Table 3.
Factors Associated with Admission Order Errors (outcome 2)
| Admission order errors | Clinically relevant admission order errors | |||||
|---|---|---|---|---|---|---|
| Adjusted | Adjusted | |||||
| Variable | Unadjusted | Without PAML errors | With PAML errors | Unadjusted | Without PAML errors | With PAML errors |
| Age (55–64, 65+ vs. <55) | 1.61 (1.17–2.22)* | 1.84 (1.26–2.70)* | 1.74 (1.18–2.56)* | 1.93 (1.26–2.97)* | 1.95 (1.19–3.18)* | 1.54 (0.99–2.40) |
| Living alone vs. not | 0.79 (0.47–1.31) | 0.86 (0.54–1.37) | 0.81 (0.51–1.28) | 0.96 (0.45–2.06) | 1.56 (0.82–2.95) | 1.44 (0.75–2.74) |
| Insurance type (not private† vs. private) | 1.39 (0.79–2.43) | 0.73 (0.41–1.32) | 0.70 (0.37–1.31) | 1.81 (0.79–4.13) | 1.07 (0.48–2.37) | 1.02 (0.44–2.33) |
| Health literacy (inadequate or marginal vs. adequate) | 0.68 (0.36–1.31) | 0.64 (0.33–1.22) | 0.50 (0.24–1.04) | 0.79 (0.30–2.08) | 0.59 (0.21–1.62) | 0.41 (0.16–1.05) |
| Cognition level (dementia vs. no dementia) | 1.00 (0.44–2.28) | 0.96 (0.43–2.13) | 0.84 (0.45–1.58) | 1.02 (0.34–3.03) | 1.41 (0.44–4.56) | 1.05 (0.38–2.86) |
| Medication understanding‡ | 1.27 (0.73–2.21) | 1.34 (0.81–2.22) | 1.15 (0.69–1.91) | 1.48 (0.64–3.46) | 1.92 (0.85–4.36) | 1.50 (0.70–3.23) |
| Medication adherence§ | 0.88 (0.68–1.13) | 1.00 (0.80–1.26) | 1.07 (0.87–1.31) | 0.95 (0.65–1.39) | 1.15 (0.84–1.57) | 1.21 (0.94–1.55) |
| # pre–admission prescription meds (per additional medication) | 1.09 (1.02–1.16)* | 1.07 (1.01–1.14)* | 1.00 (0.93–1.07) | 1.14 (1.05–1.23)* | 1.12 (1.05–1.20)* | 1.05 (0.97–1.12) |
| Medication list available in EMR | 1.58 (0.95–2.63) | 1.08 (0.63–1.83) | 1.62 (0.97–2.72) | 2.49 (1.24–5.01)* | 1.39 (0.70–2.77) | 1.45 (0.74–2.83) |
| # PAML errors | 1.60 (1.42–1.80)* | 1.59 (1.42–1.77)* | 1.83 (1.54–2.18)* | 1.71 (1.46–1.99)* | ||
Results are presented as incidence rate ratios (IRR), with 95% confidence interval
*p < 0.05
†Not private category included Medicaid, Medicare, self pay, and other types of insurance
‡Per point on 0 to 3 scale, with higher numbers indicating better understanding
§Per point on 0 to 4 scale, with lower numbers indicating better adherence