Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.18/6311 |
Resumo: | Free PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890867/ |
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oai:repositorio.insa.pt:10400.18/6311 |
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RCAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort studyAccreditationCohort StudiesCross InfectionFemaleHospitals, PublicHospitals, UniversityHumansMaleMedical ErrorsPatient SafetyPortugalSurgical Procedures, OperativeCuidados de SaúdeFree PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890867/Objective: To 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. Design: Retrospective 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. Setting: Nine acute Portuguese public hospital centres. Participants: A random sample of 4250 charts, representative of around 180 000 hospital admissions in 2013, was analysed. Intervention: To measure adverse events based on chart review. Main Outcome Measure: Rate of AEs. Results: Main 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. Conclusions: We 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.This work was supported by the Fundação Calouste GulbenkianOxford University Press/ International Society for Quality in Health CareRepositório Científico do Instituto Nacional de SaúdeSousa, PauloUva, António SousaSerranheira, FlorentinoSousa-Uva, MafaldaNunes, Carla2019-03-26T15:54:17Z2018-03-012018-03-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/6311engInt J Qual Health Care. 2018 Mar 1;30(2):132-137. doi: 10.1093/intqhc/mzx190.1353-450510.1093/intqhc/mzx190info:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:41:20Zoai:repositorio.insa.pt:10400.18/6311Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:40:57.598150Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study |
title |
Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study |
spellingShingle |
Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study Sousa, Paulo Accreditation Cohort Studies Cross Infection Female Hospitals, Public Hospitals, University Humans Male Medical Errors Patient Safety Portugal Surgical Procedures, Operative Cuidados de Saúde |
title_short |
Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study |
title_full |
Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study |
title_fullStr |
Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study |
title_full_unstemmed |
Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study |
title_sort |
Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study |
author |
Sousa, Paulo |
author_facet |
Sousa, Paulo Uva, António Sousa Serranheira, Florentino Sousa-Uva, Mafalda Nunes, Carla |
author_role |
author |
author2 |
Uva, António Sousa Serranheira, Florentino Sousa-Uva, Mafalda Nunes, Carla |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Instituto Nacional de Saúde |
dc.contributor.author.fl_str_mv |
Sousa, Paulo Uva, António Sousa Serranheira, Florentino Sousa-Uva, Mafalda Nunes, Carla |
dc.subject.por.fl_str_mv |
Accreditation Cohort Studies Cross Infection Female Hospitals, Public Hospitals, University Humans Male Medical Errors Patient Safety Portugal Surgical Procedures, Operative Cuidados de Saúde |
topic |
Accreditation Cohort Studies Cross Infection Female Hospitals, Public Hospitals, University Humans Male Medical Errors Patient Safety Portugal Surgical Procedures, Operative Cuidados de Saúde |
description |
Free PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890867/ |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-03-01 2018-03-01T00:00:00Z 2019-03-26T15:54:17Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.18/6311 |
url |
http://hdl.handle.net/10400.18/6311 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Int J Qual Health Care. 2018 Mar 1;30(2):132-137. doi: 10.1093/intqhc/mzx190. 1353-4505 10.1093/intqhc/mzx190 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/embargoedAccess |
eu_rights_str_mv |
embargoedAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Oxford University Press/ International Society for Quality in Health Care |
publisher.none.fl_str_mv |
Oxford University Press/ International Society for Quality in Health Care |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799132153011765248 |