Findings on the Incidence of Adverse Events in referral level hospitals
- VernacularTitle:Төрөлжсөн мэргэшлийн эмнэлгүүдийн сөрөг тохиолдлыг судалсан үр дүн
- Author:
Lkhagvasuren B
1
;
Enkh-Erdene E
2
;
Myagmarsuren Sh
3
;
Garamgai B
4
;
Battur L
5
;
Sarnai Ts
1
;
Khurelbaatar N
6
Author Information
1. Graduate School, Mongolian National University of Medical Sciences
2. First Central Hospital of Mongolia
3. Second Central Hospital of Mongolia
4. Third Central Hospital of Mongolia
5. Mongolian National University of Medical Sciences
6. National Center for Public Health, Mongolia
- Publication Type:Journal Article
- Keywords:
Adverse events, Patient safety, Healthcare quality, Referral hospital
- From:
Mongolian Journal of Health Sciences
2025;90(6):94-99
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:Patient safety is a core dimension of healthcare quality and has become a global priority. According to the
report by the U.S. Institute of Medicine, between 44,000 and 98,000 deaths occur annually due to medical errors in hospitals.
One of the key indicators of patient safety is the Adverse Events (AE), defined as unintended harm to a patient that
results from medical care rather than from the underlying disease. The assessment of adverse events is not only a tool for
detecting errors but also an active strategy for improving system reliability and safety. Accurate identification of adverse
events is therefore essential for enhancing patient safety and serves as a critical performance indicator with financial
implications for hospitals.
Aim:To determine the incidence of adverse events in referral hospitals and to analyze the relationship between triggers
and adverse events.
Material and Methods:Data were collected during 2023–2024 from three referral hospitals, the First, Second, and
Third State Central Hospitals after obtaining institutional approval. The study was conducted within the framework of
the Whole System Measures methodology developed by the Institute for Healthcare Improvement (IHI), which is internationally
used for system-wide performance assessment. Data extraction was performed from electronic health records
and inpatient departments, and statistical analyses were conducted using SPSS version 25.
Results:The study identified 8.3% adverse events per 1,000 patient-days, which is 1.66 times higher than the international
reference rate. A statistically significant association was observed between the number of triggers and the occurrence of
adverse events, indicating that the use of triggers facilitates the active detection of adverse events.
Conclusion:The incidence of adverse events in tertiary specialized hospitals was found to be higher than international
benchmarks. The application of trigger-based active surveillance proved to be an effective method for identifying adverse
events and enhancing patient safety monitoring systems.
- Full text:2025121014533558246Төрөлжсөн мэргэшлийн эмнэлгүүдийн сөрөг тохиолдлыг судалсан үр дүн.pdf
