PMID- 25550290
OWN - NLM
STAT- MEDLINE
DCOM- 20150817
LR  - 20221207
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 4
IP  - 12
DP  - 2014 Dec 30
TI  - Ethnic minority patients not at increased risk of adverse events during 
      hospitalisation in urban hospitals in the Netherlands: results of a prospective 
      observational study.
PG  - e005527
LID - 10.1136/bmjopen-2014-005527 [doi]
LID - e005527
AB  - OBJECTIVES: We analysed potential differences in incidence, type, nature, impact 
      and preventability of adverse events (AEs) during hospitalisation between ethnic 
      Dutch and ethnic minority patients, and the role of patient-related determinants. 
      We hypothesised an increased AE incidence for ethnic minority patients. SETTING: 
      We conducted a prospective cohort study in four urban hospitals. PARTICIPANTS: 
      763 Dutch patients and 576 ethnic minority patients aged between 45 and 75, 
      admitted for at least one night, were included in the study. All patients 
      completed a questionnaire on patient-related determinants (eg, language 
      proficiency). OUTCOME MEASURES: Incidence, type (eg, diagnostic AEs), impact and 
      nature of AEs were assessed with a two-stage medical record review. Logistic 
      regression analysis was used to adjust for patient and admission characteristics, 
      and to investigate the contribution of patient-related determinants to AE risk. 
      RESULTS: There was no significant difference in the incidence of AEs: 11% (95% CI 
      9% to 14%) in Dutch patients and 10% (95% CI 7% to 12%) in ethnic minority 
      patients. Also, there was no significant difference in the incidence of 
      preventable AEs: 3% (95% CI 1% to 4%) in Dutch patients and 1% (95% CI 0% to 2%) 
      in ethnic minority patients. Low language proficiency, inadequate health literacy 
      and low educational level did not increase the risk of an AE. CONCLUSIONS: 
      Compared with Dutch patients, ethnic minority patients were not at increased risk 
      of AEs while receiving care in Dutch hospitals. Healthcare providers seem to have 
      responded effectively to specific patient care needs, but we do not know whether 
      this occurred in an ad hoc or in a systematic way.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://group.bmj.com/group/rights-licensing/permissions.
FAU - van Rosse, Floor
AU  - van Rosse F
AD  - Department of Public Health, Academic Medical Center (AMC), Amsterdam, The 
      Netherlands Department of Public and Occupational Health, VU University Medical 
      Center (VUmc), EMGO Institute for Health and Care Research, Amsterdam, The 
      Netherlands.
FAU - Essink-Bot, Marie-Louise
AU  - Essink-Bot ML
AD  - Department of Public Health, Academic Medical Center (AMC), Amsterdam, The 
      Netherlands.
FAU - Stronks, Karien
AU  - Stronks K
AD  - Department of Public Health, Academic Medical Center (AMC), Amsterdam, The 
      Netherlands.
FAU - de Bruijne, Martine
AU  - de Bruijne M
AD  - Department of Public and Occupational Health, VU University Medical Center 
      (VUmc), EMGO Institute for Health and Care Research, Amsterdam, The Netherlands.
FAU - Wagner, Cordula
AU  - Wagner C
AD  - Department of Public and Occupational Health, VU University Medical Center 
      (VUmc), EMGO Institute for Health and Care Research, Amsterdam, The Netherlands 
      Netherlands Institute for Health Services Research (NIVEL), Utrecht, The 
      Netherlands.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20141230
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Aged
MH  - Educational Status
MH  - *Ethnicity
MH  - Female
MH  - Health Literacy
MH  - *Hospitalization
MH  - *Hospitals
MH  - *Hospitals, Urban/statistics & numerical data
MH  - Humans
MH  - Incidence
MH  - Language
MH  - Logistic Models
MH  - Male
MH  - *Medical Errors/statistics & numerical data
MH  - Middle Aged
MH  - *Minority Groups
MH  - Netherlands
MH  - Prospective Studies
MH  - Surveys and Questionnaires
MH  - White People
PMC - PMC4281537
OTO - NOTNLM
OT  - EPIDEMIOLOGY
EDAT- 2015/01/01 06:00
MHDA- 2015/08/19 06:00
PMCR- 2014/12/30
CRDT- 2015/01/01 06:00
PHST- 2015/01/01 06:00 [entrez]
PHST- 2015/01/01 06:00 [pubmed]
PHST- 2015/08/19 06:00 [medline]
PHST- 2014/12/30 00:00 [pmc-release]
AID - bmjopen-2014-005527 [pii]
AID - 10.1136/bmjopen-2014-005527 [doi]
PST - epublish
SO  - BMJ Open. 2014 Dec 30;4(12):e005527. doi: 10.1136/bmjopen-2014-005527.