ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2019
The impact of hospital harm on length of stay, costs of care and length of person-centred episodes of care: a retrospective cohort study.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis.BMJ quality & safety · 2023Pooled it
- Risk factors associated with nursing-sensitive adverse events in older hospitalised patients: A retrospective chart review.International journal of nursing studies advances · 2026Article
- The Association Between Hospital Harms and 1-Year Mortality Following a Hip Fracture in Ontario, Canada: A Cohort Study.Journal of the American Geriatrics Society · 2026Article
- Permanent cognitive or physical impairment after transfer from long-term care to acute care: a retrospective cohort study.Age and ageing · 2026Article
- Direct healthcare costs associated with reported patient safety incidents in two tertiary hospitals in Colombia.BMC health services research · 2026Article
- Healthcare Priorities for Surgical Care in Canada.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Review
- Strategies to Reduce Hospital Length of Stay: Evidence and Challenges.Medicina (Kaunas, Lithuania) · 2025Review
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- Feasibility of prospective error reporting in home palliative care: A mixed methods study.Palliative medicine · 2025Article
- Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland.PloS one · 2024Article
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- Multicentre positive deviance seminar to generate best practice recommendations to reduce anastomotic leak and length of stay for patients undergoing oesophagectomy.BMJ open quality · 2023Article
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- Hospital spending and length of stay attributable to perioperative adverse events for inpatient hip, knee, and spine surgery: a retrospective cohort study.BMC health services research · 2023Article
- Costs for Long-Term Health Care After a Police Shooting in Ontario, Canada.JAMA network open · 2023Article
- Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study.BMC medicine · 2023Observational
- A qualitative study exploring the lived experiences of deconditioning in hospital in Ontario, Canada.BMC geriatrics · 2021Article
- The use of linked routine data to optimise calculation of the Hospital Frailty Risk Score on the basis of previous hospital admissions: a retrospective observational cohort study.The lancet. Healthy longevity · 2021Observational
- Avoiding harm to patients: properly calculating costs of harm.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019Article
- Health care-associated infections in Canadian hospitals: still a major problem.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a lack of data in Canada on the longitudinal effects of adverse events that occur in hospital, specifically in the period after discharge. Our objective was to quantify the impact of adverse events on hospital length of stay, length of person-centred episodes of care (PCEs) and costs of PCEs, as well as their impact on the total health system.
methodsWe conducted a population-based, retrospective cohort study using linked health administrative databases. We included adults in Ontario who had an acute hospital admission between Apr. 1, 2015, and Mar. 31, 2016. We grouped hospital admissions into 1 of 9 episode types and used the Canadian Institute for Health Information methodology for hospital harm to measure adverse events. We specified generalized linear models to estimate the impact of hospital harm on the following: incremental length of index acute hospital admission, incremental length of the PCE, and incremental costs of the PCE.
resultsOut of 610 979 hospital admissions, 36 004 (5.9%) involved an occurrence of harm. The impact of harm on the incremental length of hospital stay ranged from 0.4 to 24.2 days (
interpretationWe found that experiencing harm in hospital significantly affects both in-hospital and post-discharge use of health services and costs of care, and constitutes an enormous expense to Ontario's publicly funded health system.
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