EXTRA MEDICAL COSTS DUE TO FALLS BY USING INCIDENT REPORTING AND ADMINISTRATIVE PROFILING DATA AT A TEACHING HOSPITAL IN JAPAN:A RETROSPECTIVE CASE STUDY

DOI Web Site 1 Citations 22 References
  • EGAMI Koichi
    St. Mary's Hospital, Medical Quality Management Headquarters
  • HIROSE Masahiro
    St. Mary's Hospital, Medical Quality Management Headquarters Shimane University Hospital, Center for Education on Hospital Medicine
  • TAKEMURA Tadamasa
    Kyoto University Hospital, Department of Medical Informatics
  • OKAMOTO Kazuya
    Kyoto University Hospital, Department of Medical Informatics
  • TSUDA Yoshihiko
    St. Mary's Hospital, Medical Quality Management Headquarters
  • OHAMA Kyoko
    St. Mary's Hospital, Medical Quality Management Headquarters
  • HONDA Junichi
    St. Mary's Hospital, Medical Quality Management Headquarters
  • SHIMA Hiroji
    St. Mary's Hospital, Medical Quality Management Headquarters
  • IMANAKA Yuichi
    Kyoto University, Graduate School of Medicine, Department of Healthcare Economics and Health Policy
  • YOSHIHARA Hiroyuki
    Kyoto University Hospital, Department of Medical Informatics

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  • インシデントレポート・医事管理データによる転倒・転落に起因する追加的医療費算出の試み
  • インシデントレポート イジ カンリ データ ニ ヨル テントウ テンラク ニ キイン スル ツイカテキ イリョウヒ サンシュツ ノ ココロミ

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Medical costs following incidents and accidents within hospitals are not linked with primary diseases, and these costs may be borne by hospitals where patients are injured. It is therefore very important for policy makers and hospital managers to recognize the actual situation of additional medical costs for incidents. Cases with over level two injuries and their associated medical costs were explored over three years.<br>We collected 7,717 incident reports between 2007 and 2009 at Saint Mary's Hospital in Kurume-City, Fukuoka, Japan. Their reports included 1,790 cases for Falls/Slips. There were 824 cases for Falls/Slips classified as level 2,298 cases for level 3a, and 46 cases with level 3b.<br>At the injury level, average additional medical costs were 10,070±7,934 JY* (level 2, 205 cases), 12,859±15,772 JY (level 3a, 186 cases), and 226,723±281,065JY (level 3b, 34 cases), and there were statistically significant differences among them (2 and 3a:p=0.027, 3a and 3b:p<0.001). Average medical costs were directly calculated from the insurance medical fee schedule under the social insurance system.<br>As a result, the total amount of additional medical costs for Falls/Slips is estimated to be seven million JY at our hospital, as additional medical costs are 2.8 million JY with level 2, 1.3 million JY with level 3a, and 3.5 million JY with level 3b. Therefore, it is suggested that patient safety activities need to be conducted in order to prevent patients with level 3b injuries from Falls/Slips.<br>*JY=Japanese Yen

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