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Table 2 Screening criteria modified after the Harvard medical practice study[27] ordered by positive predictive value for no-harm incident

From: Retrospective record review in proactive patient safety work – identification of no-harm incidents

Screening criteria Positive screening criteria n (%) Screening criteria related to no-harm incident n PPV for no-harm incident%
Any other undesirable outcome not covered above 87 (18.8) 72 82.8
Adverse drug reaction 33 (7.1) 15 45.5
Hospital-incurred patient injury or no-harm incident 129 (27.9) 32 24.8
Dissatisfaction with care documented in the patient’s medical record 16 (3.4) 3 18.8
Other patient complication 13 (2.8) 2 15.4
Unplanned return to the operating room 10 (2.1) 1 10.0
The index admission was an unplanned admission related to previous healthcare management within 30 days 25 (5.4) 1 4.0
Unplanned readmission after discharge from index admission within 30 days including outpatient visits 85 (18.3) 3 3.5
Unplanned transfer from general care to intensive care 5 (1.0) - -
Unplanned removal, injury or repair of an organ during surgery 5 (1.0) - -
Development of neurological deficit not present on admission 5 (1.0) - -
Healthcare associated infection or sepsis 38 (8.2) - -
Cardiac or respiratory arrest 2 (0.4) - -
Documentation or correspondence indicating litigation 3 (0.6) - -
Inappropriate discharge to home 5 (1.0) - -
Unplanned transfer to another acute care hospital 1 (0.2) - -
Unexpected death 0 (0.0) - -
Injury related to abortion or delivery NA   
Total 462 (100) 129 27.9
  1. NA, Not applicable.
  2. PPV, Positive predictive value.