Adverse events in health care: Setting priorities based on economic evaluation

Journal of quality in clinical practice Pub Date : 2002-02-28 DOI:10.1046/j.1440-1762.1999.00301.x

K Rigby RN, BEc, MSc(Med), MSc(Hlth Econ), RB Clark BSc, MPH, WB Runciman MBBCh, FANZCA, FFICANZCA, FRCA, FHKCA, PhD

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引用次数: 79

Abstract Adverse events arising from health-care management, rather than a disease process, may place as great a burden on society as all other forms of injury put together. By analysing data from the Quality in Australian Health Care Study (a retrospective review of 14 179 medical records representative of admissions to Australian acute care hospitals in 1992), and applying costing techniques based on Diagnosis Related Group (DRG) cost weights, it is possible to compare the economic impacts of different kinds of adverse events. This can assist in determining priorities for interventions. However, due to limitations inherent in DRG cost weights, there is a need to employ further techniques to refine the costing base of adverse events so that it more closely reflects their resource use. Decisions to invest resources in strategies that reduce the risk of adverse events can then be properly informed by economic data.

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卫生保健中的不良事件:根据经济评估确定优先事项

由卫生保健管理引起的不良事件，而不是疾病过程，可能会给社会带来与所有其他形式的伤害加在一起一样大的负担。通过分析澳大利亚卫生保健质量研究(对1992年澳大利亚急症护理医院的14179份医疗记录进行回顾性审查)的数据，并应用基于诊断相关组(DRG)成本权重的成本计算技术，可以比较不同类型不良事件的经济影响。这有助于确定干预措施的优先事项。然而，由于DRG成本权重固有的局限性，需要采用进一步的技术来完善不良事件的成本计算基础，以便更密切地反映其资源使用情况。然后，在减少不良事件风险的战略上投入资源的决策可以根据经济数据得到适当的信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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