Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Paulo SousaCarla Nunes

Abstract

To analyse the variation in the rate of adverse events (AEs) between acute hospitals and explore the extent to which some patients and hospital characteristics influence the differences in the rates of AEs. Retrospective cohort study. Chi-square test for independence and binary logistic regression models were used to identify the potential association of some patients and hospital characteristics with AEs. Nine acute Portuguese public hospital centres. A random sample of 4250 charts, representative of around 180 000 hospital admissions in 2013, was analysed. To measure adverse events based on chart review. Rate of AEs. Main results: (i) AE incidence was 12.5%; (ii) 66.4% of all AEs were related to Hospital-Acquired Infection and surgical procedures; (iii) patient characteristics such as sex (female 11%; male 14.4%), age (≥65 y 16.4%; <65 y 8.5%), admission coded as elective vs. urgent (8.6% vs. 14.6%) and medical vs. surgical Diagnosis Related Group code (13.4% vs. 11.7%), all with p < 0.001, were associated with a greater occurrence of AEs. (iv) hospital characteristics such as use of reporting system (13.2% vs. 7.1%), being accredited (13.7% vs. non-accredited 11.2%), university status (15.9% vs. non-university 10.9%) and hos...Continue Reading

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Citations

Feb 8, 2020·Journal of Nursing Care Quality·Heather KiddLucia Gillman
Jul 23, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Sukyeong KimSang-Il Lee
Mar 6, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Chih-Wei HuangYu-Chuan Jack Li
Mar 19, 2020·Cadernos de saúde pública·Mavilde VitorinoPaulo Sousa
Apr 11, 2020·International Journal of Environmental Research and Public Health·Verónica Aranaz OstárizJesús María Aranaz Andrés
Apr 2, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·José Joaquín MiraPaulo Sousa
Mar 3, 2020·Nurse Education Today·Kerry Reid-SearlKaren Rawlings-Anderson
May 21, 2020·Journal of Patient Safety·Michael ReaumePeter Tanuseputro

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