000118133 001__ 118133
000118133 005__ 20230914083315.0
000118133 0247_ $$2doi$$a10.1186/s13037-021-00316-3
000118133 0248_ $$2sideral$$a129345
000118133 037__ $$aART-2022-129345
000118133 041__ $$aeng
000118133 100__ $$aPérez Zapata, Ana Isabel
000118133 245__ $$aPredictive Power of the "Trigger Tool" for the detection of adverse events in general surgery: a multicenter observational validation study
000118133 260__ $$c2022
000118133 5060_ $$aAccess copy available to the general public$$fUnrestricted
000118133 5203_ $$aBackground
In spite of the global implementation of standardized surgical safety checklists and evidence-based practices, general surgery remains associated with a high residual risk of preventable perioperative complications and adverse events. This study was designed to validate the hypothesis that a new “Trigger Tool” represents a sensitive predictor of adverse events in general surgery.
Methods
An observational multicenter validation study was performed among 31 hospitals in Spain. The previously described “Trigger Tool” based on 40 specific triggers was applied to validate the predictive power of predicting adverse events in the perioperative care of surgical patients. A prediction model was used by means of a binary logistic regression analysis.
Results
The prevalence of adverse events among a total of 1,132 surgical cases included in this study was 31.53%. The “Trigger Tool” had a sensitivity and specificity of 86.27% and 79.55% respectively for predicting these adverse events. A total of 12 selected triggers of overall 40 triggers were identified for optimizing the predictive power of the “Trigger Tool”.
Conclusions
The “Trigger Tool” has a high predictive capacity for predicting adverse events in surgical procedures. We recommend a revision of the original 40 triggers to 12 selected triggers to optimize the predictive power of this tool, which will have to be validated in future studies.
000118133 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000118133 592__ $$a0.738$$b2022
000118133 593__ $$aSurgery$$c2022$$dQ1
000118133 593__ $$aAnesthesiology and Pain Medicine$$c2022$$dQ2
000118133 593__ $$aOrthopedics and Sports Medicine$$c2022$$dQ2
000118133 594__ $$a6.2$$b2022
000118133 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000118133 700__ $$aRodríguez Cuéllar, Elías
000118133 700__ $$ade la Fuente Bartolomé, Marta
000118133 700__ $$aMartín-Arriscado Arroba, Cristina
000118133 700__ $$aGarcía Morales, María Teresa
000118133 700__ $$aLoinaz Segurola, Carmelo
000118133 700__ $$aGiner Nogueras, Manuel
000118133 700__ $$aTejido Sánchez, Ángel
000118133 700__ $$aRuiz López, Pedro
000118133 700__ $$aFerrero Herrero, Eduardo
000118133 700__ $$aZarco Pleguezuelos, Antonio
000118133 700__ $$aRomero Simó, Manuel
000118133 700__ $$aCaballero Bouza, Albert
000118133 700__ $$aParés Martinez, David
000118133 700__ $$aJulián Ibáñez, Juan Francés
000118133 700__ $$aBalibrea del Castillo, José María
000118133 700__ $$aMorales Sevillano, Xavier
000118133 700__ $$aDíaz-Zorita Aguilar, Benjamín
000118133 700__ $$aMartín Román, Lorena
000118133 700__ $$aGomez Ruiz, Marcos
000118133 700__ $$aFernández Miguel, Tamara
000118133 700__ $$aCagigas Fernandez, Carmen
000118133 700__ $$aMoreno Bargueiras, Alejandro
000118133 700__ $$aCano Valderrama, Oscar
000118133 700__ $$aRivera Alonso, Daniel
000118133 700__ $$aGutiérrez Samaniego, María
000118133 700__ $$0(orcid)0000-0001-7964-1166$$aRamírez Rodríguez, José Manuel$$uUniversidad de Zaragoza
000118133 700__ $$aElia Guedea, Manuela
000118133 700__ $$aCórdoba Diaz, Elena
000118133 700__ $$aGracia Solanas, Jose Antonio
000118133 700__ $$aBañuls Matoses, Angela
000118133 700__ $$aMacero, Ángel
000118133 700__ $$aSánchez López, Jose Daniel
000118133 700__ $$aVaquero Pérez, María Antonia
000118133 700__ $$aRojo López, Jose Alberto
000118133 700__ $$aLima Pinto, Francisca
000118133 700__ $$aBra Insa, Eneida
000118133 700__ $$aRodríguez Prieto, Ignacio
000118133 700__ $$aPadilla Zegarra, Erlinda Daniela
000118133 700__ $$aFranco Chacon, Mario
000118133 700__ $$aMemba Ikuga, Robert
000118133 700__ $$aJorba Martin, Rosa
000118133 700__ $$aAlcaide Matas, Fernando
000118133 700__ $$aTroncoso Pereira, Paula
000118133 700__ $$aSoria Aledo, Víctor
000118133 700__ $$aPérez Guarinos, Carmen Victoria
000118133 700__ $$aGenzor Rios, Sixto
000118133 700__ $$aDobón Rascón, Miguel Ángel
000118133 700__ $$aNúñez Fernández, Sandra
000118133 700__ $$aValerias Domínguez, Ernesta
000118133 700__ $$aGarcía García, Manuel
000118133 700__ $$aZambrana Campos, Vanesa
000118133 700__ $$aRebasa Cladera, Pere
000118133 700__ $$aArtés Caselles, Mariano
000118133 700__ $$aCea Soriano, Matías
000118133 700__ $$aGambí Pisonero, Daniel
000118133 700__ $$aJiménez de los Galanes, Santos
000118133 700__ $$aFrutos Bernal, Maria Dolores
000118133 700__ $$aDelegido García, Ana
000118133 700__ $$aGómez Pérez, Beatriz
000118133 700__ $$aMontero Zorrilla, Carlos
000118133 700__ $$aCortés Climent, Javier
000118133 700__ $$aVallejo Bernad, Cristina
000118133 700__ $$aBustamante Mosquera, Ruth
000118133 700__ $$aMartínez Blázquez, María
000118133 700__ $$aMuriel López, Jesús
000118133 700__ $$aGarcía Pérez, Juan Carlos
000118133 700__ $$aOcaña Jiménez, Juan
000118133 700__ $$aPaseiro Crespo, Gloria
000118133 700__ $$aPardo Martínez, Cristina
000118133 700__ $$aGarcía Nebreda, María
000118133 700__ $$aFernández Cebrián, José María
000118133 700__ $$aCasanova Durán, Virginia
000118133 700__ $$aFerrer Márquez, Manuel
000118133 700__ $$aAguiló Lucía, Javier
000118133 700__ $$aPenalba Palmi, Rafael
000118133 700__ $$aDel Pino Cedenila, Sheila
000118133 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000118133 773__ $$g16 (2022), 7 [10 pp.]$$tPatient Safety in Surgery$$x1754-9493
000118133 8564_ $$s1286040$$uhttps://zaguan.unizar.es/record/118133/files/texto_completo.pdf$$yVersión publicada
000118133 8564_ $$s2251835$$uhttps://zaguan.unizar.es/record/118133/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000118133 909CO $$ooai:zaguan.unizar.es:118133$$particulos$$pdriver
000118133 951__ $$a2023-09-13-11:00:46
000118133 980__ $$aARTICLE