Relationship between Patient Safety and Hospital Surgical Volume
Objective To examine the relationship between hospital volume and in‐hospital adverse events. Data Sources Patient safety indicator (PSI) was used to identify hospital‐acquired adverse events in the Nationwide Inpatient Sample database in abdominal aortic aneurysm, coronary artery bypass graft, and...
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| Veröffentlicht in: | Health services research 2012-04, Vol.47 (2), p.756-769 |
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| creator | Hernandez-Boussard, Tina Downey, John R. McDonald, Kathryn Morton, John M. |
| description | Objective
To examine the relationship between hospital volume and in‐hospital adverse events.
Data Sources
Patient safety indicator (PSI) was used to identify hospital‐acquired adverse events in the Nationwide Inpatient Sample database in abdominal aortic aneurysm, coronary artery bypass graft, and Roux‐en‐Y gastric bypass from 2005 to 2008.
Study Design
In this observational study, volume thresholds were defined by mean year‐specific terciles. PSI risk‐adjusted rates were analyzed by volume tercile for each procedure.
Principal Findings
Overall, hospital volume was inversely related to preventable adverse events. High‐volume hospitals had significantly lower risk‐adjusted PSI rates compared to lower volume hospitals (p |
| doi_str_mv | 10.1111/j.1475-6773.2011.01310.x |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3419887</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A284552053</galeid><sourcerecordid>A284552053</sourcerecordid><originalsourceid>FETCH-LOGICAL-c8830-f867e743d3d07486f88535c87a03dc2e93dcdf76dd9adaf8b8d77d64d8f390493</originalsourceid><addsrcrecordid>eNqNk21v0zAQxyMEYmXwFVAEEg8SKXacxM4bxFRtLVK1oZand5YbX1KXNClxwtpvz6UtXYOqiURyLPt3_5zP_3Mcl5I-xef9ok8DHnoR56zvE0r7hDLcWz9weoeNh06PEMq9mPrBmfPE2gUhRDARPHbOfJ_ENIxoz_k4gVzVpizs3KzcGdS3AIX7GZegqN2pSqHeuKrQ7qi0K1Or3J02VWYSnHwr82YJT51HqcotPNt_z52vV5dfBiNvfDP8NLgYe4kQjHipiDjwgGmmCQ9ElAoRsjARXBGmEx9iHHXKI61jpVUqZkJzrqNAi5TFJIjZufNhp7tqZkvQCaZXqVyuKrNU1UaWysjuTmHmMit_SxbQWAiOAq_3AlX5qwFby6WxCeS5KqBsrIx9LhgNA4bkm3tJSqhgPIopRfTFP-iibKoCC4F6EcczblN_uYMylYM0RVpigkmrKS98EYShT8L2r94JKoMC8DRlAanB5Q7fP8Hjq2FpkpMBbzsByNSwrjPVWCvFcHxfMns2KfMcMpB4s4ObLv_qiJ-Dyuu5RX9sndUF3x2Bs8aaAiwO1mTz2u5y6eBihydVaW0F6eHCKZFtK8iFbB0vW8fLthXkthXkGkOfHxvmEPjX-3eOusVCbf5bWI4up5N2elckY7E4BwFV_cQohrHfr4dywvxrMr36IafsD3JBITs</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>926785349</pqid></control><display><type>article</type><title>Relationship between Patient Safety and Hospital Surgical Volume</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Hernandez-Boussard, Tina ; Downey, John R. ; McDonald, Kathryn ; Morton, John M.</creator><creatorcontrib>Hernandez-Boussard, Tina ; Downey, John R. ; McDonald, Kathryn ; Morton, John M.</creatorcontrib><description>Objective
To examine the relationship between hospital volume and in‐hospital adverse events.
Data Sources
Patient safety indicator (PSI) was used to identify hospital‐acquired adverse events in the Nationwide Inpatient Sample database in abdominal aortic aneurysm, coronary artery bypass graft, and Roux‐en‐Y gastric bypass from 2005 to 2008.
Study Design
In this observational study, volume thresholds were defined by mean year‐specific terciles. PSI risk‐adjusted rates were analyzed by volume tercile for each procedure.
