PMID- 24699427
OWN - NLM
STAT- MEDLINE
DCOM- 20150720
LR  - 20141127
IS  - 1464-360X (Electronic)
IS  - 1101-1262 (Linking)
VI  - 24
IP  - 6
DP  - 2014 Dec
TI  - Direct health care costs of hospital admissions due to adverse events in The 
      Netherlands.
PG  - 1028-33
LID - 10.1093/eurpub/cku037 [doi]
AB  - BACKGROUND: Health care-related adverse events (AEs) are common, and the economic 
      burden is substantial. Information on costs of health care-related AEs 'leading' 
      to hospitalization is limited and has focused on adverse drug events. AIM: To 
      provide insight into costs of admissions due to (preventable) health care-related 
      AEs, not limited to adverse drug events. METHODS: This study was conducted during 
      a 5-month period (May-September 2010) in The Netherlands, in a 600-bed university 
      medical centre. All patients who were admitted via the emergency department to an 
      internal medicine department because of a health care-related AE were included. 
      We retrospectively retrieved all data on medical information as well as health 
      care resource utilization from the patient's medical record. The cost of the 
      admission was estimated (for each patient individually) by multiplying the number 
      of resources by their specific unit cost and then summing all costs per patient. 
      RESULTS: In total, 324 admissions due to a health care-related AE were included 
      (28.7% of all admissions). Total direct health care costs of these 
      hospitalizations amounted to euro1,404,070 in a 5-month period. Medication-related 
      AEs were most common (43.5%) and contributed most to the costs (euro587,550; 41.8%). 
      Inpatient days were most expensive (euro1,076,385; 77.3%). Preventable health 
      care-related AEs accounted for euro277,665 (19.8%). CONCLUSION: We found that health 
      care-related AEs are expensive, with preventable health care-related AEs 
      accounting for one-fifth of the costs. Awareness of possible health care-related 
      AEs following medical actions is necessary to reduce already high health care 
      costs.
CI  - (c) The Author 2014. Published by Oxford University Press on behalf of the European 
      Public Health Association. All rights reserved.
FAU - Magdelijns, Fabienne J H
AU  - Magdelijns FJ
AD  - 1 Division of General Medicine, Department of Internal Medicine, Maastricht 
      University Medical Centre, Maastricht University, Maastricht, The Netherlands 
      fabienne.magdelijns@mumc.nl.
FAU - Stassen, Patricia M
AU  - Stassen PM
AD  - 1 Division of General Medicine, Department of Internal Medicine, Maastricht 
      University Medical Centre, Maastricht University, Maastricht, The Netherlands 2 
      Division of Acute Medicine, Department of Internal Medicine, Maastricht 
      University Medical Centre, Maastricht University, Maastricht, The Netherlands 3 
      School of CAPHRI, Maastricht University Medical Centre, Maastricht University, 
      Maastricht, The Netherlands.
FAU - Stehouwer, Coen D A
AU  - Stehouwer CD
AD  - 1 Division of General Medicine, Department of Internal Medicine, Maastricht 
      University Medical Centre, Maastricht University, Maastricht, The Netherlands 4 
      Cardiovascular Research Institute, Maastricht University Medical Centre, 
      Maastricht University, Maastricht, The Netherlands.
FAU - Pijpers, Evelien
AU  - Pijpers E
AD  - 1 Division of General Medicine, Department of Internal Medicine, Maastricht 
      University Medical Centre, Maastricht University, Maastricht, The Netherlands 5 
      Section of Clinical Geriatric Medicine, Maastricht University Medical Centre, 
      Maastricht University, Maastricht, The Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20140402
PL  - England
TA  - Eur J Public Health
JT  - European journal of public health
JID - 9204966
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - *Hospital Costs
MH  - Humans
MH  - Male
MH  - Medical Audit
MH  - Medical Errors/*economics
MH  - Middle Aged
MH  - Netherlands
MH  - Retrospective Studies
EDAT- 2014/04/05 06:00
MHDA- 2015/07/21 06:00
CRDT- 2014/04/05 06:00
PHST- 2014/04/05 06:00 [entrez]
PHST- 2014/04/05 06:00 [pubmed]
PHST- 2015/07/21 06:00 [medline]
AID - cku037 [pii]
AID - 10.1093/eurpub/cku037 [doi]
PST - ppublish
SO  - Eur J Public Health. 2014 Dec;24(6):1028-33. doi: 10.1093/eurpub/cku037. Epub 
      2014 Apr 2.