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Accidental Injuries of Hospitalized Patients: A Prospective Cohort Study

Published online by Cambridge University Press:  10 March 2009

James E. Groves ,
Philip W. Lavori  and
Jerrold F. Rosenbaum
James E. Groves
Affiliation:
Harvard Medical School and Massachusetts General Hospital
Philip W. Lavori
Affiliation:
Harvard Medical School and Massachusetts General Hospital
Jerrold F. Rosenbaum
Affiliation:
Harvard Medical School and Massachusetts General Hospital
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Abstract

Eight hundred and six medical and surgical patients who were hospitalized via the emergency ward were followed over their entire inpatient stays and rated in anterograde, double-blind fashion for inpatient incidents (falls, medication errors, other). Injuries were minor but affected 2.2% of admissions, a figure which is strikingly similar to studies in other hospitals. There was a statistical trend toward a higher-than-normal risk of hazardous in-hospital incidents for males age 20 to 40 admitted because of injury and for medically ill females over 60 years old.

Type
Research Note
Information
International Journal of Technology Assessment in Health Care , Volume 9 , Issue 1 , Winter 1993 , pp. 139 - 144
Copyright
Copyright © Cambridge University Press 1993

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References

REFERENCES

1.American Hospital Association. Safety guide for health care institutions. Chicago, IL: American Hospital Association, 1972.Google Scholar
2.Angell, M.The interpretation of epidemiologic studies. New England Journal of Medicine, 1990, 323, 823–25.Google Scholar
3.Baker, S. P., O'Neill, B., & Karpf, R. S.The injury fact book. Lexington, MA: Lexington Books/D.C. Heath, 1984.Google Scholar
4.Baker, S. P., Whitfield, R. A., & O'Neill, B.Geographic variations in mortality from motor vehicle crashes. New England Journal of Medicine, 1987, 316, 1384–87.Google Scholar
5.Couch, N. P., Tilney, N. L., Rayner, A. A., & Moore, F. D.The high cost of low-frequency events: The anatomy and economics of surgical mishaps. New England Journal of Medicine, 1981, 304, 634–37.CrossRefGoogle ScholarPubMed
6.Division of Injury Epidemiology and Control, Center for Environmental Health, Centers for Disease Control. 1986 annual report. Washington, DC: Department of Health and Human Services, 1987.Google Scholar
7.Fagin, I. D., & Vita, M.An analysis of 868 inpatient accidents. Journal of the American Hospital Association, 1965, 39, 60–65.Google ScholarPubMed
8.Gordon, J. E.The epidemiology of accidents. American Journal of Public Health, 1949, 39, 504–15.Google Scholar
9.Grisso, J. A., Kelsey, J. L., Strom, B. L., et al. Risk factors for falls as a cause of hip fracture in women. New England Journal of Medicine, 1991, 324, 1326–31.Google Scholar
10.Groves, J. E., Lavori, P. W., & Rosenbaum, J. F. In-hospital injuries of medical and surgical patients, the predictive effect of a prior injury. Psychosomatic Medicine, 1992, 264–74.CrossRefGoogle Scholar
11.Howells, R. A., & Knight, J. L.Safety considerations for hospital populations. In Stanley, P. E. (ed.), CRC handbook of hospital safety. Boca Raton, FL: CRC Press, Inc., 1981, 13–42.Google Scholar
12.Morgan, V. R., Mathison, J. H., Rice, J. C., & Clemmer, D. I.Hospital falls: A persistent problem. American Journal of Public Health, 1985, 75, 775–77.Google Scholar
13.Neff, J. B.A standardized reporting form for patient incidents and accidents. Journal of the American Hospital Association, 1963, 37, 41–43.Google Scholar
14.Parrish, H. M., & Weil, T. P.Patient accidents occurring in hospitals: Epidemiologic study of 614 accidents. New York State Journal of Medicine, 1958, 58, 838–46.Google Scholar
15.Ray, W. A., Griffin, D. E., Schaffner, W., et al. Psychotropic drug use and risk of hip fracture. New England Journal of Medicine, 1987, 316, 363–69.CrossRefGoogle ScholarPubMed
16.Rothman, K. J.Sleuthing in hospitals. New England Journal of Medicine, 1985, 313, 258–60.CrossRefGoogle ScholarPubMed
17.Sheehan, D. V., O'Donnell, J., Fitzgerald, A., et al. Psychosocial predictors of accident/error rates in nursing students: A prospective study. International Journal of Psychiatry Medicine, 1981–1982, 11, 125–36.Google Scholar
18.Snell, W. E.Accidents to patients in hospital. Lancet, 1956, 2, 1202–03.Google Scholar
19.Suchman, E. A.A conceptual analysis of the accident phenomenon. In Jacobs, H. H., Suchman, E. A., Fox, B. H., et al. (eds.), Behavioral approaches to accident research. New YorkAssociation for the Aid of Crippled Children, 1961, 26–47.Google Scholar
20.Trager, G. W., Grayman, G., & Harr, S.All-terrain vehicle accidents: The experience of one hospital located near a major recreational area. Annals of Emergency Medicine, 1986, 15, 1293–96.Google Scholar
21.Uden, G.Inpatient accidents in hospitals. Journal of the American Geriatric Society, 1985, 33, 833–41.CrossRefGoogle ScholarPubMed
22.Weil, T. P., Freysinger, J. J., & Parrish, H. M.Epidemiology of patient accidents. Industrial Medicine and Surgery, 1962, 31, 186–90.Google Scholar
23.Winslow, R. Malpractice study finds many deaths due to negligence. The Wall Street Journal, 03 1, 1990, B4, c6.Google Scholar