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A. Please explain, pursuant to the Report of the Harvard Medical Practice, what role age plays as a factor for adverse e...

A. Please explain, pursuant to the Report of the Harvard Medical Practice, what role age plays as a factor for adverse events. Is there any correlation between age and the primary type of adverse event (negligence)? B. Is there any correlation between the type of hospital involved (i.e. government, non-profit, private propriety) and adverse events involving negligence? What about teaching hospitals vs. non-teaching hospitals?

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It was found that each crude and standardized rates of adverse events increa sed with age. This implies that senior individuals are at higher risk of an adverse event, and its going to mirror partly the actual fact that older individuals are possible to own a lot of difficult diseases and in frequently need a lot of difficult intervention. It is going to even be attributable partly to their larger fragility. Such variations highlight the importance of dominant for age once comparison population groups. Individuals over the age of sixty four were at higher risk of an adverse event related to negligence, a finding not explained by variations within the severity ofil health. Presumably, this suggests that taking care of the senior less often meets the quality expected of affordable medical practitioners. a) Persons sixty five or older had quite double the chance of persons 16- forty four years. In contrast to the rates of adverse events, how ever the speed of negligence among those older than sixty four was beyond that of the other cohort, a distinction that remained once standardizing for DRG risk class. b) The authors analyzed the character of injuries sustained in an exceedingly cohort of hospitalized patients in new york in 1984. Reviewers evaluated 1133 injury cases w ith regard to negligence, errors in management, and extent of in capacity. The reviewers found complications from medications were commonest, followed by wound infections and technical complications. Medical procedure events were a lot of possible to be related to negligence. The proportion of adverse events due to negligence was highest for diagnostic mishaps, errors of omission, and events within the hospital room, starting from seventieth to seventy seven in these classes. Errors in management were common as well; nearly half these cases were attributed to negligence. Findings showed that teaching hospitals more often are located in urban areas, represent the majority of level 1 trauma and transplant centers, and have higher case-mix indices. Mortality from acute myocardial infarction (AMI), heart failure, and pneumonia were lower at teaching hospitals, whereas readmission rates for pneumonia and AMI were higher. Teaching hospitals more often were adherent to Leapfrog standards. Costs of care were similar between teaching and nonteaching hospitals after adjustment for geographic cost of living, patient complexity, and indigent populations. However, patient HCAHPS satisfaction scores consistently were lower at teaching hosp itals

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