Adverse Events in Hospitalized Pediatric Patients

Pediatrics
David StockwellGAPPS Study Group

Abstract

: media-1vid110.1542/5789657761001PEDS-VA_2017-3360Video Abstract BACKGROUND: Patient safety concerns over the past 2 decades have prompted widespread efforts to reduce adverse events (AEs). It is unclear whether these efforts have resulted in reductions in hospital-wide AE rates. We used a validated safety surveillance tool, the Global Assessment of Pediatric Patient Safety, to measure temporal trends (2007-2012) in AE rates among hospitalized children. We conducted a retrospective surveillance study of randomly selected pediatric inpatient records from 16 teaching and nonteaching hospitals. We constructed Poisson regression models with hospital random intercepts, controlling for patient age, sex, insurance, and chronic conditions, to estimate changes in AE rates over time. Examining 3790 records, reviewers identified 414 AEs (19.1 AEs per 1000 patient days; 95% confidence interval [CI] 17.2-20.9) and 210 preventable AEs (9.5 AEs per 1000 patient days; 95% CI 8.2-10.8). On average, teaching hospitals had higher AE rates than nonteaching hospitals (26.2 [95% CI 23.7-29.0] vs 5.1 [95% CI 3.7-7.1] AEs per 1000 patient days, P < .001). Chronically ill children had higher AE rates than patients without chronic conditions (33.9 [95%...Continue Reading

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Citations

Dec 5, 2018·Hospital Pediatrics·Elizabeth Eby HalvorsonEric S Kirkendall
Dec 5, 2018·Hospital Pediatrics·David C StockwellUNKNOWN GAPPS Study Group
Sep 29, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Laurel MimmoReema Harrison
Apr 8, 2020·Hospital Pediatrics·Karen B LasaterLinda H Aiken
Feb 26, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Christina L CifraLoreen A Herwaldt
May 30, 2020·Child: Care, Health and Development·Laurel MimmoReema Harrison
Jul 16, 2020·Revista gaúcha de enfermagem·Sheila Cristina da Silva FerrazMaria Elena Echevarría-Guanilo
Jun 1, 2019·Current Treatment Options in Pediatrics·Michael TeraoMaitreya Coffey
Oct 22, 2020·Revista da Escola de Enfermagem da U S P·Eliane Cristina Sanches MazieroElias Teixeira Krainski
Oct 20, 2020·JAMA Pediatrics·Alisa KhanUNKNOWN Patient and Family Centered I-PASS Health Literacy Subcommittee
Dec 21, 2020·Joint Commission Journal on Quality and Patient Safety·Yanjun ChenSteven W Lockley
Feb 27, 2021·Hospital Pediatrics·Monica D MattesJennifer L Rosenthal
Apr 10, 2021·European Journal of Pediatrics·Lise Beier HavdalChristopher Inchley
Apr 16, 2021·Joint Commission Journal on Quality and Patient Safety·Thomas BartmanRichard J Brilli
Sep 26, 2021·Developmental Medicine and Child Neurology·Laurel MimmoSusan Woolfenden
Jul 15, 2018·Pediatrics·Ricardo A Quinonez, Alan R Schroeder
Oct 7, 2021·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Priya N JainMichael J Tchou
Feb 1, 2022·Journal of Applied Research in Intellectual Disabilities : JARID·Natalie OngMerrilyn Walton

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