ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2018
Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 92 citations in OpenAlex.
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- Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study.BMC medicine · 2023Observational
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- Comparing patient safety culture in primary, secondary and tertiary hospitals in Ghana.Ghana medical journal · 2023Article
- Adverse events: an expensive and avoidable hospital problem.Annals of medicine · 2022Observational
- Combination Relationship between Features of Person-Centered Care and Patient Safety Activities of Nurses Working in Small-Medium-Sized Hospitals: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2022Article
- The Korea National Patient Safety Incidents Inquiry Survey: Feasibility of Medical Record Review for Detecting Adverse Events in Regional Public Hospitals.Journal of patient safety · 2022Review
- Prevalence, characteristics, and impact of Adverse Events in 34 Madrid hospitals. The ESHMAD study.European journal of clinical investigation · 2022Article
- Surgery Is in Itself a Risk Factor for the Patient.International journal of environmental research and public health · 2022Article
- Contributions to the Portuguese National Plan for Patient Safety 2021-2026: A Robust Methodology Based on the Mixed-Method Approach.Portuguese journal of public health · 2022Article
- Instruments for measuring incidents related to patient safety in the context of paediatric intensive care-protocol for a scoping review.Systematic reviews · 2022Article
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- One Health in hospitals: how understanding the dynamics of people, animals, and the hospital built-environment can be used to better inform interventions for antimicrobial-resistant gram-positive infections.Antimicrobial resistance and infection control · 2020Review
- The impact of hospital language on the rate of in-hospital harm. A retrospective cohort study of home care recipients in Ontario, Canada.BMC health services research · 2020Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyse the variation in the rate of adverse events (AEs) between acute hospitals and explore the extent to which some patients and hospital characteristics influence the differences in the rates of AEs.
designRetrospective cohort study. Chi-square test for independence and binary logistic regression models were used to identify the potential association of some patients and hospital characteristics with AEs.
settingNine acute Portuguese public hospital centres.
participantsA random sample of 4250 charts, representative of around 180 000 hospital admissions in 2013, was analysed.
interventionTo measure adverse events based on chart review.
main outcome measureRate of AEs.
resultsMain results: (i) AE incidence was 12.5%; (ii) 66.4% of all AEs were related to Hospital-Acquired Infection and surgical procedures; (iii) patient characteristics such as sex (female 11%; male 14.4%), age (≥65 y 16.4%; <65 y 8.5%), admission coded as elective vs. urgent (8.6% vs. 14.6%) and medical vs. surgical Diagnosis Related Group code (13.4% vs. 11.7%), all with p < 0.001, were associated with a greater occurrence of AEs. (iv) hospital characteristics such as use of reporting system (13.2% vs. 7.1%), being accredited (13.7% vs. non-accredited 11.2%), university status (15.9% vs. non-university 10.9%) and hospital size (small 12.9%; medium 9.3%; large 14.3%), all with p < 0.001, seem to be associated with a higher rate of AEs.
conclusionsWe 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.
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