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 | |
| State | Published - Feb 2008 |
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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
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
}
TY - JOUR
T1 - Using patient safety indicators to estimate the impact of potential adverse events on outcomes
AU - Rivard, Peter E.
AU - Luther, Stephen L.
AU - Christiansen, Cindy L.
AU - Zhao, Shibei
AU - Loveland, Susan
AU - Elixhauser, Anne
AU - Romano, Patrick S
AU - Rosen, Amy K.
PY - 2008/2
Y1 - 2008/2
N2 - 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.
AB - 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.
KW - Cost
KW - Mortality
KW - Outcomes
KW - Patient safety
KW - Patient safety indicators
UR - http://www.scopus.com/inward/record.url?scp=37849042039&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=37849042039&partnerID=8YFLogxK
U2 - 10.1177/1077558707309611
DO - 10.1177/1077558707309611
M3 - Article
C2 - 18184870
AN - SCOPUS:37849042039
VL - 65
SP - 67
EP - 87
JO - Medical Care Research and Review
JF - Medical Care Research and Review
SN - 1077-5587
IS - 1
ER -