Table 2.
Multinomial logistic regression analysis for predicting PSIs (N = 16,215).
Variables (Reference) | Categories | Adverse Event (Reference = Near Miss) |
Sentinel Event (Reference = Near Miss) |
||||
---|---|---|---|---|---|---|---|
Adjusted OR | 95% CI | p | Adjusted OR | 95% CI | p | ||
Patient sex (Male) | Female | 1.01 | 0.95–1.09 | 0.694 | 1.75 | 1.54–1.98 | <0.001 |
Patient age (≤19 years) | 20–59 | 1.23 | 1.05–1.43 | 0.010 | 2.97 | 1.80–4.90 | <0.001 |
≥60 | 1.35 | 1.17–1.57 | <0.001 | 5.02 | 3.08–8.19 | <0.001 | |
Time when the PSI occurred (Day) | Evening | 1.01 | 0.93–1.10 | 0.823 | 1.11 | 0.95–1.29 | 0.174 |
Night | 1.03 | 0.94–1.12 | 0.589 | 1.11 | 0.95–1.30 | 0.177 | |
Seasons when the PSI occurred (Winter) | Spring | 1.15 | 1.04–1.27 | 0.006 | 1.14 | 0.96–1.36 | 0.133 |
Summer | 1.12 | 1.01–1.23 | 0.029 | 1.03 | 0.86–1.22 | 0.776 | |
Fall | 1.11 | 1.00–1.23 | 0.045 | 1.03 | 0.86–1.23 | 0.746 | |
Incident Reporter (Patient safety officer) | Health provider | 1.53 | 1.35–1.74 | <0.001 | 2.23 | 1.85–2.70 | <0.001 |
Hospital size (200∼499 beds) | ≥500 | 1.22 | 1.13–1.31 | <0.001 | 1.08 | 0.95–1.23 | 0.222 |
Location of the PSI (Others) | General ward | 1.23 | 1.12–1.34 | <0.001 | 1.01 | 0.87–1.16 | 0.918 |
Outpatient clinic | 1.54 | 1.32–1.78 | <0.001 | 0.94 | 0.69–1.28 | 0.703 | |
Special ward | 1.65 | 1.42–1.91 | <0.001 | 1.40 | 1.05–1.87 | 0.021 | |
Type of PSI (MT) | Falls | 2.73 | 2.47–3.01 | <0.001 | 11.83 | 8.58–16.31 | <0.001 |
SAE | 0.75 | 0.65–0.86 | <0.001 | 2.80 | 1.85–4.22 | <0.001 | |
IC | 1.64 | 1.34–2.02 | <0.001 | 2.13 | 1.05–4.33 | 0.037 | |
ECD | 0.76 | 0.54–1.06 | 0.101 | 4.01 | 1.93–8.34 | <0.001 | |
Others | 3.81 | 3.33–4.37 | <0.001 | 25.49 | 18.10–35.90 | <0.001 | |
Medical department (Complex support division) |
Internal medicine | 1.42 | 1.23–1.63 | <0.001 | 2.04 | 1.50–2.79 | <0.001 |
Surgical | 1.26 | 1.09–1.46 | 0.002 | 1.45 | 1.05–2.00 | 0.023 | |
Clinical support division | 1.92 | 1.53–2.42 | <0.001 | 1.89 | 1.08–3.30 | 0.025 |
OR: odds ratio; CI: confidence interval; PSI: patient safety incident; TR = treatment room; MO = medical office; IR = injection room; ER = emergency room; ICU = intensive care unit; OR = operating room; RR = recovery room; MT = medication/transfusion; SAE = surgery/anesthesia/examination; IC = infection/contamination; and ECD = equipment/computational disorder.