Principal Findings
Overall, hospital volume was inversely related to preventable adverse events. High‐volume hospitals had significantly lower risk‐adjusted PSI rates compared to lower volume hospitals (p < .05).
Conclusion
These data support the relationship between hospital volume and quality health care delivery in select surgical cases. This study highlights differences between hospital volume and risk‐adjusted PSI rates for three common surgical procedures and highlights areas of focus for future studies to identify pathways to reduce hospital‐acquired events.</description><identifier>ISSN: 0017-9124</identifier><identifier>EISSN: 1475-6773</identifier><identifier>DOI: 10.1111/j.1475-6773.2011.01310.x</identifier><identifier>PMID: 22091561</identifier><identifier>CODEN: HESEA5</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; adverse events ; Aged ; Analysis ; Aneurysm ; Aneurysms ; Aortic Aneurysm, Abdominal - complications ; Aortic Aneurysm, Abdominal - surgery ; Bariatric surgery ; Care and treatment ; Clinical outcomes ; Complications and side effects ; Coronary Artery Bypass - adverse effects ; Coronary Artery Bypass - statistics & numerical data ; Coronary artery bypass surgery ; Critical incidents ; Female ; Gastric Bypass - adverse effects ; Gastric Bypass - statistics & numerical data ; Health care delivery ; Health Facility Size - statistics & numerical data ; hospital surgical volume ; Hospitals ; Humans ; Male ; Medical care ; Medical care quality ; Middle Aged ; Obesity ; Patient care ; Patient safety ; Patient Safety - statistics & numerical data ; Patient safety indicators ; Patients ; Quality management ; Quality of care ; Research Briefs ; Retrospective Studies ; Risk adjustment ; Risk Factors ; Safety measures ; Statistics, Nonparametric ; Studies ; Surgery ; Surgery Department, Hospital - standards ; Surgery Department, Hospital - statistics & numerical data ; United States</subject><ispartof>Health services research, 2012-04, Vol.47 (2), p.756-769</ispartof><rights>Health Research and Educational Trust</rights><rights>Health Research and Educational Trust.</rights><rights>COPYRIGHT 2012 Health Research and Educational Trust</rights><rights>COPYRIGHT 2012 Health Research and Educational Trust</rights><rights>Health Research and Education Trust</rights><rights>Health Research and Education Trust 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c8830-f867e743d3d07486f88535c87a03dc2e93dcdf76dd9adaf8b8d77d64d8f390493</citedby><cites>FETCH-LOGICAL-c8830-f867e743d3d07486f88535c87a03dc2e93dcdf76dd9adaf8b8d77d64d8f390493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3419887/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3419887/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,27924,27925,30999,31000,45574,45575,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22091561$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hernandez-Boussard, Tina</creatorcontrib><creatorcontrib>Downey, John R.</creatorcontrib><creatorcontrib>McDonald, Kathryn</creatorcontrib><creatorcontrib>Morton, John M.</creatorcontrib><title>Relationship between Patient Safety and Hospital Surgical Volume</title><title>Health services research</title><addtitle>Health Serv. Res</addtitle><description>Objective
To examine the relationship between hospital volume and in‐hospital adverse events.
Data Sources
Patient safety indicator (PSI) was used to identify hospital‐acquired adverse events in the Nationwide Inpatient Sample database in abdominal aortic aneurysm, coronary artery bypass graft, and Roux‐en‐Y gastric bypass from 2005 to 2008.
Study Design
In this observational study, volume thresholds were defined by mean year‐specific terciles. PSI risk‐adjusted rates were analyzed by volume tercile for each procedure.
Principal Findings
Overall, hospital volume was inversely related to preventable adverse events. High‐volume hospitals had significantly lower risk‐adjusted PSI rates compared to lower volume hospitals (p < .05).
