In-Hospital Patient Safety Events, Healthcare Costs and Utilization: An Analysis from the Incident Reporting System in an Academic Medical Center
The possible association of patient safety events (PSEs) with the costs and utilization remains a concern. In this retrospective analysis, we investigated adult hospitalizations at a medical center between 2010 and 2015 with or without reported PSEs. Administrative and claims data were analyzed to c...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-10-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/8/4/388 |
| _version_ | 1797551658677305344 |
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| author | Yao-Wen Kuo Jih-Shuin Jerng Chia-Kuei Lin Hsiao-Fang Huang Li-Chin Chen Yu-Tzu Li Szu-Fen Huang Kuan-Yu Hung |
| author_facet | Yao-Wen Kuo Jih-Shuin Jerng Chia-Kuei Lin Hsiao-Fang Huang Li-Chin Chen Yu-Tzu Li Szu-Fen Huang Kuan-Yu Hung |
| author_sort | Yao-Wen Kuo |
| collection | DOAJ |
| description | The possible association of patient safety events (PSEs) with the costs and utilization remains a concern. In this retrospective analysis, we investigated adult hospitalizations at a medical center between 2010 and 2015 with or without reported PSEs. Administrative and claims data were analyzed to compare the costs and length of stay (LOS) between cases with and without PSEs of the three most common categories during the first 14 days of hospitalization. Two models, including linear regression and propensity score-matched comparison, were performed for each reference day group of hospitalizations. Of 14,181 PSEs from 424,635 hospitalizations, 69.8% were near miss or no-harm events. Costs and LOS were similar between fall cases and controls in all of the 14 reference days. In contrast, for cases of tube and line events and controls, there were consistent differences in costs and LOS in the majority of the reference days (86% and 57%, respectively). Consistent differences were less frequently seen for medication events and control events (36% and 43%, respectively). Our study approach of comparing cases with PSEs and those without any PSE showed significant differences in costs and LOS for tube and line events, and medication events. No difference in cost or LOS was found regarding fall events. Further studies exploring adjustments for event risks and harm-oriented analysis are warranted. |
| first_indexed | 2024-03-10T15:48:14Z |
| format | Article |
| id | doaj.art-d9dfdd63383143ada4bbb70ffa33cf11 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T15:48:14Z |
| publishDate | 2020-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-d9dfdd63383143ada4bbb70ffa33cf112023-11-20T16:17:59ZengMDPI AGHealthcare2227-90322020-10-018438810.3390/healthcare8040388In-Hospital Patient Safety Events, Healthcare Costs and Utilization: An Analysis from the Incident Reporting System in an Academic Medical CenterYao-Wen Kuo0Jih-Shuin Jerng1Chia-Kuei Lin2Hsiao-Fang Huang3Li-Chin Chen4Yu-Tzu Li5Szu-Fen Huang6Kuan-Yu Hung7Department of Integrated Diagnostics & Therapeutics, National Taiwan University Hospital, Taipei 10002, TaiwanDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 10002, TaiwanCenter for Quality Management, National Taiwan University Hospital, Taipei 10002, TaiwanCenter for Quality Management, National Taiwan University Hospital, Taipei 10002, TaiwanCenter for Quality Management, National Taiwan University Hospital, Taipei 10002, TaiwanCenter for Quality Management, National Taiwan University Hospital, Taipei 10002, TaiwanCenter for Quality Management, National Taiwan University Hospital, Taipei 10002, TaiwanDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 10002, TaiwanThe possible association of patient safety events (PSEs) with the costs and utilization remains a concern. In this retrospective analysis, we investigated adult hospitalizations at a medical center between 2010 and 2015 with or without reported PSEs. Administrative and claims data were analyzed to compare the costs and length of stay (LOS) between cases with and without PSEs of the three most common categories during the first 14 days of hospitalization. Two models, including linear regression and propensity score-matched comparison, were performed for each reference day group of hospitalizations. Of 14,181 PSEs from 424,635 hospitalizations, 69.8% were near miss or no-harm events. Costs and LOS were similar between fall cases and controls in all of the 14 reference days. In contrast, for cases of tube and line events and controls, there were consistent differences in costs and LOS in the majority of the reference days (86% and 57%, respectively). Consistent differences were less frequently seen for medication events and control events (36% and 43%, respectively). Our study approach of comparing cases with PSEs and those without any PSE showed significant differences in costs and LOS for tube and line events, and medication events. No difference in cost or LOS was found regarding fall events. Further studies exploring adjustments for event risks and harm-oriented analysis are warranted.https://www.mdpi.com/2227-9032/8/4/388patient safety eventsincident reportinghealthcare costutilization |
| spellingShingle | Yao-Wen Kuo Jih-Shuin Jerng Chia-Kuei Lin Hsiao-Fang Huang Li-Chin Chen Yu-Tzu Li Szu-Fen Huang Kuan-Yu Hung In-Hospital Patient Safety Events, Healthcare Costs and Utilization: An Analysis from the Incident Reporting System in an Academic Medical Center Healthcare patient safety events incident reporting healthcare cost utilization |
| title | In-Hospital Patient Safety Events, Healthcare Costs and Utilization: An Analysis from the Incident Reporting System in an Academic Medical Center |
| title_full | In-Hospital Patient Safety Events, Healthcare Costs and Utilization: An Analysis from the Incident Reporting System in an Academic Medical Center |
| title_fullStr | In-Hospital Patient Safety Events, Healthcare Costs and Utilization: An Analysis from the Incident Reporting System in an Academic Medical Center |
| title_full_unstemmed | In-Hospital Patient Safety Events, Healthcare Costs and Utilization: An Analysis from the Incident Reporting System in an Academic Medical Center |
| title_short | In-Hospital Patient Safety Events, Healthcare Costs and Utilization: An Analysis from the Incident Reporting System in an Academic Medical Center |
| title_sort | in hospital patient safety events healthcare costs and utilization an analysis from the incident reporting system in an academic medical center |
| topic | patient safety events incident reporting healthcare cost utilization |
| url | https://www.mdpi.com/2227-9032/8/4/388 |
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