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Association between hospital performances on patient safety and 30-day mortality and readmission for Medicare fee-for-service patients with acute myocardial infarction
Investigator (PI): Eldridge, Noel
Performing Organization (PO): (Current): Agency for Healthcare Research and Quality / (301) 427-1104
Supporting Agency (SA): Agency for Healthcare Research and Quality (AHRQ)
Initial Year: 2015
Final Year: 2016
Record Source/Award ID: AHRQ/IM15466
Award Type: Intramural
Abstract: Objective: The objective is to assess the relationship between hospital performance on patient safety and hospital performance on 30-day mortality and readmission rates for Medicare patients hospitalized for acute myocardial infarction (AMI). Results: The study included 793 acute-care hospitals that treated 30 or more Medicare patients and had 40 or more adverse events for which patients were at risk. The patient safety data included 7,019 patients who were discharged for AMI, and the mortality and readmission data included 342,191 patients. The occurrence rate of adverse events for which patients were at risk was 3.8%. A 1% increase in the risk-standardized occurrence rates of adverse events was associated with an increase in the risk-standardized mortality rate of 4.74% (95% CI, 0.67 to 8.81) and readmission rate of 3.44% (95% CI, 0.69 to 6.68). Conclusions: Hospitals with poorer patient safety performance were more likely to have high 30-day all-cause mortality and readmission rates for patients discharged with AMI.
MeSH Terms:
  • * Fee-for-Service Plans
  • Hospitals
  • Humans
  • Medicare
  • Myocardial Infarction /*economics
  • /*mortality
  • Patient Discharge
  • Patient Readmission /*economics
  • /statistics & numerical data
  • Patient Safety
  • Risk
  • United States
Country: United States
State: Maryland
Zip Code: 20857
UI: 20161482
Project Status: Completed