Detection of Adverse Events Through Hospital Administrative Data

• Type: Article in International Conference Proceedings Book
• Date: 2017

Authors

Marques, B (Author) Other; Sousa Pinto, B (Author) FMUP; Silva Costa, T (Author) Other; Lopes, F (Author) Other; Freitas A (Author) FMUP

Conference proceedings International

Title: RECENT ADVANCES IN INFORMATION SYSTEMS AND TECHNOLOGIES, VOL 2

Pages: 825-834

World Conference on Information Systems and Technologies (WorldCIST)

Madeira, PORTUGAL, APR 11-13, 2017

Indexing

ISI Web of Knowledge - 3 Citations

Scopus - 0 Citations

Other information

Authenticus ID: P-00M-QB7

DOI: 10.1007/978-3-319-56538-5_83

Abstract (EN): This study aims to estimate and describe the incidence of adverse events (AE) registered in Portuguese public hospitals and consequently to determine the feasibility of using hospital administrative data as a tool for AE surveillance. A retrospective observational study using hospital administrative data was performed to detect the incidence of AE based on a selection of ICD-9-CM codes (diagnoses and external causes). All episodes in public hospitals in the period 2000-2010 were included. AE were divided in three main categories: complications of surgical or medical procedures, misadventures of surgical and medical care, and adverse drug events (ADE). The ADE subgroup was further subdivided in: poisoning, late effect, and adverse drug reaction. Over the studied period, the algorithm was able to detect 543,242 episodes with AE events (3.7% of all episodes), with an in-hospital mortality rate of 6.3%, and a median length-of-stay of 8 days. In a scenario of underreporting of AE, this administrative data approach in an important complement to the other existing surveillance techniques.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 10