Table 2.
Frequency and Relative Odds of Inpatient Mortality and Patient Safety Events Experienced by Parkinson Disease Patients in U.S. Magnet Hospitals, Nationwide Inpatient Sample, 2000–2010.
| Hospitalization or Patient Safety Outcome | Frequency of PSI % (n) | Odds of Hospitalization or Patient Safety Outcome in Hospitals with Magnet Status (vs. non-Magnet Status) | ||||
|---|---|---|---|---|---|---|
| Magnet Nursing Status | ||||||
| Yes | No | OR | 95% CI | AOR** | 95% CI | |
| Inpatient Mortality | 3.31 (1,327) | 4.43 (20,088) | 0.74 | 0.70–0.78 | 0.79 | 0.74–0.85 |
| Patient Safety Indicator (PSI) | ||||||
| At least 1 PSI | 2.59 (1,040) | 2.92 (13,254) | 0.88 | 0.83–0.94 | 0.74 | 0.68–0.79 |
| Post-operative (PO) or Procedure-related PSIs | ||||||
| PSI 01: Anesthetic Complications | 0.21 (1,040) | 2.69 (13,254) | 0.88 | 0.83–0.94 | 0.74 | 0.68–0.79 |
| PSI 04: Surgical Death | 10.39 (35) | 12.91 (377) | 0.78 | 0.54–1.13 | 0.97 | 0.64–1.48 |
| PSI 06: Iatrogenic Pneumothorax | 0.07 (28) | 0.05 (202) | 1.58 | 1.06–2.35 | 1.15 | 0.71–1.86 |
| PSI 08: Hip Fracture | 0.01 (*) | 0.08 (*) | 0.57 | 0.18–7.85 | 1.20 | 0.31–4.57 |
| PSI 09: Hemorrhage or Hematoma | 0.64 (58) | 0.44 (308) | 1.46 | 1.10–1.93 | 1.45 | 1.04–2.04 |
| PSI 10: Physiologic/Metabolic Derangement | 0.01(*) | 0.03 (*) | 1.63 | 0.45–5.92 | 3.35 | 0.66–16.97 |
| PSI 11: Respiratory Failure | 0.69 (24) | 1.05 (196) | 0.65 | 0.43–0.99 | 0.76 | 0.47–1.24 |
| PSI 12: Pulmonary Embolism/Deep Vein Thrombosis | 1.34 (128) | 1.05 (763) | 1.28 | 1.06–1.55 | 1.01 | 0.81–1.27 |
| PSI 13: Sepsis | 0.92 (78) | 0.12 (*) | 0.77 | 0.40–1.49 | 0.81 | 0.39–1.68 |
| PSI 14: Wound Dehiscence | 0.01(*) | 0.23 (*) | 0.48 | 0.06–3.58 | 1.14 | 0.12–11.14 |
| Medical PSIs | ||||||
| PSI 02: Death in Low-Mortality Health Conditions | 0.09 (*) | 0.26 (94) | 0.36 | 0.11–1.14 | 0.74 | 0.68–0.79 |
| PSI 03: Pressure Ulcer of Skin | 4.23 (610) | 5.75 (9,992) | 0.72 | 0.66–0.79 | 0.60 | 0.55–0.67 |
| PSI 07: Central Venous Catheter-Related Blood Infection | 0.13 (36) | 0.12 (387) | 1.11 | 0.79–1.57 | 1.01 | 0.68–1.51 |
| PSI 15: Accidental Puncture or Laceration | 0.13 (51) | 0.10 (451) | 1.29 | 0.97–1.73 | 1.22 | 0.87–1.71 |
*
HCUP DUA prohibits cell counts < 11
**
Adjusted for patient age, race, sex, hospital teaching status, hospital bedsize, hospital location, hospital region, ZIP income quartile. Statistically significant ORs are in bold type.