• myGriffith
    • Staff portal
    • Contact Us⌄
      • Future student enquiries 1800 677 728
      • Current student enquiries 1800 154 055
      • International enquiries +61 7 3735 6425
      • General enquiries 07 3735 7111
      • Online enquiries
      • Staff phonebook
    View Item 
    •   Home
    • Griffith Research Online
    • Conference outputs
    • View Item
    • Home
    • Griffith Research Online
    • Conference outputs
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

  • All of Griffith Research Online
    • Communities & Collections
    • Authors
    • By Issue Date
    • Titles
  • This Collection
    • Authors
    • By Issue Date
    • Titles
  • Statistics

  • Most Popular Items
  • Statistics by Country
  • Most Popular Authors
  • Support

  • Contact us
  • FAQs
  • Admin login

  • Login
  • Setting economic priorities for patient safety programs and patient safety research using case mix costing data

    Thumbnail
    View/Open
    81911_1.pdf (127.7Kb)
    Author(s)
    Jackson, T
    Nghiem, HS
    Rowell, D
    Jorm, C
    Wakefield, J
    Griffith University Author(s)
    Rowell, David
    Year published
    2009
    Metadata
    Show full item record
    Abstract
    Introduction Patient safety efforts are often recommended solely on judgments about the relative importance of particular adverse events in hospital care, without considering the frequency and costs of all hospital-acquired illness and injury. The objective of the study was to use patient-level cost data to estimate relative economic priorities for hospital inpatient safety efforts. Methods Patient level costs are estimated using computerized patient costing systems that initially log individual utilization of inpatient services, and then apply sophisticated cost estimates from the hospital's general ledger. The occurrence ...
    View more >
    Introduction Patient safety efforts are often recommended solely on judgments about the relative importance of particular adverse events in hospital care, without considering the frequency and costs of all hospital-acquired illness and injury. The objective of the study was to use patient-level cost data to estimate relative economic priorities for hospital inpatient safety efforts. Methods Patient level costs are estimated using computerized patient costing systems that initially log individual utilization of inpatient services, and then apply sophisticated cost estimates from the hospital's general ledger. The occurrence of a hospital-acquired diagnosis is identified using a new Australian 'condition-onset' flag for all diagnoses not present on admission. These diagnoses are grouped to yield a comprehensive set of 144 categories of hospital-acquired conditions, using a recently-developed algorithm to summarize data coded with ICD-10-AM. Standard linear regression techniques are used to identify the independent contribution to inpatient costs of hospital- acquired conditions, taking into account the case mix of a sample of acute inpatients (n = 1,699,997) treated in Australian public hospitals in Victoria (2005/06) and Queensland (2006/07). Results The most costly types of adverse events were post-procedure endocrine and metabolic disorders, adding $A 21,869 to the cost of an episode, followed by (methicillinresistant staphylococcus aureus) MRSA (+$A 19,892) and enterocolitis due to Clostridium difficile (+$A 19,745). Aggregate additional costs to the system were highest for septicaemia (+$A 41.5 mil), complications of cardiac and vascular implants other than septicaemia (+$A 28.7 mil), acute lower respiratory infections -- including influenza and pneumonia ($A 28.0 mil) -- and UTI (+$A 24.7 mil). Hospital acquired complications are estimated to add 17.1% to the costs of treatment in this sample. Conclusion Patient safety efforts frequently focus on dramatic but rare complications with very serious patient harms. Adding an economic dimension to priority-setting could result in changes to the priorities of patient safety programs. It could also provide guidance as to other areas where research into causes and prevention strategies may prove a productive investment. Financial information should be combined with information on patient harms to allow for cost-utility evaluation of future programs.
    View less >
    Conference Title
    BMC Health Services Research
    Volume
    9
    Issue
    Suppl 1
    Publisher URI
    https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-9-S1-A4
    DOI
    https://doi.org/10.1186/1472-6963-9-S1-A4
    Copyright Statement
    © 2009 Jackson et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Note
    Page numbers are not for citation purposes. Instead, this article has the unique article number of A4.
    Subject
    Medical and Health Sciences not elsewhere classified
    Library and Information Studies
    Nursing
    Public Health and Health Services
    Publication URI
    http://hdl.handle.net/10072/53861
    Collection
    • Conference outputs

    Footer

    Disclaimer

    • Privacy policy
    • Copyright matters
    • CRICOS Provider - 00233E
    • TEQSA: PRV12076

    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander