TABLE 3.

Regression Analysis of Impact of Experiencing a PSI Event

Patient Safety EventIncreased LOS (Days [SE])Increased Charges (Dollars [SE])Increased In-Hospital Mortality, (OR [95% CI])
Anesthesia complicationNSNSNS
Death in low-mortality DRG4.4 (0.33)37 890 (1399)NA
Decubitus ulcer18 (0.6)85 344 (2056)3.5 (2.6–4.8)
Failure to rescue−2 (0.4)32 344 (2052)NA
Foreign body left after procedure5.7 (0.9)31 366 (3262)NS
Iatrogenic pneumothorax11.6 (0.4)61 991 (1222)7.5 (5.0–11.4)
Infection as a result of medical care30 (0.2)121 010 (618)2.2 (1.7–2.7)
In-hospital postoperative hip fracture***
Postoperative hemorrhage/hematoma7.9 (0.5)75 932 (2700)3.5 (2.4–5.1)
Postoperative physiologic/metabolic derangement16.3 (1)112 532 (5063)45.8 (21.7–93.0)
Postoperative respiratory failure24.4 (0.4)140 507 (1979)76.6 (51.6–113.6)
Postoperative pulmonary embolism/DVT20 (0.4)99 646 (2136)2.8 (1.9–3.9)
Postoperative sepsis26 (0.6)117 815 (2768)11 (6.9–17.5)
Postoperative wound dehiscence21.1 (1.4)76 737 (6778)5.7 (2.1–15.0)
Technical difficulty with care7.7 (0.2)41 204 (813)2.4 (1.7–3.4)
Transfusion reaction***
Birth trauma0.2 (0.05)NS1.3 (1.1–1.6)
Obstetric trauma—vaginal with instrumentation0.1 (0.03)NSNS
Obstetric trauma—vaginal without instrumentationNSNSNS
Obstetric trauma—cesarean sectionNSNSNS
  • SE indicates standard error, NS, not significant; NA, not applicable.

  • * This PSI event had too few cases to permit regression analysis.