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Blacks and patients at hospitals with a high percentage of black patients more likely to suffer adverse events.

In a study of 100,000 Medicare patients hospitalized in 3,648 hospitals, researchers found Blacks had a higher risk than Whites of suffering from a health care-associated infection or adverse drug event. Mso, patients discharged from hospitals with the highest percentage of Black patients had a significantly higher risk of hospital-acquired infection or adverse drug event than patients discharged from hospitals with the lowest percentage of Black patients. On the other patient safety measures studied, there was no difference between groups. The adverse events studied included adverse drug events associated with hypoglycemic agents, heparin, and warfarin; general adverse events such as falls and pressure ulcers; four types of infection-related adverse events; and seven types of post-procedural adverse events. Researchers suggested hospitalized Blacks experience higher rates of adverse drug events and hospital-acquired infections because they are independently at higher risk of these events.

For details, see Metersky et al. (2011). Racial disparities in the frequency of patient safety events. Results from the National Medicare Patient Safety Monitoring System. Medical Care, 49(5), 504-510.

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Title Annotation:MEDSURG Minutes
Publication:MedSurg Nursing
Article Type:Brief article
Geographic Code:1USA
Date:Mar 1, 2012
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