Identifying potentially preventable complications using a present on admission indicator

This article describes the development of Potentially Preventable Complications (PPCs), a new method that uses a present on admission (POA) indicator to identify in-hospital complications among secondary diagnoses that arise after admission. Analyses that used PPCs to obtain risk-adjusted complicati...

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Bibliographic Details
Published in:Health care financing review 2006-03, Vol.27 (3), p.63-82
Main Authors: Hughes, John S, Averill, Richard F, Goldfield, Norbert I, Gay, James C, Muldoon, John, McCullough, Elizabeth, Xiang, Jean
Format: Article
Language:English
Subjects:
Anemia
California
Codes
Comorbidity
Health administration
Health risk assessment
Hospitals
Humans
Illnesses
Inflammatory bowel disease
Management
Medical diagnosis
Medical errors
Medical treatment
Medicare
Mortality
Patient Admission
Patient admissions
Patient Discharge
Patient safety
Pneumonia
Preventive medicine
Quality of Health Care
Safety Management
Side effects
Statistics as Topic
Stroke
Studies
Surgery
Triage - methods
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Summary:This article describes the development of Potentially Preventable Complications (PPCs), a new method that uses a present on admission (POA) indicator to identify in-hospital complications among secondary diagnoses that arise after admission. Analyses that used PPCs to obtain risk-adjusted complication rates for California hospitals showed that (1) the POA indicator is essential for identifying complications, (2) frequency of complications varies by reason for admission and severity of illness (SOI), (3) complications are associated with higher hospital charges, longer lengths of stay, and increased mortality, and (4) hospital complication rates tend to be stable over time.
ISSN:0195-8631
1554-9887