Using patient safety indicators to estimate the impact of potential adverse events on outcomes

Peter E. Rivard; Stephen L. Luther; Cindy L. Christiansen; Shibei Zhao; Susan Loveland; Anne Elixhauser; Patrick S Romano; Amy K. Rosen

doi:10.1177/1077558707309611

Using patient safety indicators to estimate the impact of potential adverse events on outcomes

Peter E. Rivard, Stephen L. Luther, Cindy L. Christiansen, Shibei Zhao, Susan Loveland, Anne Elixhauser, Patrick S Romano, Amy K. Rosen

General Medicine, Geriatrics, and Bioethics

Research output: Contribution to journal › Article › peer-review

68 Scopus citations

Abstract

The authors estimated the impact of potentially preventable patient safety events, identified by Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs), on patient outcomes: mortality, length of stay (LOS), and cost. The PSIs were applied to all acute inpatient hospitalizations at Veterans Health Administration (VA) facilities in fiscal 2001. Two methods - regression analysis and multivariable case matching - were used independently to control for patient and facility characteristics while predicting the effect of the PSI on each outcome. The authors found statistically significant (p <.0001) excess mortality, LOS, and cost in all groups with PSIs. The magnitude of the excess varied considerably across the PSIs. These VA findings are similar to those from a previously published study of nonfederal hospitals, despite differences between VA and non-VA systems. This study contributes to the literature measuring outcomes of medical errors and provides evidence that AHRQ PSIs may be useful indicators for comparison across delivery systems.

Original language	English (US)
Pages (from-to)	67-87
Number of pages	21
Journal	Medical Care Research and Review
Volume	65
Issue number	1
DOIs	https://doi.org/10.1177/1077558707309611
State	Published - Feb 2008

Keywords

Cost
Mortality
Outcomes
Patient safety
Patient safety indicators

ASJC Scopus subject areas

Nursing(all)
Health(social science)
Health Professions(all)
Health Policy

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Using patient safety indicators to estimate the impact of potential adverse events on outcomes. / Rivard, Peter E.; Luther, Stephen L.; Christiansen, Cindy L.; Zhao, Shibei; Loveland, Susan; Elixhauser, Anne; Romano, Patrick S; Rosen, Amy K.

In: Medical Care Research and Review, Vol. 65, No. 1, 02.2008, p. 67-87.

Research output: Contribution to journal › Article › peer-review

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Using patient safety indicators to estimate the impact of potential adverse events on outcomes

Abstract

Keywords

ASJC Scopus subject areas

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