Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals
This study estimates excess cost and length of stay associated with voluntary patient safety event reports at 3 hospitals. Voluntary patient safety event reporting has proliferated in hospitals in recent years, yet little is known about the cost of events captured by this type of system. Events capt...
Gespeichert in:
Veröffentlicht in: | American journal of medical quality 2009-01, Vol.24 (1), p.53-60 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 60 |
---|---|
container_issue | 1 |
container_start_page | 53 |
container_title | American journal of medical quality |
container_volume | 24 |
creator | Paradis, Andrew R. Stewart, Valerie T. Bayley, K. Bruce Brown, Allen Bennett, Andrew J. |
description | This study estimates excess cost and length of stay associated with voluntary patient safety event reports at 3 hospitals. Voluntary patient safety event reporting has proliferated in hospitals in recent years, yet little is known about the cost of events captured by this type of system. Events captured in an electronic reporting system at 3 urban community hospitals in Portland, Oregon, are evaluated. Cost and length of stay are assessed by linking event reports to risk-adjusted administrative data. Hospital stays with an event report are 17% more costly and 22% longer than stays without events. Medication and treatment errors are the most expensive and most common events, representing 77% of all event types and 77% of added costs. Ninety percent of events result in no measurable harm. Patient safety events captured by voluntary event reporting reflect significant waste and inefficiency in hospital stays. (Am J Med Qual 2009: 24:53-60) |
doi_str_mv | 10.1177/1062860608327610 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66812127</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1062860608327610</sage_id><sourcerecordid>66812127</sourcerecordid><originalsourceid>FETCH-LOGICAL-c335t-6aab5652b268806f2bd309c41edb45c12c39ea4f8c3c21566316a38b2f40cddc3</originalsourceid><addsrcrecordid>eNp1UElLw0AYHUSxdbl7kjl5i86eybGUaoWCYt1uYTKZ1JQ0U_NNxP57p7QgCJ6-5S3wHkIXlFxTmqY3lCimFVFEc5YqSg7QkEopE83E-2HcI5xs8QE6AVgSwqQU9BgNaEZ5JpQYomLybR0AHnsI2LQlnrl2ET6wr_A8mA0eAXhbm-BK_FbH_6tv-jaYboMfTahdG_DcVC5s8ORrezy5te8C4LrFUw_rOpgGztBRFYc7389T9HI7eR5Pk9nD3f14NEss5zIkyphCKskKprQmqmJFyUlmBXVlIaSlzPLMGVFpyy2jUilOleG6YJUgtiwtP0VXO9915z97ByFf1WBd05jW-R5ypTRllKWRSHZE23mAzlX5uqtXMVNOSb7tNf_ba5Rc7r37YuXKX8G-yEhIdgQwC5cvfd-1Mev_hj_5eH_P</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>66812127</pqid></control><display><type>article</type><title>Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals</title><source>Access via SAGE</source><source>MEDLINE</source><creator>Paradis, Andrew R. ; Stewart, Valerie T. ; Bayley, K. Bruce ; Brown, Allen ; Bennett, Andrew J.</creator><creatorcontrib>Paradis, Andrew R. ; Stewart, Valerie T. ; Bayley, K. Bruce ; Brown, Allen ; Bennett, Andrew J.</creatorcontrib><description>This study estimates excess cost and length of stay associated with voluntary patient safety event reports at 3 hospitals. Voluntary patient safety event reporting has proliferated in hospitals in recent years, yet little is known about the cost of events captured by this type of system. Events captured in an electronic reporting system at 3 urban community hospitals in Portland, Oregon, are evaluated. Cost and length of stay are assessed by linking event reports to risk-adjusted administrative data. Hospital stays with an event report are 17% more costly and 22% longer than stays without events. Medication and treatment errors are the most expensive and most common events, representing 77% of all event types and 77% of added costs. Ninety percent of events result in no measurable harm. Patient safety events captured by voluntary event reporting reflect significant waste and inefficiency in hospital stays. (Am J Med Qual 2009: 24:53-60)</description><identifier>ISSN: 1062-8606</identifier><identifier>EISSN: 1555-824X</identifier><identifier>DOI: 10.1177/1062860608327610</identifier><identifier>PMID: 19139464</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Costs and Cost Analysis ; Hospitals ; Humans ; Length of Stay ; Medical Errors - economics ; Medication Errors - economics ; Oregon ; Risk Management - methods ; Safety Management</subject><ispartof>American journal of medical quality, 2009-01, Vol.24 (1), p.53-60</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c335t-6aab5652b268806f2bd309c41edb45c12c39ea4f8c3c21566316a38b2f40cddc3</citedby><cites>FETCH-LOGICAL-c335t-6aab5652b268806f2bd309c41edb45c12c39ea4f8c3c21566316a38b2f40cddc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1062860608327610$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1062860608327610$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,782,786,21828,27933,27934,43630,43631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19139464$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paradis, Andrew R.</creatorcontrib><creatorcontrib>Stewart, Valerie T.</creatorcontrib><creatorcontrib>Bayley, K. Bruce</creatorcontrib><creatorcontrib>Brown, Allen</creatorcontrib><creatorcontrib>Bennett, Andrew J.