Patient, Provider, and System Factors Contributing to Patient Safety Events During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness. Academic Article uri icon

Overview

abstract

  • This study aimed to explore patient-, provider-, and system-level factors that may contribute to elevated risk of patient safety events among persons with serious mental illness (SMI). We conducted a medical record review of medical/surgical admissions in Maryland hospitals from 1994 to 2004 for a community-based sample of adults with SMI (N = 790 hospitalizations). We estimated the prevalence of multiple patient, provider, and system factors that could influence patient safety among persons with SMI. We conducted a case crossover analysis to examine the relationship between these factors and adverse patient safety events. Patients' mental status, level of consciousness, disease severity, and providers' lack of patient monitoring, delay/failure to seek consultation, lack of trainee supervision, and delays in care were positively associated with adverse patient safety events (p < 0.05). Efforts to reduce SMI-related patient safety risks will need to be multifaceted and address both patient- and provider-level factors.

authors

  • McGinty, Beth
  • Thompson, David A
  • Pronovost, Peter J
  • Dixon, Lisa B
  • Guallar, Eliseo
  • Ford, Daniel E
  • Cahoon, Elizabeth Khaykin
  • Boonyasai, Romsai
  • Daumit, Gail L

publication date

  • June 1, 2017

Research

keywords

  • Cause of Death
  • Health Personnel
  • Health Services
  • Hospitalization
  • Mental Disorders
  • Patient Safety

Identity

PubMed Central ID

  • PMC5559891

Scopus Document Identifier

  • 85020655518

Digital Object Identifier (DOI)

  • 10.1097/NMD.0000000000000675

PubMed ID

  • 28557885

Additional Document Info

volume

  • 205

issue

  • 6