title: The Link Between Clinically Validated Patient Safety Indicators and Clinical Outcomes.
abstract: There is a paucity of evidence on the association between clinically validated Patient Safety Indicators (PSIs) and inpatient length of stay, mortality, and 30-day unplanned readmission. The authors perform a retrospective analysis of patient discharges from an academic medical center comprising 6 hospitals from July 2012 to June 2014. Multivariable regression models are used to assess the relationship between length of stay, mortality, and 30-day unplanned readmission and the presence of a clinically validated PSI. Cases flagged with a clinically validated PSI are associated with a statistically greater length of stay, 30-day unplanned readmission, and mortality as compared to cases without a PSI. This study demonstrates a strong association between clinically validated PSIs and patient outcomes. The findings have important implications in policy and practice as health care reform dictates improvement in the experience of care, health of populations, and per capita costs.
authors.affiliation: 1 The Ohio State University, Columbus, OH.
authors.forename: Darrell M
authors.initials: DM
authors.lastname: Gray
authors.affiliation: 1 The Ohio State University, Columbus, OH.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Hefner
authors.affiliation: 2 The Ohio State University Wexner Medical Center, Columbus, OH.
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Nguyen
authors.affiliation: 2 The Ohio State University Wexner Medical Center, Columbus, OH.
authors.forename: Daniel
authors.initials: D
authors.lastname: Eiferman
authors.affiliation: 2 The Ohio State University Wexner Medical Center, Columbus, OH.
authors.forename: Susan D
authors.initials: SD
authors.lastname: Moffatt-Bruce
mesh_terms: D000046:Academic Medical Centers; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay; D008297:Male; D010359:Patient Readmission; D061214:Patient Safety / Q000706:statistics & numerical data*; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014481:United States; D016270:United States Agency for Healthcare Research and Quality
keywords: Patient Safety Indicators; health care quality; hospital readmission; inpatient mortality