Preventable hospital admissions related to medication (HARM): Cost analysis of the HARM study

Adverse drug events (ADEs) can cause serious harm to patients and can lead to hospitalization or even death. ADEs are a burden not only to patients and their relatives, but also to society and have the potential to involve high costs. To provide more information on the economic burden of preventable...

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Veröffentlicht in:Value in health Jg. 14; H. 1; S. 34 - 40
Hauptverfasser: Leendertse, Anne J., Van Den Bemt, Patricia M.L.A., Poolman, J. Bart, Stoker, Lennart J., Egberts, Antoine C.G., Postma, Maarten J.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Elsevier Inc 2011
Schlagworte:
Adult
Adverse drug event
Aged
Avoidable
Burden
Case-Control Studies
Cost analysis
Cost of Illness
Direct costs
Direct Service Costs
Drug-Related Side Effects and Adverse Reactions - economics
Female
Health Care Costs
Health costs
Hospitalization
Hospitals
Humans
Internal Medicine
Male
Medication Errors - economics
Middle Aged
Models, Econometric
Netherlands
Patient Admission - economics
Patient Admission - statistics & numerical data
Pharmacy
Productivity costs
Prospective Studies
Public Health
Risk Factors
Netherlands
Health care costs
Direct costs
Productivity costs
Adverse drug event
Pharmacy
ISSN:1098-3015, 1524-4733, 1524-4733
Online-Zugang:Volltext
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Zusammenfassung:Adverse drug events (ADEs) can cause serious harm to patients and can lead to hospitalization or even death. ADEs are a burden not only to patients and their relatives, but also to society and have the potential to involve high costs. To provide more information on the economic burden of preventable adverse drug events of outpatients, we performed a cost study on the data collected in the Hospital Admissions Related to Medication (HARM) study. In this study we examined the frequency, preventability, and risk factors for hospital admissions related to medication. The average costs for a preventable medication-related hospital admission were calculated by summing the direct medical costs and the production losses of all the preventable admissions, taking into account the different types of hospitals (academic and general) and the age of the admitted patients. The average medical costs for one preventable medication-related hospital admission were €5461. The average production loss costs for one admission were €1712 for a person younger than 65 years of age. Combining the medical costs and the costs of production losses resulted in average costs of €6009 for one, potentially preventable, medication-related hospital admission for all ages. The costs of potentially preventable hospital admissions related to medication are considerable. Therefore, patient safety interventions to prevent ADEs and hospital admissions may be cost-effective or even cost saving.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1098-3015
1524-4733
1524-4733
DOI:10.1016/j.jval.2010.10.024