</creatorcontrib><title>Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals</title><title>American journal of medical quality</title><addtitle>Am J Med Qual</addtitle><description>This study estimates excess cost and length of stay associated with voluntary patient safety event reports at 3 hospitals. Voluntary patient safety event reporting has proliferated in hospitals in recent years, yet little is known about the cost of events captured by this type of system. Events captured in an electronic reporting system at 3 urban community hospitals in Portland, Oregon, are evaluated. Cost and length of stay are assessed by linking event reports to risk-adjusted administrative data. Hospital stays with an event report are 17% more costly and 22% longer than stays without events. Medication and treatment errors are the most expensive and most common events, representing 77% of all event types and 77% of added costs. Ninety percent of events result in no measurable harm. Patient safety events captured by voluntary event reporting reflect significant waste and inefficiency in hospital stays. (Am J Med Qual 2009: 24:53-60)</description><subject>Costs and Cost Analysis</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Medical Errors - economics</subject><subject>Medication Errors - economics</subject><subject>Oregon</subject><subject>Risk Management - methods</subject><subject>Safety Management</subject><issn>1062-8606</issn><issn>1555-824X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UElLw0AYHUSxdbl7kjl5i86eybGUaoWCYt1uYTKZ1JQ0U_NNxP57p7QgCJ6-5S3wHkIXlFxTmqY3lCimFVFEc5YqSg7QkEopE83E-2HcI5xs8QE6AVgSwqQU9BgNaEZ5JpQYomLybR0AHnsI2LQlnrl2ET6wr_A8mA0eAXhbm-BK_FbH_6tv-jaYboMfTahdG_DcVC5s8ORrezy5te8C4LrFUw_rOpgGztBRFYc7389T9HI7eR5Pk9nD3f14NEss5zIkyphCKskKprQmqmJFyUlmBXVlIaSlzPLMGVFpyy2jUilOleG6YJUgtiwtP0VXO9915z97ByFf1WBd05jW-R5ypTRllKWRSHZE23mAzlX5uqtXMVNOSb7tNf_ba5Rc7r37YuXKX8G-yEhIdgQwC5cvfd-1Mev_hj_5eH_P</recordid><startdate>200901</startdate><enddate>200901</enddate><creator>Paradis, Andrew R.</creator><creator>Stewart, Valerie T.</creator><creator>Bayley, K. Bruce</creator><creator>Brown, Allen</creator><creator>Bennett, Andrew J.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200901</creationdate><title>Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals</title><author>Paradis, Andrew R. ; Stewart, Valerie T. ; Bayley, K. Bruce ; Brown, Allen ; Bennett, Andrew J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c335t-6aab5652b268806f2bd309c41edb45c12c39ea4f8c3c21566316a38b2f40cddc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Costs and Cost Analysis</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Medical Errors - economics</topic><topic>Medication Errors - economics</topic><topic>Oregon</topic><topic>Risk Management - methods</topic><topic>Safety Management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paradis, Andrew R.</creatorcontrib><creatorcontrib>Stewart, Valerie T.</creatorcontrib><creatorcontrib>Bayley, K. Bruce</creatorcontrib><creatorcontrib>Brown, Allen</creatorcontrib><creatorcontrib>Bennett, Andrew J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of medical quality</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paradis, Andrew R.</au><au>Stewart, Valerie T.</au><au>Bayley, K. Bruce</au><au>Brown, Allen</au><au>Bennett, Andrew J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals</atitle><jtitle>American journal of medical quality</jtitle><addtitle>Am J Med Qual</addtitle><date>2009-01</date><risdate>2009</risdate><volume>24</volume><issue>1</issue><spage>53</spage><epage>60</epage><pages>53-60</pages><issn>1062-8606</issn><eissn>1555-824X</eissn><abstract>This study estimates excess cost and length of stay associated with voluntary patient safety event reports at 3 hospitals. Voluntary patient safety event reporting has proliferated in hospitals in recent years, yet little is known about the cost of events captured by this type of system. Events captured in an electronic reporting system at 3 urban community hospitals in Portland, Oregon, are evaluated. Cost and length of stay are assessed by linking event reports to risk-adjusted administrative data. Hospital stays with an event report are 17% more costly and 22% longer than stays without events. Medication and treatment errors are the most expensive and most common events, representing 77% of all event types and 77% of added costs. Ninety percent of events result in no measurable harm. Patient safety events captured by voluntary event reporting reflect significant waste and inefficiency in hospital stays. (Am J Med Qual 2009: 24:53-60)</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>19139464</pmid><doi>10.1177/1062860608327610</doi><tpages>8</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1062-8606 |
ispartof | American journal of medical quality, 2009-01, Vol.24 (1), p.53-60 |
issn | 1062-8606 1555-824X |
language | eng |
recordid | cdi_proquest_miscellaneous_66812127 |
source | Access via SAGE; MEDLINE |
subjects | Costs and Cost Analysis Hospitals Humans Length of Stay Medical Errors - economics Medication Errors - economics Oregon Risk Management - methods Safety Management |
title | Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-01T07%3A41%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Excess%20Cost%20and%20Length%20of%20Stay%20Associated%20With%20Voluntary%20Patient%20Safety%20Event%20Reports%20in%20Hospitals&rft.jtitle=American%20journal%20of%20medical%20quality&rft.au=Paradis,%20Andrew%20R.&rft.date=2009-01&rft.volume=24&rft.issue=1&rft.spage=53&rft.epage=60&rft.pages=53-60&rft.issn=1062-8606&rft.eissn=1555-824X&rft_id=info:doi/10.1177/1062860608327610&rft_dat=%3Cproquest_cross%3E66812127%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=66812127&rft_id=info:pmid/19139464&rft_sage_id=10.1177_1062860608327610&rfr_iscdi=true |