Source:http://linkedlifedata.com/resource/pubmed/id/11449856
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
2001-7-13
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pubmed:abstractText |
The frequency, preventability, severity, root causes, and projected costs of adverse drug events (ADEs) occurring after or causing admission to a four-hospital integrated academic health network were studied. The sample included all admissions during a 53-day study period. Events were identified through daily record review of a random patient sample, computerized flags, and self-reporting. A case review committee validated the occurrence, classification, and root causes of the events. Additional length of stay and costs associated with ADEs were analyzed by using a case-control, multiple linear regression model. The estimated ADE rate during hospitalization was 4.2 events per 100 admissions, with a cost of $2162 per ADE. In addition, 3.2% of admissions were caused by ADEs, with an associated cost of $6685 per event. Fifteen percent of hospital ADEs and 76% of ADEs causing admission were judged preventable. The annual cost to the organization for events occurring during hospitalization was $1.7 million, and the cost of preventable ADEs was $260,000, while the projected costs of preventable ADEs causing admission were $3.8 million. The rate of admissions to the mental health center caused by ADEs was higher than for other settings at 13.6%, with a cost of preventable ADEs of $1.3 million. Patient noncompliance was judged to be the cause of the 69% of the ADEs causing admission. Seventy-one percent of the serious medication errors occurred at the prescribing stage of the medication-use process. ADEs were frequent, costly, and often preventable and resulted in many admissions to a mental health center.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1079-2082
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
58
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1126-32
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:11449856-Costs and Cost Analysis,
pubmed-meshheading:11449856-Hospitalization,
pubmed-meshheading:11449856-Humans,
pubmed-meshheading:11449856-Medication Errors,
pubmed-meshheading:11449856-New Mexico,
pubmed-meshheading:11449856-Pharmaceutical Preparations,
pubmed-meshheading:11449856-Pharmacy Service, Hospital,
pubmed-meshheading:11449856-Severity of Illness Index
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pubmed:year |
2001
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pubmed:articleTitle |
Practical approach to determining costs and frequency of adverse drug events in a health care network.
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pubmed:affiliation |
Fairview-University Medical Center, University Campus MMC611 D147, 420 Delaware Street S.E., Minneapolis, MN 55455, USA. bsenst1@fairview.org
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pubmed:publicationType |
Journal Article,
Multicenter Study
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