“…..to determine the impact of all-cause inpatient harms on hospital finances and patient clinical outcomes.”
“A retrospective analysis of inpatient harm from 24 hospitals in a large multistate health system was conducted during 2009 to 2012….”
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“Inpatient harms were detected and categorized into harm (F–I), temporary harm (E), and no harm.”
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“Of the 21,007…..2818 (13.4%) experienced temporary harm, and 2579 (12.3%) experienced harm.”
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“A patient with harm was estimated to have higher total cost ($4617), higher variable cost ($1774), lower contribution margin (−$1112), longer length of stay (2.6 days), higher mortality probability (59%), and higher 30-day readmission probability (74.4%).”
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“A patient with temporary harm was estimated to have higher total cost ($2187), higher variable cost ($800), lower contribution margin (−$669), longer length of stay (1.3 days), mortality probability not statistically different, and higher 30-day readmission probability (54.6%).”
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“Total health system reduction of harm was associated with a decrease of $108 million in total cost, $48 million in variable cost, an increase of contribution margin by $18 million, and savings of 60,000 inpatient care days.”
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“This all-cause harm safety study indicates that inpatient harm has negative financial outcomes for hospitals and negative clinical outcomes for patients.”
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L.Alder, et al
Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes
Journal of Patient Safety — Volume 14 #2 — June 2018 — page 67
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“……the benefits that US health care currently deliver may not outweigh the aggregate health harm it imparts.”
Journal Of The American Medical Association…Volume 302 #1..July 1, 2009…page 89 – 91