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Association of patient safety indicator 03 and clinical outcome in a surgery hospital

Mahi Mahmoud Al-Tehewy (Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt)
Sara Ebraheem Abd Al-Razak (Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt)
Tamer Shahat Hikal (Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt)
Maha Magdy Wahdan (Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 27 October 2020

Issue publication date: 2 November 2020

336

Abstract

Purpose

Patient safety indicators (PSIs) were developed as a tool for hospitals to identify potentially preventable complications and improve patient safety performance. The study aimed at measuring the incidence of the Agency for Healthcare Research and Quality (AHRQ) PSI03 (pressure ulcer [PU] rate) and to identify the association between PSI03 and clinical outcomes including death, readmission within 30 days and length of stay (LOS) at the cardiothoracic surgery hospital at Ain Shams University, Cairo, Egypt.

Design/methodology/approach

An exploratory prospective cohort study was conducted to follow up patients, who fulfilled the inclusion criteria, from admission until one month after discharge at the cardiothoracic surgery hospital. Data were collected through basic information and follow-up sheets. The total number of included participants in the study was 330.

Findings

PSI03 incidence rate was 67.7 per 1,000 discharges. Patients aged 60 years and above had the highest risk among all age groups. In patients who developed PSI03, the risk ratio (RR) of death was 8.8 [95% CI (3.79–20.24)], RR of staying more than 30 days at the hospital was 1.5 [95% CI (1.249–1.872)] and of readmission within 30 days in patients who developed PSI03 was 1.5 [95% CI (0.38–6.15)]. In the study’s hospital, the patients who developed PSI03 were at higher risk of death and stayed longer at the hospital than patients without PSI03. This study demonstrated a clear association between PSI03 and patient outcomes such as LOS and mortality. Early detection, prevention and proper management of PSI03 are recommended to decrease unfavorable clinical outcomes.

Originality/value

The importance of PSIs lies in the fact that they facilitate the recognition of the adverse events and complications which occurred during hospitalization and give the hospitals a chance to improve the possible clinical outcomes. Therefore, the current study aimed at measuring the association between AHRQ PSI03 ( PU rate) and the clinical outcomes including death, readmission within 30 days and the LOS at the cardiothoracic surgery hospital at Ain Shams University. This study will provide the hospital management with baseline data for this type of adverse event and guide them to develop a system for identifying the high-risk group of patients and to upgrade relevant hospital policies and guidelines that lead to improved patient outcomes.

Keywords

Acknowledgements

The authors would like to express their great appreciation to the hospital administration who generously agreed to collect data for this study.Consent for publication: Consent to publish is not applicable.Availability of data and material: The data sets generated and analyzed during the current study are available from the corresponding author on request.Funding: No significant financial support for this work that could have influenced its outcome.Authors' contributions: AS, WM, AM: conceiving and designing the study. ES, AM, HT: data collection and facilitations in the field. AS, WM, AM: analysis of data and discussing the writing process. AS, WM, AM, HT: drafting and critical revision of the manuscript. All authors read and approved the final version of the manuscript.Competing interests: The authors state that they have no competing interests.

Citation

Al-Tehewy, M.M., Abd Al-Razak, S.E., Hikal, T.S. and Wahdan, M.M. (2020), "Association of patient safety indicator 03 and clinical outcome in a surgery hospital", International Journal of Health Care Quality Assurance, Vol. 33 No. 6, pp. 403-412. https://doi.org/10.1108/IJHCQA-02-2020-0025

Publisher

:

Emerald Publishing Limited

Copyright © 2020, Emerald Publishing Limited

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