| Hospital-reported medical errors in children. | |
| | |
MedLine Citation:
|
PMID: 12612245 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
CONTEXT: Medical errors are an important problem for hospitalized adult inpatients. However, medical errors in children remain comparatively understudied, and published research has been relatively limited. OBJECTIVES: To investigate the national rates of hospital-reported medical errors in pediatric inpatients over the period 1988-1997; and to determine the association of patient and hospital characteristics with the occurrence of hospital-reported medical errors in children. DESIGN, SETTING, AND PATIENTS: A nonconcurrent cohort study of hospitalized nonnewborn pediatric patients in the United States <or=18 years of age. Data from the Healthcare Cost and Utilization Project for the years 1988, 1991, 1994, and 1997 were used for these analyses. MAIN OUTCOME MEASURE: The occurrence of hospital-reported medical errors. RESULTS: The national rate of hospital-reported medical errors in hospitalized children ranged from 1.81 to 2.96 per 100 discharges. These medical error rates were statistically lower in 1988, with the years 1991, 1994, and 1997 not being statistically different from each other. There were no consistent differences in the rates of medical errors when stratified by gender, race, payor status, or median household income of the patient's zip code across years. There was, however, a statistically significant relationship between higher median household income and increasing medical error rates; this trend was consistent across all 4 years. Similarly, children with special medical needs or dependence on a medical technology also had significantly higher rates of hospital-reported medical errors. Although hospital size did not seem to be related to the rate of medical errors, private for-profit hospitals consistently reported lower rates, whereas urban teaching hospitals in all years but 1997 reported higher rates of medical errors. CONCLUSIONS: These data highlight both the strengths and limitations of administrative data in the investigation of medical errors. Substantively, they suggest fruitful areas for additional and more detailed study, notably children with special medical needs. |
| | |
Authors:
|
Anthony D Slonim; Bonnie J LaFleur; Wendy Ahmed; Jill G Joseph |
Related Documents
:
|
17496735 - Effect of combination lipid-modifying therapy on the triglyceride lowering effect of fi... 15486545 - Using computers to reduce medication misuse of community-based seniors: results of a pi... 10840665 - Reducing medication errors in hospitals: a peer review organization collaboration. 16050875 - Sins of omission: getting too little medical care may be the greatest threat to patient... 342295 - Comparative blanching activities of proprietary diflucortolone valerate topical prepara... 17094375 - The believer. |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Pediatrics Volume: 111 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2003 Mar |
Date Detail:
|
Created Date: 2003-03-03 Completed Date: 2003-06-02 Revised Date: 2007-11-14 |
Medline Journal Info:
|
Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
|
Languages: eng Pagination: 617-21 Citation Subset: AIM; IM |
Affiliation:
|
Center for Health Services and Clinical Research, Children's Research Institute, Children's National Medical Center, Washington, DC 20010, USA. aslonim@cnmc.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Child Child, Hospitalized / statistics & numerical data* Child, Preschool Family Characteristics Female Hospitals / statistics & numerical data Humans Income / statistics & numerical data Infant Male Medical Errors / mortality, statistics & numerical data*, trends Mortality Outcome Assessment (Health Care) Pediatrics / statistics & numerical data*, trends United States / epidemiology |
| Grant Support | |
ID/Acronym/Agency:
|
R03-HS11022-01/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Atopic dermatitis and asthma: parallels in the evolution of treatment.
Next Document: Effect of position on sleep, heart rate variability, and QT interval in preterm infants at 1 and 3 m...