Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare?

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
Nabil NatafgiMarcia M Ward

Abstract

The aim of the study was to examine whether Critical Access Hospitals (CAHs), the predominant type of hospital in small and isolated rural areas, perform better than, the same as, or worse than Prospective Payment System (PPS) hospitals on measures of quality. The Healthcare Cost and Utilization Project State Inpatient Databases and American Hospital Association annual survey data were used for analyses. A total of 35,674 discharges from 136 nonfederal general hospitals with fewer than 50 beds were included in the analyses: 14,296 from 100 CAHs and 21,378 from 36 PPS hospitals. Outcome measures included 6 bivariate indicators of adverse events (including complications) of surgical care developed from the Agency for Healthcare Research and Quality's Patient Safety Indicators. Multiple logistic regression models were developed to examine the relationship between hospital adverse events and CAH status. Compared with PPS hospitals, CAHs are significantly less likely to have any observed (unadjusted) adverse event on 4 of the 6 indicators. After adjusting for patient mix and hospital characteristics, CAHs perform better on 3 of the 6 indicators. Accounting for the number of discharges eliminated the differences between CAHs and PPS ...Continue Reading

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Citations

Sep 30, 2016·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Paula A M WeigelMarcia M Ward
Feb 28, 2020·Future Healthcare Journal·Louella Vaughan, Nigel Edwards
Aug 25, 2020·Clinical Orthopaedics and Related Research·Azeem Tariq MalikCarmen E Quatman
Jan 20, 2021·The Journal of Surgical Research·Matthew D NealeighHolly S Meyer
Jan 2, 2018·Joint Commission Journal on Quality and Patient Safety·Kristy Kummerow BromanMargaret L Schwarze
May 15, 2021·Curēus·Nathanael N HoskinsTom Lindsey

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The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
Paula A M WeigelMarcia M Ward
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