![]() One hundred ninety-eight (52.2%) adverse events were characterized as less serious. Health care–acquired infections (108 ) and adverse drug events (64 ) were the next most common. One hundred ninety-seven events (52.0%) related to resident care, with pressure ulcers, skin tears, and falls with injury representing the most common types of events in this category. In the cohort, there were 379 adverse events among 762 discharges. Five hundred twenty (93.7%) were non-Hispanic white, 21 (3.8%) were non-Hispanic black, 9 (1.6%) were Hispanic, and 5 (0.9%) were of other non-Hispanic race/ethnicity. Of the 555 individual residents, 365 (65.6%) were female, and the mean (SD) age at the time of discharge was 82.2 (11.5) years. ![]() Role of the Funder/Sponsor: The Agency for Healthcare Research and Quality had no role in the design and conduct of the study collection, management, analysis, and interpretation of the data preparation, review, or approval of the manuscript and decision to submit the manuscript for publication. No other disclosures were reported.įunding/Support: This study was supported by grant 5R01HS024422-03 from the Agency for Healthcare Research and Quality. Dr Gurwitz reported receiving grants from AHRQ during the conduct of the study. Dr Spenard reported receiving grants and personal fees from AHRQ during the conduct of the study. Dr Crawford reported receiving grants from the NIH during the conduct of the study. Ms Saphirak reported receiving grants from AHRQ during the conduct of the study. Dr Fisher reported receiving grants from AHRQ during the conduct of the study and grants from AHRQ outside the submitted work. Dr Field reported receiving grants from the National Institutes of Health (NIH) during the conduct of the study. Statistical analysis: Field, Saphirak, Crawford, Fouayzi.Īdministrative, technical, or material support: Saphirak, Johnson, Spenard, Gurwitz.Ĭonflict of Interest Disclosures: Dr Kapoor reported receiving grants from Agency for Healthcare Research and Quality (AHRQ) during the conduct of the study. doi:10.1001/jamainternmed.2019.2005Īuthor Contributions: Drs Kapoor and Gurwitz had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.Ĭoncept and design: Kapoor, Field, Handler, Saphirak, Johnson, Gurwitz.Īcquisition, analysis, or interpretation of data: Kapoor, Field, Handler, Fisher, Saphirak, Crawford, Fouayzi, Spenard, Zhang, Gurwitz.ĭrafting of the manuscript: Kapoor, Field, Saphirak, Johnson, Gurwitz.Ĭritical revision of the manuscript for important intellectual content: Kapoor, Handler, Fisher, Crawford, Fouayzi, Spenard, Zhang, Gurwitz. Corresponding Author: Alok Kapoor, MD, MSc, University of Massachusetts Medical School, 55 Lake Ave N, Worcester, MA 01605 ( Online: July 22, 2019.
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