In this section
@article{King:2016:10.1097/SLA.0000000000001792,
author = {King, AS and Bottle, R and Faiz, O and Aylin, P},
doi = {10.1097/SLA.0000000000001792},
journal = {Annals of Surgery},
pages = {910--915},
title = {Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator},
url = {http://dx.doi.org/10.1097/SLA.0000000000001792},
volume = {265},
year = {2016}
}
TY - JOUR
AB - Objective: To investigate adverse event free admissions as a potential,patient-centered indicator aligned directly with the goal of patient safety—freedom from harm.Background: Preventable adverse event rates in healthcare could be furtherreduced. These are generally measured separately, one adverse event at a time.However, this does not reveal whether different patients are affected or thesame patients are experiencing multiple events.Methods: We examined Medicare inpatient hospital administrative datasetsfor 2009 to 2011, processed using standard criteria. Events were (i) deathwithin 30 days, (ii) unplanned readmissions within 30 days, (iii) long length ofstay, (iv) healthcare acquired infections, and (v) established patient safetyindicators not present on admission. We defined adverse event free admissionsas those without record of any of these events. National rates were calculatedby diagnosis group. Risk-adjusted hospital-specific rates of adverse event freeadmissions were calculated using colorectal procedures as an example.Results: There were 23,991,193 admissions after exclusions. Approximately,64% went through the acute inpatient Medicare system without record ofanything untoward. Multiple events were recorded in 227% admissions; 15%of these experienced more than 2 adverse events. Risk-adjusted hospitalspecificrates of adverse event free admissions for colorectal proceduresshowed 131 out of 3786 hospitals below the 998% lower control limit of thenational upper quartile.Conclusions: Overall, only 60% of admissions were recorded as adverseevent free. Multiple adverse events were common. Even if events are underrecorded, this measure could provide an easily understandable and usefulbaseline for clinicians and managers.
AU - King,AS
AU - Bottle,R
AU - Faiz,O
AU - Aylin,P
DO - 10.1097/SLA.0000000000001792
EP - 915
PY - 2016///
SN - 1528-1140
SP - 910
TI - Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator
T2 - Annals of Surgery
UR - http://dx.doi.org/10.1097/SLA.0000000000001792
UR - http://hdl.handle.net/10044/1/30944
VL - 265
ER -
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