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Incidence of adverse events, preventability and mortality in gynaecological hospital admissions: A systematic review and meta‐analysis
Author(s) -
Tanaka Keisuke,
Eriksson Lars,
Asher Rebecca,
Obermair Andreas
Publication year - 2019
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12937
Subject(s) - medicine , incidence (geometry) , meta analysis , cinahl , medline , emergency medicine , systematic review , pediatrics , psychological intervention , psychiatry , physics , political science , law , optics
Background Adverse events ( AE s) are unintended consequences of healthcare management that result in temporary or permanent disability, death or prolonged hospital stay. The incidence of AE s has been reported to be higher in surgical specialties compared to medical specialties but information on the incidence of AE s in gynaecology is sparse. Aims To collect evidence on the incidence, preventability and mortality of AE s in gynaecological hospital admissions by conducting a systematic review and meta‐analysis. Materials and methods A systematic search of the PubMed, EMBASE , and CINAHL electronic medical databases was performed. Identified articles were screened and a full‐text review was conducted by two independent reviewers. Results Of the 49 studies assessed for eligibility, three studies were included in this systematic review. Meta‐analysis showed that the incidence of AE s in gynaecological hospital admissions was 10.8% (95% CI 9.4–12.1%), preventability was 52.5% (95% CI 47.3–57.7%) and mortality was 1.2% (95% CI 0–2.5%). Conclusions Evidence on AE s in gynaecological hospital admissions is limited. Available evidence suggests that approximately one in ten gynaecological inpatients suffer at least one AE and half of AE s are considered preventable. Further research is needed to determine strategies regarding how the incidence of preventable AE s can be reduced.