Frequency of Adverse Events Before, During, and After Hospital Admission

Lindsay D Croft; Michael E Liquori; James Ladd; Hannah R Day; Lisa Pineles; Elizabeth M Lamos; Preeti Mehrotra; Eli N Perencevich; Anthony D Harris; Daniel J Morgan

doi:10.14423/SMJ.0000000000000536

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Frequency of Adverse Events Before, During, and After Hospital Admission

Journal article

Peer reviewed

Frequency of Adverse Events Before, During, and After Hospital Admission

Lindsay D Croft, Michael E Liquori, James Ladd, Hannah R Day, Lisa Pineles, Elizabeth M Lamos, Preeti Mehrotra, Eli N Perencevich, Anthony D Harris and Daniel J Morgan

Southern medical journal, Vol.109(10), pp.631-635

10/2016

DOI: 10.14423/SMJ.0000000000000536

PMCID: PMC5081217

PMID: 27706501

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https://www.ncbi.nlm.nih.gov/pmc/articles/5081217View

Open Access

Abstract

Adverse events (AEs) are unintended physical injuries resulting from or contributed to by medical or surgical care. We determined the frequency and type of AEs before, during, and after hospital admission. We conducted a cohort study of 296 adult hospital patients. We used the standardized Institute for Healthcare Improvement Global Trigger Tool for Measuring Adverse Events to review the medical records of the hospital patients for occurrence, timing relative to hospital admission, severity, and preventability of AEs. We also identified the primary physiologic system affected by the AE. Among 296 patients, we identified 338 AEs. AEs occurred with similar frequency before (n = 148; 43.8%) and during hospital admission (n = 162; 47.9%). Fewer AEs occurred after discharge (n = 28; 8.3%). Half of all AEs (n = 169; 50.0%) were severe, whereas 47.9% (n = 162) were preventable. AEs occur with similar frequency before and during hospitalization and may contribute more to hospital admissions than previously recognized. These findings suggest that efforts to improve patient safety should include outpatient settings in addition to the more commonly targeted acute care settings.

United States - epidemiology

Humans

Middle Aged

Intensive Care Units - utilization

Male

Hospitalization

Medical Errors - statistics & numerical data

Postoperative Complications - epidemiology

Wounds and Injuries - epidemiology

Drug-Related Side Effects and Adverse Reactions

Patient Safety

Female

Cohort Studies

Cross Infection - epidemiology

Details

Title: Subtitle: Frequency of Adverse Events Before, During, and After Hospital Admission
Creators: Lindsay D Croft - From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, the Department of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, and the Carver College of Medicine, University of Iowa, Iowa City
Michael E Liquori - From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, the Department of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, and the Carver College of Medicine, University of Iowa, Iowa City
James Ladd - From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, the Department of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, and the Carver College of Medicine, University of Iowa, Iowa City
Hannah R Day - From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, the Department of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, and the Carver College of Medicine, University of Iowa, Iowa City
Lisa Pineles - From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, the Department of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, and the Carver College of Medicine, University of Iowa, Iowa City
Elizabeth M Lamos - From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, the Department of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, and the Carver College of Medicine, University of Iowa, Iowa City
Preeti Mehrotra - From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, the Department of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, and the Carver College of Medicine, University of Iowa, Iowa City
Eli N Perencevich - From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, the Department of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, and the Carver College of Medicine, University of Iowa, Iowa City
Anthony D Harris - From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, the Department of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, and the Carver College of Medicine, University of Iowa, Iowa City
Daniel J Morgan - From the Department of Epidemiology and Public Health and the Division of Endocrinology, Diabetes and Metabolism, University of Maryland School of Medicine, Baltimore, the Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Sinai Hospital, Baltimore, Maryland, the Department of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts, and the Carver College of Medicine, University of Iowa, Iowa City
Resource Type: Journal article
Publication Details: Southern medical journal, Vol.109(10), pp.631-635
DOI: 10.14423/SMJ.0000000000000536
PMID: 27706501
PMCID: PMC5081217
NLM abbreviation: South Med J
ISSN: 1541-8243
eISSN: 1541-8243
Publisher: United States
Grant note: T32 HD055148 / NICHD NIH HHS L30 AI084746 / NIAID NIH HHS
Language: English
Date published: 10/2016
Academic Unit: Epidemiology; Internal Medicine
Record Identifier: 9983779290102771

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