Adverse events: an expensive and avoidable hospital problem

Introduction: Adverse healthcare-related events (AE) entail reduced patient safety. Estimating their frequency, characteristics, avoidability and impact is a means to identify targets for improvement in the quality of care. Methods: This was a descriptive observational study conducted within the Pat...

Descripción completa

Detalles Bibliográficos
Autores: San José-Saras, Diego, Valencia Martín, José Lorenzo, Vicente-Guijarro, Jorge, Moreno-Núñez, Paloma, Pardo-Hernández, Alberto, Aranaz-Andrés, Jesús M.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/141208
Acceso en línea:https://hdl.handle.net/11441/141208
https://doi.org/10.1080/07853890.2022.2140450
Access Level:acceso abierto
Palabra clave:Adverse events
Avoidable
Healthcare
Patient safety
id ES_90ec9f65787fccffe37dcd0f6069e0c7
oai_identifier_str oai:idus.us.es:11441/141208
network_acronym_str ES
network_name_str España
repository_id_str
spelling Adverse events: an expensive and avoidable hospital problemSan José-Saras, DiegoValencia Martín, José LorenzoVicente-Guijarro, JorgeMoreno-Núñez, PalomaPardo-Hernández, AlbertoAranaz-Andrés, Jesús M.Adverse eventsAvoidableAdverse eventsHealthcarePatient safetyIntroduction: Adverse healthcare-related events (AE) entail reduced patient safety. Estimating their frequency, characteristics, avoidability and impact is a means to identify targets for improvement in the quality of care. Methods: This was a descriptive observational study conducted within the Patient Safety Incident Study in Hospitals in the Community of Madrid (ESHMAD). The study was conducted in a high-complexity hospital in May 2019 through a two-phase electronic medical record review: (1) AE screening and epidemiological and clinical data collection and (2) AE review and classifi cation and analysis of their impact, avoidability, and associated costs. Results: A total of 636 patients were studied. The prevalence of AE was 12.4%. Death during the stay was associated with the presence of AE (OR [CI95%]: 2.15 [1.07 to 4.52]) versus absence and emergency admission (OR [CI95%]: 17.11[6.63 to 46.26]) versus scheduled. A total of 70.2% of the AEs were avoidable. Avoidable AEs were associated with the presence of pressure ulcers (OR [CI95%]: 2.77 [1.39 to 5.51]), central venous catheter (OR [CI95%]: 2.58 [1.33 to 5.00]) and impaired mobility (OR [CI95%]: 2.24[1.35 to 3.71]), versus absences. They were associated too with the stays in the intensive care unit (OR [CI95%]: 2.75 [1.07 to 7.06]) versus medical service. AEs were responsible for additional costs of e909,716.8 for extra days of stay and e12,461.9 per patient with AE. Conclusions: The prevalence of AEs was similar to that found in other studies. AEs led to worse patient outcomes and were associated with the patient’s death. Although avoidable AEs were less severe, their higher frequency produced a greater impact on the patient and health care system.Medicina Preventiva y Salud Pública2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/141208https://doi.org/10.1080/07853890.2022.2140450reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésAnnals of Medicine, 54 (1), 3157-3168.https://www.tandfonline.com/doi/full/10.1080/07853890.2022.2140450?scroll=top&needAccess=true&role=tabinfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1412082026-06-17T12:51:07Z
dc.title.none.fl_str_mv Adverse events: an expensive and avoidable hospital problem
title Adverse events: an expensive and avoidable hospital problem
spellingShingle Adverse events: an expensive and avoidable hospital problem
San José-Saras, Diego
Adverse events
Avoidable
Adverse events
Healthcare
Patient safety
title_short Adverse events: an expensive and avoidable hospital problem
title_full Adverse events: an expensive and avoidable hospital problem
title_fullStr Adverse events: an expensive and avoidable hospital problem
title_full_unstemmed Adverse events: an expensive and avoidable hospital problem
title_sort Adverse events: an expensive and avoidable hospital problem
dc.creator.none.fl_str_mv San José-Saras, Diego
Valencia Martín, José Lorenzo
Vicente-Guijarro, Jorge
Moreno-Núñez, Paloma
Pardo-Hernández, Alberto
Aranaz-Andrés, Jesús M.
author San José-Saras, Diego
author_facet San José-Saras, Diego
Valencia Martín, José Lorenzo
Vicente-Guijarro, Jorge
Moreno-Núñez, Paloma
Pardo-Hernández, Alberto
Aranaz-Andrés, Jesús M.
author_role author
author2 Valencia Martín, José Lorenzo
Vicente-Guijarro, Jorge
Moreno-Núñez, Paloma
Pardo-Hernández, Alberto
Aranaz-Andrés, Jesús M.
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Medicina Preventiva y Salud Pública
dc.subject.none.fl_str_mv Adverse events
Avoidable
Adverse events
Healthcare
Patient safety
topic Adverse events
Avoidable
Adverse events
Healthcare
Patient safety
description Introduction: Adverse healthcare-related events (AE) entail reduced patient safety. Estimating their frequency, characteristics, avoidability and impact is a means to identify targets for improvement in the quality of care. Methods: This was a descriptive observational study conducted within the Patient Safety Incident Study in Hospitals in the Community of Madrid (ESHMAD). The study was conducted in a high-complexity hospital in May 2019 through a two-phase electronic medical record review: (1) AE screening and epidemiological and clinical data collection and (2) AE review and classifi cation and analysis of their impact, avoidability, and associated costs. Results: A total of 636 patients were studied. The prevalence of AE was 12.4%. Death during the stay was associated with the presence of AE (OR [CI95%]: 2.15 [1.07 to 4.52]) versus absence and emergency admission (OR [CI95%]: 17.11[6.63 to 46.26]) versus scheduled. A total of 70.2% of the AEs were avoidable. Avoidable AEs were associated with the presence of pressure ulcers (OR [CI95%]: 2.77 [1.39 to 5.51]), central venous catheter (OR [CI95%]: 2.58 [1.33 to 5.00]) and impaired mobility (OR [CI95%]: 2.24[1.35 to 3.71]), versus absences. They were associated too with the stays in the intensive care unit (OR [CI95%]: 2.75 [1.07 to 7.06]) versus medical service. AEs were responsible for additional costs of e909,716.8 for extra days of stay and e12,461.9 per patient with AE. Conclusions: The prevalence of AEs was similar to that found in other studies. AEs led to worse patient outcomes and were associated with the patient’s death. Although avoidable AEs were less severe, their higher frequency produced a greater impact on the patient and health care system.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/141208
https://doi.org/10.1080/07853890.2022.2140450
url https://hdl.handle.net/11441/141208
https://doi.org/10.1080/07853890.2022.2140450
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Annals of Medicine, 54 (1), 3157-3168.
https://www.tandfonline.com/doi/full/10.1080/07853890.2022.2140450?scroll=top&needAccess=true&role=tab
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869413348563484672
score 15.301603

Similares en LA Referencia