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Most Common Adverse Events in Connecticut Hospitals in 2014


Posted by Brendan Faulkner on Nov 17, 2015 in Medical Malpractice

Brendan FaulknerAccording to a new Department of Public Health (DPH) report, the number of adverse events decreased by 12 percent from the previous year.

The 4 most common were:

  1. Stage 3-4 (or unstageable) pressure ulcers acquired after admission to the facility
  2. Falls resulting in serious disability or death
  3. Perforations during open, laparoscopic, and/or endoscopic procedures
  4. Retention of foreign objects in patients after surgery

(Adverse events are not the same as medical errors. Some adverse events do not result from medical errors, and some medical errors do not result in adverse events.)

As noted in the DPH Report, a 2015 study in The BMJ (formerly the British Medical Journal), an influential peer reviewed medical journal, entitled “Incidence of ‘Never Events’ Among Weekend Admissions Versus Weekday Admissions to US Hospitals: National Analysis,” BMJ 2015;350:h1460 studied the Centers for Medicare & Medicaid Services (CMS) list of hospital acquired conditions (HACs) in the Nationwide Inpatient Sample from 2002-2010, involving 351 million patients.

The most frequent conditions were falls (85 percent), pressure ulcers, and catheter-associated urinary tract infections. Independent predictors of experiencing a hospital acquired condition were:

  • admission on a weekend
  • age greater than 80
  • male sex
  • white race
  • private insurance or self-pay
  • severity of APR-DRG group
  • teaching hospital
  • urgent, emergency or trauma admission
  • hospital size greater than 200 beds

That article is available here: http://www.bmj.com/content/350/bmj.h1460