Risk Adjustment for Hospital Characteristics Reduces Unexplained Hospital Variation in Pressure Injury Risk.

ABSTRACT:

Background

Research investigating risk factors for hospital-acquired pressure injury (HAPI) has primarily focused on the characteristics of patients and nursing staff. Limited data are available on the association of hospital characteristics with HAPI.

Objective

We aimed to quantify the association of hospital characteristics with HAPI and their effect on residual hospital variation in HAPI risk.

Methods

We employed a retrospective cohort study design with split validation using hierarchical survival analysis. This study extends the analysis "Hospital-Acquired Pressure Injury (HAPI): Risk Adjusted Comparisons in an Integrated Healthcare Delivery System" by Rondinelli et al. (2018) to include hospital-level factors. We analyzed 1,661 HAPI episodes among 728,266 adult h

SUBMITTER: Linnen DT 

PROVIDER: S-EPMC6023742 | biostudies-literature | 2018 Jul/Aug

REPOSITORIES: biostudies-literature