PMID- 26626729
OWN - NLM
STAT- MEDLINE
DCOM- 20160914
LR  - 20220316
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 15
DP  - 2015 Dec 1
TI  - Excess length of stay and economic consequences of adverse events in Dutch 
      hospital patients.
PG  - 531
LID - 10.1186/s12913-015-1205-5 [doi]
LID - 531
AB  - BACKGROUND: To investigate the average and extrapolated excess length of stay and 
      direct costs of adverse events (AEs) and preventable AEs in Dutch hospitals, and 
      to evaluate patient characteristics associated with excess length of stay and 
      costs. METHODS: Data of a large retrospective patient record review study on AEs 
      was used. A stratified sample of 20 Dutch hospitals was included. Excess length 
      of stay and costs attributable to AEs and preventable AEs were calculated and 
      extrapolated to a national estimate. The association between patient 
      characteristics and excess length of stay (and costs thereof) attributable to AEs 
      and preventable AEs was investigated through multilevel linear regression 
      analyses. RESULTS: A total of 2975 patient records were included in the analysis, 
      of which 325 experienced one or more AEs. Hospital patients experiencing an AE 
      stayed 5.11 (95% CI 3.91-6.30) more days in hospital and cost euro2600 (95% CI 
      euro1968-euro3232) more compared to those without an AE. There was no significant 
      difference in days and costs between preventable and non-preventable AEs. 
      Extrapolated to a national level, AEs cost more than euro300 million, which was 1.3% 
      of the national hospital care budget. Patients with hospital-acquired infections 
      had a statistically significant longer length of stay compared to the reference 
      group (patients with AEs on the cardiovascular system). CONCLUSIONS: This study 
      showed that AEs lead to substantial excess length of stay and increased costs. 
      Special attention should be paid to patients with AEs due to an hospital-acquired 
      infection.
FAU - Hoogervorst-Schilp, Janneke
AU  - Hoogervorst-Schilp J
AD  - NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500, BN, 
      Utrecht, The Netherlands. jannekeschilp@hotmail.com.
FAU - Langelaan, Maaike
AU  - Langelaan M
AD  - NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500, BN, 
      Utrecht, The Netherlands. m.langelaan@nivel.nl.
FAU - Spreeuwenberg, Peter
AU  - Spreeuwenberg P
AD  - NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500, BN, 
      Utrecht, The Netherlands. p.spreeuwenberg@nivel.nl.
FAU - de Bruijne, Martine C
AU  - de Bruijne MC
AD  - Department of Public and Occupational Health & EMGO Institute for Health and Care 
      Research, VU University Medical Centre, Van der Boechorststraat 7, 1081, BT, 
      Amsterdam, The Netherlands. mc.debruyne@vumc.nl.
FAU - Wagner, Cordula
AU  - Wagner C
AD  - NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500, BN, 
      Utrecht, The Netherlands. c.wagner@nivel.nl.
AD  - Department of Public and Occupational Health & EMGO Institute for Health and Care 
      Research, VU University Medical Centre, Van der Boechorststraat 7, 1081, BT, 
      Amsterdam, The Netherlands. c.wagner@nivel.nl.
LA  - eng
PT  - Journal Article
DEP - 20151201
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Child
MH  - Child, Preschool
MH  - Costs and Cost Analysis
MH  - Female
MH  - *Hospital Costs
MH  - Humans
MH  - Infant
MH  - *Inpatients
MH  - Length of Stay/*economics
MH  - Linear Models
MH  - Male
MH  - Medical Audit
MH  - *Medical Errors
MH  - Middle Aged
MH  - Netherlands
MH  - Retrospective Studies
MH  - Young Adult
PMC - PMC4667531
EDAT- 2015/12/03 06:00
MHDA- 2016/09/15 06:00
PMCR- 2015/12/01
CRDT- 2015/12/03 06:00
PHST- 2015/04/10 00:00 [received]
PHST- 2015/11/30 00:00 [accepted]
PHST- 2015/12/03 06:00 [entrez]
PHST- 2015/12/03 06:00 [pubmed]
PHST- 2016/09/15 06:00 [medline]
PHST- 2015/12/01 00:00 [pmc-release]
AID - 10.1186/s12913-015-1205-5 [pii]
AID - 1205 [pii]
AID - 10.1186/s12913-015-1205-5 [doi]
PST - epublish
SO  - BMC Health Serv Res. 2015 Dec 1;15:531. doi: 10.1186/s12913-015-1205-5.