Conclusion
These data support the relationship between hospital volume and quality health care delivery in select surgical cases. This study highlights differences between hospital volume and risk‐adjusted PSI rates for three common surgical procedures and highlights areas of focus for future studies to identify pathways to reduce hospital‐acquired events.</description><subject>Adult</subject><subject>adverse events</subject><subject>Aged</subject><subject>Analysis</subject><subject>Aneurysm</subject><subject>Aneurysms</subject><subject>Aortic Aneurysm, Abdominal - complications</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Bariatric surgery</subject><subject>Care and treatment</subject><subject>Clinical outcomes</subject><subject>Complications and side effects</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Coronary Artery Bypass - statistics & numerical data</subject><subject>Coronary artery bypass surgery</subject><subject>Critical incidents</subject><subject>Female</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastric Bypass - statistics & numerical data</subject><subject>Health care delivery</subject><subject>Health Facility Size - statistics & numerical data</subject><subject>hospital surgical volume</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medical care</subject><subject>Medical care quality</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Patient care</subject><subject>Patient safety</subject><subject>Patient Safety - statistics & numerical data</subject><subject>Patient safety indicators</subject><subject>Patients</subject><subject>Quality management</subject><subject>Quality of care</subject><subject>Research Briefs</subject><subject>Retrospective Studies</subject><subject>Risk adjustment</subject><subject>Risk Factors</subject><subject>Safety measures</subject><subject>Statistics, Nonparametric</subject><subject>Studies</subject><subject>Surgery</subject><subject>Surgery Department, Hospital - standards</subject><subject>Surgery Department, Hospital - statistics & numerical data</subject><subject>United States</subject><issn>0017-9124</issn><issn>1475-6773</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>N95</sourceid><sourceid>7QJ</sourceid><recordid>eNqNk21v0zAQxyMEYmXwFVAEEg8SKXacxM4bxFRtLVK1oZand5YbX1KXNClxwtpvz6UtXYOqiURyLPt3_5zP_3Mcl5I-xef9ok8DHnoR56zvE0r7hDLcWz9weoeNh06PEMq9mPrBmfPE2gUhRDARPHbOfJ_ENIxoz_k4gVzVpizs3KzcGdS3AIX7GZegqN2pSqHeuKrQ7qi0K1Or3J02VWYSnHwr82YJT51HqcotPNt_z52vV5dfBiNvfDP8NLgYe4kQjHipiDjwgGmmCQ9ElAoRsjARXBGmEx9iHHXKI61jpVUqZkJzrqNAi5TFJIjZufNhp7tqZkvQCaZXqVyuKrNU1UaWysjuTmHmMit_SxbQWAiOAq_3AlX5qwFby6WxCeS5KqBsrIx9LhgNA4bkm3tJSqhgPIopRfTFP-iibKoCC4F6EcczblN_uYMylYM0RVpigkmrKS98EYShT8L2r94JKoMC8DRlAanB5Q7fP8Hjq2FpkpMBbzsByNSwrjPVWCvFcHxfMns2KfMcMpB4s4ObLv_qiJ-Dyuu5RX9sndUF3x2Bs8aaAiwO1mTz2u5y6eBihydVaW0F6eHCKZFtK8iFbB0vW8fLthXkthXkGkOfHxvmEPjX-3eOusVCbf5bWI4up5N2elckY7E4BwFV_cQohrHfr4dywvxrMr36IafsD3JBITs</recordid><startdate>201204</startdate><enddate>201204</enddate><creator>Hernandez-Boussard, Tina</creator><creator>Downey, John R.</creator><creator>McDonald, Kathryn</creator><creator>Morton, John M.</creator><general>Blackwell Publishing Ltd</general><general>Health Research and Educational Trust</general><general>Blackwell Science Inc</general><scope>BSCLL</scope><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>N95</scope><scope>XI7</scope><scope>8GL</scope><scope>7QJ</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201204</creationdate><title>Relationship between Patient Safety and Hospital Surgical Volume</title><author>Hernandez-Boussard, Tina ; Downey, John R. ; McDonald, Kathryn ; Morton, John M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c8830-f867e743d3d07486f88535c87a03dc2e93dcdf76dd9adaf8b8d77d64d8f390493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>adverse events</topic><topic>Aged</topic><topic>Analysis</topic><topic>Aneurysm</topic><topic>Aneurysms</topic><topic>Aortic Aneurysm, Abdominal - complications</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Bariatric surgery</topic><topic>Care and treatment</topic><topic>Clinical outcomes</topic><topic>Complications and side effects</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Coronary Artery Bypass - statistics & numerical data</topic><topic>Coronary artery bypass surgery</topic><topic>Critical incidents</topic><topic>Female</topic><topic>Gastric Bypass - adverse effects</topic><topic>Gastric