A.; Weingart, S. N.; Anderson, C.; Epstein, A. S.; Killen, A.; Classen, D.; Sima, C. S.; Fortier, E.; Atoria, C. L.; Pfister, D.
Article Title: Detection of potentially avoidable harm in oncology from patient medical records
Abstract: Purpose Widespread consensus exists about the importance of addressing patient safety issues in oncology, yet our understanding of the frequency, spectrum, and preventability of adverse events (AEs) across cancer care is limited. Methods Wedevelopedascreening tool to detectAEsacross cancer care settings throughmedical record review.Members of the study team reviewed the scientific literature and obtained structured input from an external multidisciplinary panel of clinicians by using a modified Delphi process. Results The screening tool comprises 76 triggers-readily identifiable findings to screen for possible AEs that occur during cancer care. Categories of triggers are general care, vital signs, medication related, laboratory tests, other orders, and consultations. Conclusion Although additional testing is required to assess its performance characteristics, this tool may offer an efficient mechanism for identifying possibly preventable AEs in oncology and serve as an instrument for quality improvement. © 2016 by American Society of Clinical Oncology.
Journal Title: Journal of Oncology Practice
Volume: 12
Issue: 2
ISSN: 1554-7477
Publisher: American Society of Clinical Oncology  
Date Published: 2016-02-01
Start Page: e224
End Page: e230
Language: English
DOI: 10.1200/jop.2015.006874
PROVIDER: scopus
PUBMED: 26869656
PMCID: PMC5486447
DOI/URL:
Notes: Article -- Export Date: 3 March 2016 -- Source: Scopus
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MSK Authors
  1. Camelia S Sima
    212 Sima
  2. David G Pfister
    389 Pfister
  3. Andrew Saul Epstein
    157 Epstein
  4. Aileen Killen
    14 Killen
  5. Coral Lynn Atoria
    51 Atoria