Measuring Hospital-Acquired Complications Associated With Low-Value Care

JAMA Internal Medicine
Tim Badgery-ParkerAdam G Elshaug

Abstract

Studies of low-value care have focused on the prevalence of low-value care interventions but have rarely quantified downstream consequences of these interventions for patients or the health care system. To measure immediate in-hospital harm associated with 7 low-value procedures. A cohort study with a descriptive analysis using hospital admission data from 225 public hospitals in New South Wales, Australia, was conducted from July 1, 2014, to June 30, 2017. All 9330 episodes involving 1 of 7 low-value procedures were evaluated, including endoscopy for dyspepsia in people younger than 55 years (3689 episodes); knee arthroscopy for osteoarthritis or meniscal tears (3963 episodes); colonoscopy for constipation in people younger than 50 years (665 episodes); endovascular repair of abdominal aortic aneurysm in asymptomatic, high-risk patients (508 episodes); carotid endarterectomy in asymptomatic, high-risk patients (273 episodes); renal artery angioplasty (176 episodes); and spinal fusion for uncomplicated low back pain (56 episodes). Sixteen hospital-acquired complications (HACs) were used as a measure of harm associated with low-value care. For each low-value procedure, the percentage associated with any HAC and the difference in...Continue Reading

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Citations

Aug 6, 2019·JAMA Internal Medicine·Tim Badgery-Parker, Adam G Elshaug
Aug 6, 2019·JAMA Internal Medicine·Thomas L Forbes
Sep 21, 2019·BMJ Quality & Safety·Ashwin GuptaNathan Houchens
Oct 22, 2019·Anesthesia and Analgesia·Solomon AronsonAllan D Kirk
Apr 9, 2020·Implementation Science : IS·Emma E SypesDaniel J Niven
Aug 17, 2020·BMC Health Services Research·Tim Badgery-ParkerAdam G Elshaug
Aug 10, 2019·Intensive Care Medicine·Henry T StelfoxDaniel J Niven
Oct 18, 2020·Social Science & Medicine·Martin HensherAndrew Palmer
May 10, 2020·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Erika L BakerRana Alissa
Mar 25, 2021·BMJ : British Medical Journal·Shannon M Brownlee, Deborah Korenstein
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Feb 16, 2021·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Elwin ThamScott W Cowan
Jul 19, 2021·The Medical Journal of Australia·Ian A ScottMelissa Fox
Jul 23, 2021·Ophthalmology·Mark P BreazzanoUNKNOWN American Academy of Ophthalmology
May 20, 2021·Journal of Patient Safety·José Joaquín MiraUNKNOWN on behalf the SOBRINA Research Team
Jan 1, 2022·The Medical Journal of Australia·Graeme J DukeJohn D Santamaria

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