Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study

Detalhes bibliográficos
Autor(a) principal: Sousa, Paulo
Data de Publicação: 2018
Outros Autores: Uva, António Sousa, Serranheira, Florentino, Sousa-Uva, Mafalda, Nunes, Carla
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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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:RCAAP2023-07-20T15:41:20ZPortal AgregadorONG
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)
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repository.mail.fl_str_mv
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