PMID- 29309608
OWN - NLM
STAT- MEDLINE
DCOM- 20180817
LR  - 20220316
IS  - 1464-3677 (Electronic)
IS  - 1353-4505 (Print)
IS  - 1353-4505 (Linking)
VI  - 30
IP  - 2
DP  - 2018 Mar 1
TI  - Patient and hospital characteristics that influence incidence of adverse events 
      in acute public hospitals in Portugal: a retrospective cohort study.
PG  - 132-137
LID - 10.1093/intqhc/mzx190 [doi]
AB  - 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.
FAU - Sousa, Paulo
AU  - Sousa P
AD  - National School of Public Health, Universidade Nova de Lisboa, Avenida Padre 
      Cruz, 1600-540 Lisboa, Portugal.
AD  - CISP-Centro de Investigacao em Saude Publica, ENSP- Universidade Nova de Lisboa, 
      Avenida Padre Cruz, 1600-540, Lisboa, Portugal.
FAU - Uva, Antonio Sousa
AU  - Uva AS
AD  - National School of Public Health, Universidade Nova de Lisboa, Avenida Padre 
      Cruz, 1600-540 Lisboa, Portugal.
AD  - CISP-Centro de Investigacao em Saude Publica, ENSP- Universidade Nova de Lisboa, 
      Avenida Padre Cruz, 1600-540, Lisboa, Portugal.
FAU - Serranheira, Florentino
AU  - Serranheira F
AD  - National School of Public Health, Universidade Nova de Lisboa, Avenida Padre 
      Cruz, 1600-540 Lisboa, Portugal.
AD  - CISP-Centro de Investigacao em Saude Publica, ENSP- Universidade Nova de Lisboa, 
      Avenida Padre Cruz, 1600-540, Lisboa, Portugal.
FAU - Uva, Mafalda Sousa
AU  - Uva MS
AD  - National Institute of Health, Doutor Ricardo Jorge, Avenida Padre Cruz, 1600-540, 
      Lisboa, Portugal.
FAU - Nunes, Carla
AU  - Nunes C
AD  - National School of Public Health, Universidade Nova de Lisboa, Avenida Padre 
      Cruz, 1600-540 Lisboa, Portugal.
AD  - CISP-Centro de Investigacao em Saude Publica, ENSP- Universidade Nova de Lisboa, 
      Avenida Padre Cruz, 1600-540, Lisboa, Portugal.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Int J Qual Health Care
JT  - International journal for quality in health care : journal of the International 
      Society for Quality in Health Care
JID - 9434628
SB  - IM
MH  - Accreditation/statistics & numerical data
MH  - Cohort Studies
MH  - Cross Infection/*epidemiology
MH  - Female
MH  - Hospitals, Public/*statistics & numerical data
MH  - Hospitals, University/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Medical Errors/*statistics & numerical data
MH  - Patient Safety/statistics & numerical data
MH  - Portugal
MH  - Surgical Procedures, Operative/*adverse effects
PMC - PMC5890867
EDAT- 2018/01/09 06:00
MHDA- 2018/08/18 06:00
PMCR- 2018/01/04
CRDT- 2018/01/09 06:00
PHST- 2017/07/12 00:00 [received]
PHST- 2017/12/18 00:00 [accepted]
PHST- 2018/01/09 06:00 [pubmed]
PHST- 2018/08/18 06:00 [medline]
PHST- 2018/01/09 06:00 [entrez]
PHST- 2018/01/04 00:00 [pmc-release]
AID - 4788583 [pii]
AID - mzx190 [pii]
AID - 10.1093/intqhc/mzx190 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2018 Mar 1;30(2):132-137. doi: 10.1093/intqhc/mzx190.