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Disclosure of Hospital Adverse Events and Its Association With Patients' Ratings of the Quality of Care

Disclosure of Hospital Adverse Events and Its Association With Patients' Ratings of the Quality... ORIGINAL INVESTIGATION HEALTH CARE REFORM Disclosure of Hospital Adverse Events and Its Association With Patients’ Ratings of the Quality of Care Lenny Lo´pez, MD, MDiv, MPH; Joel S. Weissman, PhD; Eric C. Schneider, MD; Saul N. Weingart, MD, PhD; Amy P. Cohen, BA; Arnold M. Epstein, MD, MA Background: Little is known about how the character- vey (OR, 0.49; 95% CI, 0.31-0.78). Higher-quality rat- istics of adverse events (AEs) affect the likelihood of dis- ings were associated with disclosure (OR, 2.04; 95% CI, closure or how the disclosure of an AE relates to pa- 1.39-2.99) of preventable and nonpreventable events and tients’ perception of quality of care. with patients who felt that they were able to protect them- selves from AEs (OR, 1.98; 95% CI, 1.21-3.24). Lower- Methods: The study included a random sample of medi- quality ratings were associated with events that were pre- cal and surgical acute care adult patients in Massachu- ventable (OR, 0.55; 95% CI, 0.40-0.76), with events that setts hospitals between April 1 and October 1, 2003. The caused increased discomfort (OR, 0.62; 95% CI, 0.46- unit of analysis was the AE, and multivariable regres- 0.86), or with events that still adversely affected the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Disclosure of Hospital Adverse Events and Its Association With Patients' Ratings of the Quality of Care

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References (44)

Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2009.387
pmid
19901141
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL INVESTIGATION HEALTH CARE REFORM Disclosure of Hospital Adverse Events and Its Association With Patients’ Ratings of the Quality of Care Lenny Lo´pez, MD, MDiv, MPH; Joel S. Weissman, PhD; Eric C. Schneider, MD; Saul N. Weingart, MD, PhD; Amy P. Cohen, BA; Arnold M. Epstein, MD, MA Background: Little is known about how the character- vey (OR, 0.49; 95% CI, 0.31-0.78). Higher-quality rat- istics of adverse events (AEs) affect the likelihood of dis- ings were associated with disclosure (OR, 2.04; 95% CI, closure or how the disclosure of an AE relates to pa- 1.39-2.99) of preventable and nonpreventable events and tients’ perception of quality of care. with patients who felt that they were able to protect them- selves from AEs (OR, 1.98; 95% CI, 1.21-3.24). Lower- Methods: The study included a random sample of medi- quality ratings were associated with events that were pre- cal and surgical acute care adult patients in Massachu- ventable (OR, 0.55; 95% CI, 0.40-0.76), with events that setts hospitals between April 1 and October 1, 2003. The caused increased discomfort (OR, 0.62; 95% CI, 0.46- unit of analysis was the AE, and multivariable regres- 0.86), or with events that still adversely affected the

Journal

JAMA Internal Medicine – American Medical Association

Published: Nov 9, 2009

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