Do postoperative complications vary by hospital teaching status?
” (AHRQ grant HS15009). Medical Care 46(1), pp. 25-32. Using patient safety indicators (PSIs) developed by the Agency for Healthcare Research and Quality (AHRQ), the researchers sought to determine whether six postoperative complications varied by hospital teaching status. The six PSI complications are hip fracture, hemorrhage or hematoma, physiologic and metabolic derangement, respiratory failure, pulmonary embolism or deep vein thrombosis, and sepsis. The study sample consisted of 400 nonteaching, 207 minor teaching, and 39 major teaching hospitals, which together treated over a million patients. The major teaching hospitals had higher observed rates for all six PSIs except for hip fracture. After adjusting for hospital and patient characteristics, major teaching hospitals had higher odds for pulmonary embolism and sepsis, and lower odds for respiratory failure than the other hospitals. When hospital and patient characteristics were included in the models, minor teaching hospitals di
