ArticlePsychiatric services (Washington, D.C.)2018
Predictors of Adverse Events and Medical Errors Among Adult Inpatients of Psychiatric Units of Acute Care General Hospitals.
Article in Psychiatric services (Washington, D.C.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Prevalence and solving strategies of drug-related problems in adult psychiatric inpatients - a systematic review.Frontiers in psychiatry · 2024Pooled it
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- Addressing Psychiatric Bed Capacity: Evidence From Medicaid's Institutions for Mental Disease Waivers for Serious Mental Illness.Health services research · 2026Article
- Institutional Betrayal in Inpatient Psychiatry: Effects on Trust and Engagement With Care.Psychiatric services (Washington, D.C.) · 2025Article
- Patient-centered inpatient psychiatry is associated with outcomes, ownership, and national quality measures.Health affairs scholar · 2023Article
- Characteristics of Patients Who Complete Suicide and Suicide Attempts While Undergoing Treatment in Norway: Findings from Compensation Claims Records.International journal of environmental research and public health · 2023Article
- Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway.International journal of environmental research and public health · 2022Article
- Defining Patient Safety Events in Inpatient Psychiatry.Journal of patient safety · 2021Article
- Article
- The Effect of Centers for Medicare and Medicaid's Inpatient Psychiatric Facility Quality Reporting Program on the Use of Restraint and Seclusion.Medical care · 2020Article
- Prescribing errors in electronic prescriptions for outpatients intercepted by pharmacists and the impact of prescribing workload on error rate in a Chinese tertiary-care women and children's hospital.BMC health services research · 2019Article
- Speaking up about patient safety in psychiatric hospitals - a cross-sectional survey study among healthcare staff.International journal of mental health nursing · 2019Article
- Comparing Rates of Adverse Events and Medical Errors on Inpatient Psychiatric Units at Veterans Health Administration and Community-based General Hospitals.Medical care · 2019Article
- Patient Safety In Inpatient Psychiatry: A Remaining Frontier For Health Policy.Health affairs (Project Hope) · 2018Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe aim of this study was to identify factors associated with the occurrence of adverse events (AEs) or medical errors (MEs) during inpatient psychiatric hospitalizations.
methodsA full-probability random sample of 4,371 charts from 14 inpatient psychiatric units at acute care general hospitals in Pennsylvania were reviewed in a two-stage process that comprised screening and flagging by nurses followed by review by psychiatrists. AE and ME rates were calculated overall and then stratified by patient and hospital factors. Unadjusted and adjusted logistic regression models examined predictors of AEs and MEs.
resultsAn AE was identified in 14.5% of hospitalizations (95% confidence interval [CI]=11.7-17.9), and an ME was identified in 9.0% (CI=7.5-11.0). In adjusted analyses, patients with a longer length of stay and older patients had higher odds of experiencing an AE or an ME. Patients ages 31-42 (compared with ages 18-30), with commercial insurance (compared with Medicare or Medicaid or uninsured), or treated at high-volume hospitals (compared with low, medium, or very high) had lower odds of an AE. Patients age 54 or older (compared with ages 18-30), admitted during the weekend, admitted to rural hospitals (compared with urban), or treated at very-high-volume hospitals (compared with high) were more likely to experience an ME.
conclusionsThis study provides insight into factors that put patients and hospitals at increased risk of patient safety events. This information can be used to tailor improvement strategies that enhance the safety of patients treated on general hospital psychiatric units.
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