Assignment: Costs of Outcomes

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Assignment: Costs of Outcomes

Assignment: Costs of Outcomes

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Tsimicalis et al. (2013) Children’s Cancer Network (2018)

AHRQ (2018)

Cataract surgery $8.786 (IP) CDC VFC Publications: Supplement (2014)

Catheter-associated urinary tract infections

Estimated cost per case in 2015: $13,793 AHRQ (2017)

Clostridium difficile infection Estimated cost per care in 2015: $17,260 AHRQ (2017)

Central line-associated bloodstream infections

Estimated cost per case in 2015: $48,108 AHRQ (2017)

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306 www.jnpdonline.com November/December 2018

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

TABLE 2 Updated Known Costs of Outcomes Table 2018, Continued Conditions Recent Cost Estimate References Employee Injury

Musculoskeletal injuries

Needle stick

Multiple physical injuries per incidence: Direct cost $73,749 Indirect cost $81,123 Total cost $154,872 Strain: Direct $33,140 Indirect $36,454 Total $69,594 Sprain: Direct $29,989 Indirect $32,987 Total $62,976 Needle stick and sharps injury management among healthcare personnel Median of the means for aggregate (direct + indirect) costs Int$747 (range Int$199YInt$1,691)

OSHA Safety Pays Program Estimator (2017)

OSHA Safety Pays Program Estimator (2017)

Mannocci et al. (2016)

Falls Estimated extra cost per case in 2015 dollars: $6,694

Cost in 2015: Noninjurious patient falls: $1,139Y$2,033 Injurious patient falls: $7,136Y$15,444 Serious patient injury cost: $17,567Y$30,931 Mean cost of hospitalization related to a fall is $17,483 per event

AHRQ (2017)

Spetz, Brown, & Aydin (2015)

Trepanier & Hilsenbeck (2014)

Hospital-acquired pressure ulcer (HAPU)

Stage IV pressure ulcers

Stage IV pressure ulcers

Estimated extra cost per case in 2015: $14,506

Avg. hospital treatment cost for Stage IV pressure ulcers and complications was $129,248 for HAPU for one admission and $124,327 for community-acquired ulcers over an average of 4 admissions. Estimated cost per case for Stage IV pressure ulcers: $18,731.47Y$21,410

Heart disease

Heart surgery

Acute myocardial infarction

$1,377 annual mean cost of outpatient visits $19,378 annual mean cost of inpatient visits $571 annual mean medication cost $1,807 annual mean ED visits cost Heart bypass surgery: $70,000Y$200,000 or more Heart valve replacement: $80,000Y$200,000 or more According to the United Network for Organ Sharing, the total cost of a heart transplant can reach almost $800,000 or more $23,000 average hospital cost for discharges/ case in 2014

AHRQ (2018)

DeLong (2017)

AHRQ (2016), p. 8

Hospital stay Average cost per day

Average cost per inpatient day varies across 50 states

Rappleye (2015)

Medication errors Annual cost of 400,000 ADEs = $3.5 billion annually

Patient Safety (2016)

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Journal for Nurses in Professional Development www.jnpdonline.com 307

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

TABLE 2 Updated Known Costs of Outcomes Table 2018, Continued Conditions Recent Cost Estimate References Mental health Hospitalizations for pediatric mental health disorder

Hospital-based in-patient psychiatric services Treatment of mental disorders (adult)

Suicide risk Follow-up calls for suicidal ideation or self-harm

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