Means (SE) length of stay (LOS), charges, and mortality rates for discharges experiencing a patient safety indicator (PSI) event compared with those not experiencing a PSI event (unadjusted)
| Medical error | LOS with PSI event | LOS without PSI event | Charge with PSI event | Charge without PSI event | Mortality (%) with PSI event | Mortality (%) without PSI event |
|---|---|---|---|---|---|---|
| Complications of anesthesia | 50.40 (0.17) | 50.51 (0.006) | 24572 (838) | 25093 (29) | 10.10 (0.28) | 10.83 (0.01) |
| Death in low mortality DRGs | NA | NA | NA | NA | NA | NA |
| Decubitus ulcer | 160.32 (0.09) | 90.79 (0.006) | 45987 (375) | 28100 (29) | 130.85 (0.17) | 40.01 (0.01) |
| Failure to rescue | 110.24 (0.06) | 100.20 (0.02) | 52879 (364) | 34468 (111) | NA | NA |
| Foreign body left in during procedure | 90.30 (0.75) | 40.78 (0.002) | 41882 (2938) | 14882 (12) | 40.09 (0.008) | 20.63 (0.00) |
| Iatrogenic pneumothorax | 130.78 (0.25) | 40.59 (0.003) | 55286 (1454) | 13384 (11) | 160.11 (0.59) | 20.56 (0.006) |
| Infection due to medical care | 200.75 (0.22) | 40.54 (0.003) | 84751 (1096) | 13975 (12) | 100.31 (0.003) | 20.11 (0.0006) |
| Postoperative hip fracture | 160.37 (0.58) | 50.39 (0.007) | 52224 (1784) | 24594 (35) | 90.93 (0.92) | 10.70 (0.01) |
| Postoperative hemorrhage or hematoma | 110.74 (0.27) | 50.77 (0.006) | 57040 (1334) | 27200 (33) | 60.27 (0.41) | 20.07 (0.01) |
| Postoperative physiologic and metabolic derangements | 210.35 (0.78) | 40.13 (0.006) | 114487 (4261) | 20528 (33) | 280.16 (10.59) | 0.75 (0.01) |
| Postoperative respiratory failure | 220.39 (0.47) | 30.75 (0.006) | 110397 (2554) | 16602 (22) | 290.39 (0.96) | 0.39 (0.007) |
| Postoperative thromboembolism | 160.03 (0.14) | 50.66 (0.006) | 66805 (736) | 26777 (32) | 310.56 (0.25) | 130.94 (0.01) |
| Postoperative septicaemia | 250.10 (0.48) | 70.20 (0.01) | 113708 (2486) | 32328 (72) | 240.87 (0.85) | 10.12 (0.02) |
| Accidental puncture or laceration | 80.34 (0.08) | 60.92 (0.003) | 38788 (427) | 16212 (13) | 40.77 (0.16) | 30.06 (0.007) |
| Transfusion reaction | 130.40 (20.20) | 40.78 (0.003) | 68372 (20193) | 14884 (12) | 60.67 (40.64) | 20.63 (0.006) |
| Postoperative wound dehiscence | 220.32 (0.61) | 60.72 (0.014) | 93022 (3336) | 26623 (75) | 330.66 (10.16) | 160.53 (0.026) |
| Birth trauma - injury to neonate | 30.38 (0.10) | 30.03 (0.008) | 5111 (372) | 4226 (33) | 0.65 (0.12) | 0.33 (0.007) |
| Obstetric trauma (vaginal with instrument) | 20.42 (0.016) | 20.28 (0.008) | 5664 (92) | 5976 (115) | 0.016 (0.011) | 0.003 (0.003) |
| Obstetric trauma (vaginal without instrument) | 20.17 (0.005) | 20.09 (0.002) | 5110 (43) | 5206 (23) | 0.002 (0.002) | 0.003 (0.001) |
| Obstetric trauma (cesarean section) | 40.56 (0.13) | 30.76 (0.007) | 12614 (496) | 9461 (36) | 0 (0) | 0.02 (10.47) |