Bo Schouten

Amsterdam University Medical Center | VUmc · Department of Public and Occupational Health

Objectives To investigate longitudinal trends in the incidence, preventability, and causes of DAEs (diagnostic adverse events) between 2008 and 2019 and compare DAEs to other AE (adverse event) types. Methods This study investigated longitudinal trends of DAEs using combined data from four large Dutch AE record review studies. The original four AE...

This study researches the quality of care of the newly redesigned Department of Acute Care (AAZ), at the Noordwest Hospital in Den Helder. It is a multi-methodological study. Quality indicators were descriptively compared with a conventional Emergency Department (ED) at the location in Alkmaar. Moreover, focus groups were held among nurses employed...

Background Patient safety is crucial for quality of care. Preventable adverse events (AEs) occur in 1 of 20 patients in the hospital, but it is unknown whether this is different for patients with a condition relevant for palliative care. The majority of the limited available research on this topic is only focused on patients already receiving palli...

Objectives Patient safety is a core component of quality of hospital care and measurable through adverse event (AE) rates. A high-risk group are femoral neck fracture patients. The Dutch clinical guideline states that the treatment of choice is cemented total hip arthroplasty (THA) or hemiarthroplasty (HA). We aimed to identify the prevalence of AE...

The World Health Organization defines quality of care as: “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes, based on evidence-based professional knowledge”. There has been widespread international attention for quality of care. Despite the importance and efforts already made, en...

Introduction The full impact of an acute illness on subsequent health is seldom explicitly discussed with patients. Patients’ estimates of their likely prognosis have been explored in chronic care settings and can contribute to the improvement of clinical outcomes and patient satisfaction. This scoping review aimed to identify studies of acutely il...

Background Quality of care at the end of life in hospitals is often perceived to be lower compared to the care that is provided to people who die in their own home. Documenting and measuring indicators of common end-of-life symptoms could help improve end-of-life care in hospitals. This study provided insight into quality indicators for the end-of-...

Objective: Emergency department (ED) crowding is a worldwide problem and one of the main causes internationally is an increase in presentations by older patients with complex and chronic care needs. Although there has been a 4,3% reduction in total ED visits from 2016-2019 in the Netherlands, the EDs still experience crowding. National crowding re...

Background: Inappropriate bed occupancy due to delayed hospital discharge affects both physical and psychological wellbeing in patients and can disrupt patient flow. The Dutch healthcare system is facing ongoing pressure, especially during the current COVID-19 pandemic, intensifying the need for optimal use of hospital beds. The aim of this study...

Dit dossieronderzoek in elektronische patiëntendossiers (EPDs) van patiënten overleden in Nederlandse ziekenhuizen laat zien dat de symptoomlast van pijn, benauwdheid/kortademigheid, angst en depressieve klachten/somberheid nog zeer beperkt op een gestandaardiseerde wijze wordt gemeten. Wel is er vaak aandacht van zorgprofessionals voor de symptoom...

Deze infographic biedt een grafische weergave van het rapport 'Monitor Zorggerelateerde Schade 2019 in Nederlandse Ziekenhuizen', met o.a. de resultaten van de volgende onderzoeksvragen: 1. Wat is de aard, ernst & omvang van (potentieel vermijdbare) zorggerelateerde schade en sterfte? 2. Wat is de schade bij toepassing medische technologie? 3. Wat...

In dit rapport worden de resultaten gepresenteerd van de nieuwe landelijke meting van de Monitor Zorggerelateerde schade in Nederlandse ziekenhuizen. Zorggerelateerde schade wordt gedefinieerd als: “een onbedoelde uitkomst die is ontstaan door het (niet) handelen van een zorgverlener en/of door het zorgsysteem met schade voor de patiënt zodanig ern...

Purpose Up to 22% of older patients who visit the emergency department (ED) have a return visit within 30 days. To achieve patient-centered care for this group at the ED it is important to involve the patient perspective and strive to provide the best possible experience. The aim of this study was to gain insight into the experiences and perspectiv...

Background: Truly patient-centred care needs to be aligned with what patients consider important, and is highly desirable in the first 24 h of an acute admission, as many decisions are made during this period. However, there is limited knowledge on what matters most to patients in this phase of their hospital stay. The objective of this study was...

Aim Use of tele-health programs and wearable sensors that allow patients to monitor their own vital signs have been expanded in response to COVID-19. We aimed to explore the utility of patient-held data during presentation as medical emergencies. Methods We undertook a systematic scoping review of two groups of studies: studies using non-invasive...

Objectives As laboratory medicine continues to undergo digitalization and automation, clinical laboratorians will likely be confronted with the challenges associated with artificial intelligence (AI). Understanding what AI is good for, how to evaluate it, what are its limitations, and how it can be implemented are not well understood. With a survey...

Objectives: Acute care crowding is a global issue, jeopardizing patient safety. An important cause of crowding is the growing number of older, vulnerable, and complex patients. This group is at higher risk of experiencing (preventable) adverse events (AEs) than younger patients.This study aimed to identify the incidence, preventability, nature, an...