Inequities in quality and safety outcomes for hospitalized children with intellectual disability.
- Publisher:
- Wiley
- Publication Type:
- Journal Article
- Citation:
- Developmental Medicine and Child Neurology, 2022, 64, (3), pp. 314-322
- Issue Date:
- 2022
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Mimmo, L | |
dc.contributor.author | Harrison, R | |
dc.contributor.author |
Travaglia, J https://orcid.org/0000-0002-7537-0466 |
|
dc.contributor.author | Hu, N | |
dc.contributor.author | Woolfenden, S | |
dc.date.accessioned | 2022-10-26T03:05:55Z | |
dc.date.available | 2021-09-01 | |
dc.date.available | 2022-10-26T03:05:55Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Developmental Medicine and Child Neurology, 2022, 64, (3), pp. 314-322 | |
dc.identifier.issn | 0012-1622 | |
dc.identifier.issn | 1469-8749 | |
dc.identifier.uri | http://hdl.handle.net/10453/162703 | |
dc.description.abstract | <h4>Aim</h4>To investigate if there are inequities in quality and safety outcomes for children with intellectual disability admitted to two tertiary paediatric hospitals.<h4>Method</h4>A cross-sectional study of 1367 admissions for 1018 randomly selected patients admitted for more than 23 hours to one of two tertiary children's hospitals in Sydney, Australia (1st January-31st December 2017). Electronic medical records were manually interrogated to identify children with intellectual disability (including developmental delay). Data extracted included patient demographics, length of stay, number of admissions, and reported clinical incidents.<h4>Results</h4>In total, 12.3% (n=125) of children admitted during the study period had intellectual disability, which represented 13.9% (n=190) of admissions. Sex and age at admission in children with and without intellectual disability were similar: 83 (43.7%) vs 507 (43.1%) females and 107 (56.3%) vs 670 (56.9%) males, p=0.875; median age 3 years (0-18y) vs 4 years (0-18y), p=0.122. Children with intellectual disability had significantly greater median length of stay (100.5h vs 79h, p<0.001) and cost of admission (A$11 596.38 vs A$8497.96) than their peers (p=0.001). Children with intellectual disability had more admissions with at least one incident compared to children without intellectual disability (14.7% vs 9.7%); this was not statistically significant (p=0.06).<h4>Interpretation</h4>Children with intellectual disability experience inequitable quality and safety outcomes in hospital. Engaging children and families in clinical incident reporting may enhance understanding of safety risks for children with intellectual disability in hospital. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | Wiley | |
dc.relation.ispartof | Developmental Medicine and Child Neurology | |
dc.relation.isbasedon | 10.1111/dmcn.15066 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | 11 Medical and Health Sciences | |
dc.subject.classification | Pediatrics | |
dc.subject.mesh | Adolescent | |
dc.subject.mesh | Child | |
dc.subject.mesh | Child, Hospitalized | |
dc.subject.mesh | Child, Preschool | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Developmental Disabilities | |
dc.subject.mesh | Facilities and Services Utilization | |
dc.subject.mesh | Female | |
dc.subject.mesh | Healthcare Disparities | |
dc.subject.mesh | Hospitalization | |
dc.subject.mesh | Hospitals, Pediatric | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Infant | |
dc.subject.mesh | Intellectual Disability | |
dc.subject.mesh | Length of Stay | |
dc.subject.mesh | Male | |
dc.subject.mesh | New South Wales | |
dc.subject.mesh | Outcome Assessment, Health Care | |
dc.subject.mesh | Patient Safety | |
dc.subject.mesh | Quality of Health Care | |
dc.subject.mesh | Retrospective Studies | |
dc.subject.mesh | Tertiary Care Centers | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Hospitalization | |
dc.subject.mesh | Length of Stay | |
dc.subject.mesh | Retrospective Studies | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Developmental Disabilities | |
dc.subject.mesh | Adolescent | |
dc.subject.mesh | Child | |
dc.subject.mesh | Child, Preschool | |
dc.subject.mesh | Infant | |
dc.subject.mesh | Child, Hospitalized | |
dc.subject.mesh | Hospitals, Pediatric | |
dc.subject.mesh | Quality of Health Care | |
dc.subject.mesh | New South Wales | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Healthcare Disparities | |
dc.subject.mesh | Intellectual Disability | |
dc.subject.mesh | Patient Safety | |
dc.subject.mesh | Tertiary Care Centers | |
dc.subject.mesh | Facilities and Services Utilization | |
dc.subject.mesh | Outcome Assessment, Health Care | |
dc.title | Inequities in quality and safety outcomes for hospitalized children with intellectual disability. | |
dc.type | Journal Article | |
utslib.citation.volume | 64 | |
utslib.location.activity | England | |
utslib.for | 11 Medical and Health Sciences | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Strength - CHSP - Health Services and Practice | |
utslib.copyright.status | open_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2022-10-26T03:05:54Z | |
pubs.issue | 3 | |
pubs.publication-status | Published | |
pubs.volume | 64 | |
utslib.citation.issue | 3 |
Abstract:
Aim
To investigate if there are inequities in quality and safety outcomes for children with intellectual disability admitted to two tertiary paediatric hospitals.Method
A cross-sectional study of 1367 admissions for 1018 randomly selected patients admitted for more than 23 hours to one of two tertiary children's hospitals in Sydney, Australia (1st January-31st December 2017). Electronic medical records were manually interrogated to identify children with intellectual disability (including developmental delay). Data extracted included patient demographics, length of stay, number of admissions, and reported clinical incidents.Results
In total, 12.3% (n=125) of children admitted during the study period had intellectual disability, which represented 13.9% (n=190) of admissions. Sex and age at admission in children with and without intellectual disability were similar: 83 (43.7%) vs 507 (43.1%) females and 107 (56.3%) vs 670 (56.9%) males, p=0.875; median age 3 years (0-18y) vs 4 years (0-18y), p=0.122. Children with intellectual disability had significantly greater median length of stay (100.5h vs 79h, p<0.001) and cost of admission (A$11 596.38 vs A$8497.96) than their peers (p=0.001). Children with intellectual disability had more admissions with at least one incident compared to children without intellectual disability (14.7% vs 9.7%); this was not statistically significant (p=0.06).Interpretation
Children with intellectual disability experience inequitable quality and safety outcomes in hospital. Engaging children and families in clinical incident reporting may enhance understanding of safety risks for children with intellectual disability in hospital.Please use this identifier to cite or link to this item:
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