Navigation Links
Medical safety innovation gets a boost from systematic analysis
Date:7/8/2013

PHILADELPHIA (July 8, 2013) If all medical errors were counted together as a single cause, they would likely rank as the third leading cause of death in the United States. As health care personnel race to improve the quality of their care to save lives and prevent unneeded harm, a new study indicates there is more they can do to learn about what errors are occurring and why.

Researchers from the Drexel University School of Public Health demonstrated a systematic analysis of hospital administrative data for patient safety at a population level, in a recent paper in the Journal of Healthcare Risk Management. They say that health care organizations have an untapped opportunity to use their own administrative data in this way as a "springboard to problem identification" at the leading edge of preventing even those medical errors that are not yet preventable.

"For example, a patient may receive a drug in the Emergency Department and develop an allergic reaction, but did not have any known allergies at the time of treatment," said Dr. Jennifer Taylor, an associate professor at Drexel who led the study. "While such events may not be deemed to be preventable now, we need to start tracking them so our research and development colleagues know what's next in the prevention pipeline."

Based on this premise, that preventing medical errors requires a good understanding of when and where all such errors, or so-called "patient safety events" occur including those that are nonfatal, those that are not yet preventable and even those that do not cause noticeable harm Taylor and colleagues analyzed large-scale data on hospital stays (recorded in discharge data) in Pennsylvania during one year. They compared hospital stays with and without patient safety events, to describe patterns, demographics and differences associated with such events.

They found that nine percent of the hospital discharges in Pennsylvania in 2006 were for stays with a patient safety event. On average, patients who experienced an adverse event were older, white and male; patient safety events added an average of $35,000 to the cost, and 3 days to the length, of a hospital stay.

"The percentage of discharges that had a patient safety event is in the range of other studies we've seen in the U.S. and around the world," said Taylor. "While this figure may be a bit startling, it is not a cause for alarm, in that many of the events that we found are adverse events for which there are no known prevention strategies," as in the example of the unexpected allergic reaction.

For their analysis, Taylor and co-authors used standard International Classification of Disease (ICD-9-CM) diagnosis codes that indicate each patient's primary and secondary diagnoses and causes of injury in hospital discharge data. These discharge data are typically used for billing, but are also used for some public health surveillance efforts such as reporting on communicable disease. The ICD-9-CM codes provided a population-level picture of many preventable and non-preventable adverse events. The researchers combined this data source with an algorithmic patient safety indicator developed by the Agency for Healthcare Research and Quality (AHRQ), which has been demonstrated as a useful indicator of specific adverse events for which known prevention strategies are available.

Taylor and colleagues point out that hospital discharge data sources such as these are easily accessible to administrators and safety personnel and can be a useful source of information for patient safety. By describing patient safety events at the population level, their method capitalizes on the consistent standardized information the discharge data provide, and could be used by any health care entity across the U.S. and the world that utilizes the ICD system for coding.

Nationwide, patient safety efforts and innovations in health care are already accelerating due to financial implications of the Affordable Care Act, which limits reimbursement to facilities when specific known-preventable errors occur during a patient's treatment. Improved population-level surveillance of all errors, Taylor suggested, can help guide safety innovators to take the next steps forward.

Taylor noted that some of Pennsylvania's additional patient safety data sources make it a promising location to take the population-level analysis even deeper: "Pennsylvania has a strong commitment to patient safety and reporting," said Taylor. "Many great data sources exist such as the Pennsylvania Health Care Cost Containment Commissioner's state hospital discharge data and the Patient Safety Authority's Patient Safety Reporting System. In our paper we recommend that these two systems be explored to discover how Pennsylvania can make even more advances in understanding the scope of the problem and how we should leverage our unique commitment to data into prevention opportunities."

For patients concerned about preventing medical errors in their own care, Taylor recommends using the resources and fact sheets available from the National Patient Safety Foundation (http://www.npsf.org/for-patients-consumers/tools-and-resources-for-patients-and-consumers/).


'/>"/>

Contact: Rachel Ewing
raewing@drexel.edu
215-895-2614
Drexel University
Source:Eurekalert

Related medicine news :

1. National Psoriasis Foundation awards inaugural Dr. Mark G. Lebwohl Medical Dermatology Fellowship
2. Mount Sinai Queens Is Ranked In Top 10 Percent of Hospitals In the U.S. for Adoption of Electronic Medical Records
3. Dr. Richard Arabitg Explains the Value of Social Media to the Medical Industry
4. Medical Tool Technology Company Exhibits at MedTechWorld Brazil
5. American Medical Systems’ Transvaginal Mesh Allegedly Caused Pennsylvania Woman Severe and Painful Injuries, According to Lawsuit Filed by Parker Waichman LLP
6. Kenneth Davis, MD, President and CEO of The Mount Sinai Medical Center, to Speak on the Future of Medicine at the Aspen Ideas Festival in Colorado from June 26th to July 2nd, 2013
7. Hello, electronic medical records? Its me, unintended consequences
8. Healthcare/Medical Simulation Market is Poised to Grow at a CAGR of 19.6% to Reach $1930.5 Million by 2017 – New Report by MarketsandMarkets
9. New Vein and Medical Aesthetic Center Opens in Puyallup
10. Dr. Pittman of VEIN911 is Elected President of the Hillsborough County Medical Association
11. Wright Hip Lawsuit News: Bernstein Liebhard LLP Comments on Sale of Wright Medical Group’s OrthoRecon Business
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... ... Quality metrics are proliferating in cancer care, and are derived from many ... the beholder, according to experts who offered insights and commentary in the current issue ... the full issue, click here . , For the American Society of Clinical ...
(Date:6/26/2016)... ... , ... PawPaws brand pet supplements owned by Whole Health Supply ... health of felines. The formula is all-natural and is made from Chinese herbs that ... Cat Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root ...
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the American ... Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in Boston. ... including advance care planning, healthcare costs and patient and family engagement. , AIR ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand ... project," said Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s ... within Final Cut Pro X . Simply select a ProHand generator and drag ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin ... injury. Recently, he has implemented orthobiologic procedures as a method for treating his ... of the first doctors to perform the treatment. Orthobiologics are substances that orthopaedic ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016 According to a new ... Pen Needles, Safety Pen Needles), Needle Length (4mm, 5mm, ... Mode of Purchase (Retail, Non-Retail) - Trends & Global ... the market for the forecast period of 2016 to ... Billion by 2021 from USD 1.65 Billion in 2016, ...
(Date:6/24/2016)... Tenn. , June 24, 2016  Arkis ... providing less invasive and more durable cerebrospinal fluid ... in funding.  The Series-A funding is led by ... Lighthouse Fund, and other private investors.  Arkis, new ... neurosurgical instrumentation and the market release of its ...
(Date:6/23/2016)... -- Any dentist who has made an implant supported denture ... of them do not even offer this as a viable ... costs involved. And those who ARE able to offer that ... cost that the majority of today,s patients would not be ... , founder of Dental Evolutions Inc. and inventor of Implanova ...
Breaking Medicine Technology: