PMID- 31251157
OWN - NLM
STAT- MEDLINE
DCOM- 20210412
LR  - 20231027
IS  - 1553-5606 (Electronic)
IS  - 1553-5592 (Print)
IS  - 1553-5592 (Linking)
VI  - 15
IP  - 1
DP  - 2020 Jan 1
TI  - Adverse Events Experienced by Patients Hospitalized without Definite Medical 
      Acuity: A Retrospective Cohort Study.
PG  - 42-45
LID - 10.12788/jhm.3235 [doi]
AB  - Physicians often consider various nonmedical factors in hospital admission 
      decision-making and may admit socially tenuous patients despite low-acuity 
      medical needs. Evidence showing whether these patients are subject to the same 
      risks of hospitalization as those considered definitely medically appropriate is 
      limited. Our study sought to inform this risk/benefit discussion by quantifying 
      the number of adverse events (AEs) experienced by both patient populations by 
      using the Institute for Healthcare Improvement Global Trigger Tool methodology. 
      We found no difference in the percentage of admissions with AEs between the two 
      groups (27.3% vs 29.3%; risk ratio 0.93, 95% CI 0.65-1.34, P = .70) nor in AEs 
      per 1,000-patient days (76.8 vs 70.4; incidence rate ratio = 1.09, 95% CI 
      0.77-1.55, P = .61). Thus, the number of AEs experienced during hospitalization 
      does not appear to be related to the appropriateness of admission based on the 
      level of medical acuity.
FAU - Sekijima, Amanda
AU  - Sekijima A
AD  - University of Washington School of Medicine, Seattle, Washington.
FAU - Sunga, Cassandra
AU  - Sunga C
AD  - University of Washington School of Medicine, Seattle, Washington.
FAU - Bann, Maralyssa
AU  - Bann M
AD  - University of Washington School of Medicine, Seattle, Washington.
AD  - Department of Medicine, Harborview Medical Center, University of Washington, 
      Seattle, Washington.
LA  - eng
GR  - KL2 TR002317/TR/NCATS NIH HHS/United States
GR  - TL1 TR002318/TR/NCATS NIH HHS/United States
GR  - UL1 TR002319/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20190619
PL  - United States
TA  - J Hosp Med
JT  - Journal of hospital medicine
JID - 101271025
CIN - J Hosp Med. 2020 Jan;15(1):62-63. PMID: 31869303
MH  - *Drug-Related Side Effects and Adverse Reactions
MH  - Female
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - *Length of Stay
MH  - Male
MH  - Medical Records
MH  - Middle Aged
MH  - *Patient Safety
MH  - *Quality Indicators, Health Care
MH  - Retrospective Studies
MH  - *Severity of Illness Index
PMC - PMC6932594
EDAT- 2019/06/30 06:00
MHDA- 2021/04/13 06:00
PMCR- 2021/01/01
CRDT- 2019/06/29 06:00
PHST- 2019/06/29 06:00 [entrez]
PHST- 2019/06/30 06:00 [pubmed]
PHST- 2021/04/13 06:00 [medline]
PHST- 2021/01/01 00:00 [pmc-release]
AID - jhm.3235 [pii]
AID - 0150042 [pii]
AID - 10.12788/jhm.3235 [doi]
PST - ppublish
SO  - J Hosp Med. 2020 Jan 1;15(1):42-45. doi: 10.12788/jhm.3235. Epub 2019 Jun 19.