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

Research output: Contribution to journalArticle

63 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)67-87
Number of pages21
JournalMedical Care Research and Review
Volume65
Issue number1
DOIs
StatePublished - Feb 2008

Fingerprint

Patient Safety
Veterans Health
event
United States Department of Veterans Affairs
Health Services Research
health
Length of Stay
Facility Regulation and Control
mortality
Costs and Cost Analysis
Medical Errors
Mortality
Health Facilities
costs
hospitalization
Inpatients
regression analysis
Hospitalization
Regression Analysis
Health

Keywords

  • Cost
  • Mortality
  • Outcomes
  • Patient safety
  • Patient safety indicators

ASJC Scopus subject areas

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

Cite this

Rivard, P. E., Luther, S. L., Christiansen, C. L., Zhao, S., Loveland, S., Elixhauser, A., ... Rosen, A. K. (2008). Using patient safety indicators to estimate the impact of potential adverse events on outcomes. Medical Care Research and Review, 65(1), 67-87. https://doi.org/10.1177/1077558707309611

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 journalArticle

Rivard, PE, Luther, SL, Christiansen, CL, Zhao, S, Loveland, S, Elixhauser, A, Romano, PS & Rosen, AK 2008, 'Using patient safety indicators to estimate the impact of potential adverse events on outcomes', Medical Care Research and Review, vol. 65, no. 1, pp. 67-87. https://doi.org/10.1177/1077558707309611
Rivard, Peter E. ; Luther, Stephen L. ; Christiansen, Cindy L. ; Zhao, Shibei ; Loveland, Susan ; Elixhauser, Anne ; Romano, Patrick S ; Rosen, Amy K. / Using patient safety indicators to estimate the impact of potential adverse events on outcomes. In: Medical Care Research and Review. 2008 ; Vol. 65, No. 1. pp. 67-87.
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