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Qual Saf Health Care 18:99-103 doi:10.1136/qshc.2007.025833
  • Organisational matters

Market-based control mechanisms for patient safety

Table 1 Top “natural” categories of adverse event in hospital, and costs in terms of additional length of stay (from Runciman et al16)
Top principal adverse event category Mean additional length of stay (days) No of events in each category Total no of extra days in hospital
Ongoing pain/restricted movement following back surgery 22 22 474
No, delay, inadequate investigations ischaemic heart disease 13 34 451
Wound infection following peripheral procedure 11 29 314
Incisional hernia: postprocedural 10 27 271
Postoperative bowel obstruction/adhesions 13 21 271
Injury due to fall in nursing home 12 19 219
Failed/blocked/ruptured/aneurysm, vascular grafts 13 17 215
Recurrent incisional hernia 9 20 190
Pulmonary embolism postoperatively 8 22 185
Wound infection following abdominal/retroperitoneal/pelvic procedure 5 35 178
Catheter-related urinary-tract infection 5 37 174
  • Each of these outcome categories can arise from a wide variety of different causes.

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