Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xke8aE. Diffusion soumise à autorisation]. Context : Although medical injuries are recognized as a major hazard in the health care system, little is known about their impact. Objective : To assess excess length of stay, charges, and deaths attributable to medical injuries during hospitalization. Design, Setting, and Patients The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) were used to identify medical injuries in 7.45 million hospital discharge abstracts from 994 acute-care hospitals across 28 states in 2000 in the AH RQ Healthcare Cost and Utilization Project Nationwide Inpatient Sample database. Main Outcome Measures : Length of stay, charges, and mortality that were recorded in hospital discharge abstracts and were attributable to medical injuries according to 18 PSIs. Results : Excess length of stay attributable to medical injuries ranged from 0 days for injury to a neonate to 10.89 days for postoperative sepsis, excess charges ranged from $0 for obstetric trauma (without vaginal instrumentation) to $57727 for postoperative sepsis, and excess mortality ranged from 0% for obstetric trauma to 21.96% for postoperative sepsis (P<. following postoperative sepsis the second most serious event was wound dehiscence with extra days in hospital excess charges and attributable mortality. infection due to medical care associated conclusion : some injuries incurred during hospitalization pose a significant threat patients costs society but impact of such injury is highly variable.>
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