Developing an adverse event reporting system using administrative data

Journal of Patient Safety

Volumn 4, Issue 1, 2008, Pages 31-37

  Bahl, Vinita ^a   Thompson, Maureen A ^a   Commisky, Elaine L ^a   Anderson, Susan ^a   Campbell Jr , Darrell A ^a  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

Author keywords

Administrative data; Hospital reimbursement; Informatics; Patient safety; Quality improvement; Risk assessment

Indexed keywords

EID: 41849084842     PISSN: 15498417     EISSN: 15498425     Source Type: Journal    
DOI: 10.1097/PTS.0b013e31816597e2     Document Type: Article

References (26)

1. Kohn LT, Corrigan JM, Donaldson MS. Institute of Medicine: To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.
2. Milch CE, Salem DN, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. J Gen Intern Med. 2006;21:165-170.
3. Schectman JM, Plews-Ogan ML. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32:337-343.
4. Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care. 2006;15:39-43.
5. Longo DR, Hewett JE, Ge B, et al. The long road to patient safety. A status report on patient safety systems. JAMA. 2005;294:2858-2865.
6. Hripcsak G, Bakken S, Stetson PD, et al. Mining complex clinical data for patient safety research: a framework for event discovery. J Biomed Inform. 2003;36:120-130.
7. Melton GB, Hripcsak G. Automated detection of adverse events using natural language processing of discharge summaries. J Am Med Inform Assoc. 2005;12:448-457.
8. Tuttle D, Panzer R, Baird T. Using administrative data to improve compliance with mandatory state event reporting. Jt Comm J Qual Improve. 2002;28:349-358.
9. Agency for Healthcare Research and Quality Web site for patient safety indicators and pediatric QIs. Available at: www.qualityindicators.ahrq.gov/. Accessed March 15, 2007.
10. Iezzoni LI, Daley J, Heeren T, et al. Using administrative data to screen hospitals for high complication rates. Inquiry. 1994;31:40-55.
11. Iezzoni LI, Daley J, Heeren T, et al. Identifying complications of care using administrative data. Med Care. 1994;32:700-715.
12. Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data: is it valid? Med Care. 2000;38:785-795.
13. Romano PS, Schembri ME, Rainwater JA. Can administrative data be used to ascertain clinically significant postoperative complications? Am J Med Qual. 2002;17:145-154.
14. Naessens JM, Huschka TR. Distinguishing hospital complications of care from pre-existing conditions. Int J Qual Health Care. 2004;16:i27-i35.
15. Naessens JM, Scott CG, Huschka TR, et al. Do complication screening programs detect complications present on admission? Jt Comm J Qual Saf. 2004;30:133-142.
16. Naessens JM, Brennan MD, Boberg CJ, et al. Acquired conditions: an improvement to hospital discharge abstracts. Qual Assur Health Care. 1991;3:257-262.
17. Aspden P, Corrigan JM, Wolcott J, et al. Patient Safety: Achieving a New Standard of Care. Washington, DC: National Academy Press; 2004.
18. Bahl V, Thompson MA, Kau TY, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of hospital admission? Medical Care. In press.
19. Federal Register (May 3, 2007), Part II Department of Health and Human Services, Centers for Medicare & Medicaid Services.
20. Sedman A, Harris JM, Schulz K, et al. Relevance of the Agency for Healthcare Research and Quality patient safety indicators for children_s hospitals. Pediatrics. 2004;115:135-145.
21. Tuttle D, Holloway R, Baird T, et al. Electronic reporting to improve patient safety. Qual Saf Health Care. 2004;13:281-286.
22. Mekhijian HS, Bentley TD, Ahmad A, et al. Development of a Web-based event reporting system in an academic environment. J Am Med Inform Assoc. 2004;11:11-18.
23. Zhan C, Elixhauser A, Friedman B, et al. Modifying DRG-PPS to include only diagnoses present on admission. Financial implications and challenges. Med Care. 2007;45:288-291.
24. Iezzoni LI. Finally present on admission but needs attention. Med Care. 2007;45:280-282.
25. Kivlahan C, Sangster W, Nelson K, et al. Developing a comprehensive electronic adverse event reporting system in an academic health center. Jt Comm J Qual Improve. 2002;28:583-594.
26. Clarke JR. How a system for reporting medical errors can and cannot improve patient safety. Am Surg. 2006;72:1088-1091.