Bypass - statistics & numerical data</topic><topic>Health care delivery</topic><topic>Health Facility Size - statistics & numerical data</topic><topic>hospital surgical volume</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medical care</topic><topic>Medical care quality</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Patient care</topic><topic>Patient safety</topic><topic>Patient Safety - statistics & numerical data</topic><topic>Patient safety indicators</topic><topic>Patients</topic><topic>Quality management</topic><topic>Quality of care</topic><topic>Research Briefs</topic><topic>Retrospective Studies</topic><topic>Risk adjustment</topic><topic>Risk Factors</topic><topic>Safety measures</topic><topic>Statistics, Nonparametric</topic><topic>Studies</topic><topic>Surgery</topic><topic>Surgery Department, Hospital - standards</topic><topic>Surgery Department, Hospital - statistics & numerical data</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hernandez-Boussard, Tina</creatorcontrib><creatorcontrib>Downey, John R.</creatorcontrib><creatorcontrib>McDonald, Kathryn</creatorcontrib><creatorcontrib>Morton, John M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Business: Insights</collection><collection>Business Insights: Essentials</collection><collection>Gale In Context: High School</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hernandez-Boussard, Tina</au><au>Downey, John R.</au><au>McDonald, Kathryn</au><au>Morton, John M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between Patient Safety and Hospital Surgical Volume</atitle><jtitle>Health services research</jtitle><addtitle>Health Serv. Res</addtitle><date>2012-04</date><risdate>2012</risdate><volume>47</volume><issue>2</issue><spage>756</spage><epage>769</epage><pages>756-769</pages><issn>0017-9124</issn><eissn>1475-6773</eissn><coden>HESEA5</coden><abstract>Objective
To examine the relationship between hospital volume and in‐hospital adverse events.
Data Sources
Patient safety indicator (PSI) was used to identify hospital‐acquired adverse events in the Nationwide Inpatient Sample database in abdominal aortic aneurysm, coronary artery bypass graft, and Roux‐en‐Y gastric bypass from 2005 to 2008.
Study Design
In this observational study, volume thresholds were defined by mean year‐specific terciles. PSI risk‐adjusted rates were analyzed by volume tercile for each procedure.
Principal Findings
Overall, hospital volume was inversely related to preventable adverse events. High‐volume hospitals had significantly lower risk‐adjusted PSI rates compared to lower volume hospitals (p < .05).
Conclusion
These data support the relationship between hospital volume and quality health care delivery in select surgical cases. This study highlights differences between hospital volume and risk‐adjusted PSI rates for three common surgical procedures and highlights areas of focus for future studies to identify pathways to reduce hospital‐acquired events.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>22091561</pmid><doi>10.1111/j.1475-6773.2011.01310.x</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Health services research, 2012-04, Vol.47 (2), p.756-769 |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA); EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult adverse events Aged Analysis Aneurysm Aneurysms Aortic Aneurysm, Abdominal - complications Aortic Aneurysm, Abdominal - surgery Bariatric surgery Care and treatment Clinical outcomes Complications and side effects Coronary Artery Bypass - adverse effects Coronary Artery Bypass - statistics & numerical data Coronary artery bypass surgery Critical incidents Female Gastric Bypass - adverse effects Gastric Bypass - statistics & numerical data Health care delivery Health Facility Size - statistics & numerical data hospital surgical volume Hospitals Humans Male Medical care Medical care quality Middle Aged Obesity Patient care Patient safety Patient Safety - statistics & numerical data Patient safety indicators Patients Quality management Quality of care Research Briefs Retrospective Studies Risk adjustment Risk Factors Safety measures Statistics, Nonparametric Studies Surgery Surgery Department, Hospital - standards Surgery Department, Hospital - statistics & numerical data United States |
| title | Relationship between Patient Safety and Hospital Surgical Volume |
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