Racial and Insurance Status Disparities in Patient Safety Indicators among Hospitalized Patients (original) (raw)

2016, Ethnicity & Disease

Health disparities associated with race and insurance status are widely documented. A 2003 Institute of Medicine report states that racial/ethnic minorities and low-income groups are disproportionately affected by medical care disparities in the United States, even after controlling for income and access to care. 1 This report suggests that, "the sources of these disparities are complex and rooted in historic and contemporary inequalities, and involve many participants at several levels, including health systems, healthcare managers, medical professionals and patients". Previous research indicates that minority patients are more likely to receive lower quality of care across a range of conditions and care processes, and have higher morbidity and mortality rates including some patient safety indicators on selected outcomes. 2-13 Patient safety indicators (PSIs), developed by the Agency for Healthcare Research and Quality (AHRQ), are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries, procedures, and childbirth. The PSIs were developed after a comprehensive literature review, analysis of ICD-9-CM codes, review by a clinician panel, implementation of risk adjustment, and empirical analyses. The PSIs provide the opportunity to assess the incidence of adverse events and in-hospital complications us

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