Chih-Chieh Yang1,2, Yi-Fei Chuang1, Pei-En Chen3,4, Ping Tao5, Tao-Hsin Tung6,7, Ching-Wen Chien8. 1. Department of Business Administration, Ming Chuan University, Taipei, Taiwan. 2. Department of Critical Care Medicine, Lotung Poh-Ai Hospital, Yilan, Taiwan. 3. Institute of Health Policy and Management, National Taiwan University, Taipei, Taiwan. 4. Taiwan Association of Health Industry Management and Development, Taipei, Taiwan. 5. Division of Medical Fees, Department of Medical Affairs, Kaohsiung Veteran General Hospital, Kaohsiung, Taiwan. 6. Enze Medical Research Center, Affiliated Taizhou Hospital of Wenzhou Medical College, Taizhou, China. 7. Department of Medical Research and Education, Cheng-Hsin General Hospital, Taipei, Taiwan. 8. Institute for Hospital Management, Tsing Hua University, Shenzhen Campus, Shenzhen, China.
Abstract
Background: The current study sought to determine the incidence of postoperative adverse events (AEs) based on data from the 2006 Taiwan National Health Insurance Research Database (NHIRD). Methods: This retrospective case-control study included patients who experienced postoperative AEs in 387 hospitals throughout Taiwan in 2006. The independent variable was the presence or absence of 10 possible postoperative AEs, as identified by patient safety indicators (PSIs). Results: A total of 17,517 postoperative AEs were identified during the study year. PSI incidence ranged from 0.1/1,000 admissions (obstetric trauma-cesarean section) to 132.6/1,000 admissions (obstetric trauma with instrument). Length of stay (LOS) associated with postoperative AEs ranged from 0.10 days (obstetric trauma with instrument) to 14.06 days (postoperative respiratory failure). Total hospitalization expenditures (THEs) ranged from 363.7 New Taiwan Dollars (obstetric trauma without instrument) to 263,732 NTD (postoperative respiratory failure). Compared to patients without AEs, we determined that the THEs were 2.13 times in cases of postoperative AE and LOS was 1.72 times higher. Conclusions: AEs that occur during hospitalization have a major impact on THEs and LOS.
Background: The current study sought to determine the incidence of postoperative adverse events (AEs) based on data from the 2006 Taiwan National Health Insurance Research Database (NHIRD). Methods: This retrospective case-control study included patients who experienced postoperative AEs in 387 hospitals throughout Taiwan in 2006. The independent variable was the presence or absence of 10 possible postoperative AEs, as identified by patient safety indicators (PSIs). Results: A total of 17,517 postoperative AEs were identified during the study year. PSI incidence ranged from 0.1/1,000 admissions (obstetric trauma-cesarean section) to 132.6/1,000 admissions (obstetric trauma with instrument). Length of stay (LOS) associated with postoperative AEs ranged from 0.10 days (obstetric trauma with instrument) to 14.06 days (postoperative respiratory failure). Total hospitalization expenditures (THEs) ranged from 363.7 New Taiwan Dollars (obstetric trauma without instrument) to 263,732 NTD (postoperative respiratory failure). Compared to patients without AEs, we determined that the THEs were 2.13 times in cases of postoperative AE and LOS was 1.72 times higher. Conclusions: AEs that occur during hospitalization have a major impact on THEs and LOS.
Authors: Amy K Rosen; Peter Rivard; Shibei Zhao; Susan Loveland; Dennis Tsilimingras; Cindy L Christiansen; Anne Elixhauser; Patrick S Romano Journal: Med Care Date: 2005-09 Impact factor: 2.983