ArticlePsychiatric services (Washington, D.C.)2016
Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness.
Article in Psychiatric services (Washington, D.C.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed.
- Inequitably harmed: a scoping review protocol on patient safety and diverse population groups.BMJ open · 2025Article
- A narrative journey into the borderland of patient safety: Toward an expanded, relational concept of safety.Qualitative research in medicine & healthcare · 2023Article
- Establishing a Care Continuum for Cardiometabolic Conditions for Patients with Serious Mental Illness.Current cardiology reports · 2023Review
- Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study.BMC family practice · 2020Article
- General Medical Clinicians' Attitudes Toward People with Serious Mental Illness: A Scoping Review.The journal of behavioral health services & research · 2019Article
- Safety of Psychiatric Inpatients at the Veterans Health Administration.Psychiatric services (Washington, D.C.) · 2018Article
- Patient, Provider, and System Factors Contributing to Patient Safety Events During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness.The Journal of nervous and mental disease · 2017Article
- Experiences of Hospitalization of Patients With Psychotic Disorders on Medical-Surgical Units: A Thematic Analysis.Journal of the American Psychiatric Nurses AssociationArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveThis study explored the risk of patient safety events and associated nonfatal physical harms and mortality in a cohort of persons with serious mental illness. This group experiences high rates of medical comorbidity and premature mortality and may be at high risk of adverse patient safety events.
methodsMedical record review was conducted for medical-surgical hospitalizations occurring during 1994-2004 in a community-based cohort of Maryland adults with serious mental illness. Individuals were eligible if they died within 30 days of a medical-surgical hospitalization and if they also had at least one prior medical-surgical hospitalization within five years of death. All admissions took place at Maryland general hospitals. A case-crossover analysis examined the relationships among patient safety events, physical harms, and elevated likelihood of death within 30 days of hospitalization.
resultsA total of 790 hospitalizations among 253 adults were reviewed. The mean number of patient safety events per hospitalization was 5.8, and the rate of physical harms was 142 per 100 hospitalizations. The odds of physical harm were elevated in hospitalizations in which 22 of the 34 patient safety events occurred (p<.05), including medical events (odds ratio [OR]=1.5, 95% confidence interval [CI]=1.3-1.7) and procedure-related events (OR=1.6, CI=1.2-2.0). Adjusted odds of death within 30 days of hospitalization were elevated for individuals with any patient safety event, compared with those with no event (OR=3.7, CI=1.4-10.3).
conclusionsPatient safety events were positively associated with physical harm and 30-day mortality in nonpsychiatric hospitalizations for persons with serious mental illness.
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