Medical errors in hospitalized pediatric trauma patients with chronic health conditions

SAGE Open Medicine
Xiaotong LiuHuiyun Xiang

Abstract

This study compares medical errors in pediatric trauma patients with and without chronic conditions. The 2009 Kids' Inpatient Database, which included 123,303 trauma discharges, was analyzed. Medical errors were identified by International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes. The medical error rates per 100 discharges and per 1000 hospital days were calculated and compared between inpatients with and without chronic conditions. Pediatric trauma patients with chronic conditions experienced a higher medical error rate compared with patients without chronic conditions: 4.04 (95% confidence interval: 3.75-4.33) versus 1.07 (95% confidence interval: 0.98-1.16) per 100 discharges. The rate of medical error differed by type of chronic condition. After controlling for confounding factors, the presence of a chronic condition increased the adjusted odds ratio of medical error by 37% if one chronic condition existed (adjusted odds ratio: 1.37, 95% confidence interval: 1.21-1.5), and 69% if more than one chronic condition existed (adjusted odds ratio: 1.69, 95% confidence interval: 1.48-1.53). In the adjusted model, length of stay had the strongest association with medical error, but the adjust...Continue Reading

References

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Citations

Jul 18, 2021·The Journal of Surgical Research·Sarah C StokesErin G Brown
Jul 15, 2018·Pediatrics·David C StockwellUNKNOWN GAPPS Study Group

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