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Increased reporting but decreased mortality associated with adverse events in patients undergoing lung cancer surgery: Competing forces in an era of heightened focus on care quality?
- Source :
- PLoS ONE, PLoS ONE, Vol 15, Iss 4, p e0231258 (2020)
- Publication Year :
- 2020
- Publisher :
- Public Library of Science (PLoS), 2020.
-
Abstract
- Introduction Advances in surgical techniques have improved clinical outcomes and decreased complications. At the same time, heightened attention to care quality has resulted in increased identification of hospital-acquired adverse events. We evaluated these divergent effects on the reported safety of lung cancer resection. Methods and materials We analyzed hospital-acquired adverse events in patients undergoing lung cancer resection using the National Hospital Discharge Survey (NHDS) database from 2001–2010. Demographics, diagnoses, and procedures data were abstracted using ICD-9 codes. We used the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) to identify hospital-acquired adverse events. Weighted analyses were performed using t-tests and chi-square. Results A total of 302,444 hospitalizations for lung cancer resection and were included in the analysis. Incidence of PSI increased over time (28% in 2001–2002 vs 34% in 2009–2010; P
- Subjects :
- Male
Research Report
Lung Neoplasms
Time Factors
Nosocomial Infections
Cancer Treatment
Pathology and Laboratory Medicine
Lung and Intrathoracic Tumors
Cohort Studies
0302 clinical medicine
Surgical oncology
Medicine and Health Sciences
030212 general & internal medicine
Respiratory System Procedures
Reimbursement
Aged, 80 and over
Lung cancer surgery
Multidisciplinary
Incidence (epidemiology)
Mortality rate
Middle Aged
Hospitalization
Surgical Oncology
Infectious Diseases
Oncology
Research Design
030220 oncology & carcinogenesis
Medicine
Lung Resection
Female
Patient Safety
Research Article
Clinical Oncology
Adult
medicine.medical_specialty
Adolescent
Clinical Research Design
Death Rates
Science
Surgical and Invasive Medical Procedures
Research and Analysis Methods
Young Adult
03 medical and health sciences
Patient safety
Signs and Symptoms
Population Metrics
Diagnostic Medicine
Sepsis
medicine
Humans
Lung cancer
Adverse effect
Aged
Quality of Health Care
Surgical Resection
Population Biology
business.industry
Cancers and Neoplasms
Biology and Life Sciences
medicine.disease
Emergency medicine
Adverse Events
Clinical Medicine
business
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- PLOS ONE
- Accession number :
- edsair.doi.dedup.....08bd56c7ae328abc50f4a67437da3a95