After implementing a French version of a trigger tool validated for computerized detection of adverse events in patient's medical record, the study will be performed in three parallel randomized arms of three identical departments (each steaming from 6 types of medical, surgical or obstetrical departments with a total of 18 departments involved). This three arms will be: no intervention, education of department's staff by multi professional in situ simulation (adapted to the discovered adverse events), or simple but large diffusion of results and decisions of Morbidity Mortality Reviews. The interventions will be performed during a two-years period.
Study Type
OBSERVATIONAL
Enrollment
144,000
After the analysis of adverse effects in Morbidity Mortality reviews, we will create scenarios adapted to these events. Education of the randomized department's arm's staff will be performed by multi professional in situ simulation with these scenarios
After the analysis of adverse effects in Morbidity Mortality reviews a large scale dissemination activity of information about discussions and decisions towards the staff of the randomized departments' arms will be carried out
Hospices Civils de Lyon - Direction DOQRU
Lyon, France
RECRUITINGOccurence of adverse events related to medical care
Occurrence of any adverse effects detected by the trigger tool. Trigger tool is used to detect more patient's adverse events that voluntary medical report
Time frame: During patient hospitalization, up to 2 years
Severity of adverse events related to medical care
Severity of any patient's adverse effect detected by trigger tool. Severity of adverse events is measured by a severity score scale.
Time frame: During patient hospitalization, up to 2 years
Contributive factors identification
Contributive factors of adverse events using the "ALARM Method". The Alarm Method allows to determine the contributive factors which together create the adverse patients events.
Time frame: During patient hospitalization, up to 2 years
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