The Importance of Identifying Patient and Hospital Characteristics that Influence Incidence of Adverse Events in Acute Hospitals

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

To analyse the variation in the rate of AEs between acute hospitals and explore the extent to which some patients and hospital characteristics influence the differences in the rates of AEs. Methods - Retrospective cohort study. Binary logistic regression models were used to identify the potential association of some patients and hospital characteristics with AEs. A random sample of 4,250 charts, representative of around 180,000 hospital admissions, from 9 acute Portuguese public hospital centres in 2013, was analysed. Results – Main results: (i) AE incidence was 12.5%; (ii) 66.4% of all AEs were related to HAI and surgical procedures; (iii) patient characteristics such as sex, age, admission coded as elective vs urgent and medical vs surgical DRG code, all with p < 0.001, were associated with a greater occurrence of AEs – CCI seems to influence the difference in the rates of AEs; (iv) hospital characteristics such as use of reporting system, being accredited, university status and hospital size, all with p < 0.001, seem to be associated with a higher rate of AEs. We identified some patient and hospital characteristics that might influence the rate of AEs. Based on these results, more adequate solutions to improve patient safety can be defined.

Original languageEnglish
Title of host publicationProceedings of the 20th Congress of the International Ergonomics Association (IEA 2018)
Subtitle of host publicationSafety and Health, Slips, Trips and Falls
EditorsYushi Fujita, Sebastiano Bagnara, Thomas Alexander, Riccardo Tartaglia, Sara Albolino
Place of PublicationBasel
PublisherSpringer Verlag
Pages119-123
Number of pages5
VolumeII
ISBN (Print)978-3-319-96088-3
DOIs
Publication statusPublished - 1 Jan 2019
Event20th Congress of the International Ergonomics Association, IEA 2018 - Florence, Italy
Duration: 26 Aug 201830 Aug 2018

Publication series

NameAdvances in Intelligent Systems and Computing
Volume819
ISSN (Print)2194-5357

Conference

Conference20th Congress of the International Ergonomics Association, IEA 2018
CountryItaly
CityFlorence
Period26/08/1830/08/18

Keywords

  • Adverse events
  • Epidemiologic studies
  • Patient safety

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  • Cite this

    Sousa, P., Sousa-Uva, A., Serranheira, F., Sousa-Uva, M., & Nunes, C. (2019). The Importance of Identifying Patient and Hospital Characteristics that Influence Incidence of Adverse Events in Acute Hospitals. In Y. Fujita, S. Bagnara, T. Alexander, R. Tartaglia, & S. Albolino (Eds.), Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018): Safety and Health, Slips, Trips and Falls (Vol. II, pp. 119-123). (Advances in Intelligent Systems and Computing; Vol. 819). Springer Verlag. https://doi.org/10.1007/978-3-319-96089-0_12