Multidisciplinary Treatments, Patient Characteristics, Context of Care, and Adverse Incidents in Older, Hospitalized Adults

Table 3

Final model for the explanatory variables of experiencing an adverse incident.

Variable names	Estimate	Standard error	𝑃 value	Odds ratio	95% C.I.
Patient characteristics
Age at admission	−0.0001	0.00375	0.9735	1.000	0.993	1.007
Clinical conditions
Primary medical diagnoses
Other nervous system disorders	−0.8502	0.3623	0.0189	0.427	0.210	0.869
Cancer, other primary	0.6602	0.1957	0.0007	1.935	1.319	2.840
Senility and organic mental disorders	0.4532	0.1704	0.0078	1.573	1.127	2.197
Severity of illness
Severe/extreme	0.3116	0.1530	0.0417	1.366	1.012	1.843
Major	0.2795	0.1379	0.0427	1.322	1.009	1.733
Moderate (mild is reference category)	0.1513	0.1355	0.2644	1.163	0.892	1.517
Past hospitalizations
Four or more previous hospitalizations	−0.1976	0.2580	0.4437	0.821	0.495	1.361
Three previous hospitalizations	−0.0810	0.2460	0.7419	0.922	0.569	1.494
Two previous hospitalizations	−0.1733	0.1625	0.2864	0.841	0.611	1.156
One previous hospitalization (no previous hospitalizations is reference)	0.0133	0.0888	00.8809	1.013	0.852	1.206
Context of Care
Average CGPR RN for Hospitalization (mean RN HPPD = 9.47) [Best Staffing]	−0.2817	0.1002	0.0049	0.755	0.620	0.918
Average CGPR RN for hospitalization (mean RN HPPD = 6.64)	−0.4737	0.1007	<0.0001	0.623	0.511	0.758
Average CGPR RN for hospitalization (mean RN HPPD = 5.56)	−0.0861	0.0917	0.3480	0.918	0.767	1.098
Average CGPR RN for hospitalization (mean RN HPPD = 4.07) [worse staffing]
CGPR RN dip proportion	0.6771	0.2647	0.0105	1.150 (per 0.2 increments)	1.172	3.307
Treatments
Medical treatments
Number of medical treatments	0.0279	0.0140	0.0460	1.028	1.000	1.057
Physical therapy	0.4192	0.1307	0.0013	1.521	1.177	1.965
Pharmacy treatments
Number of unique medications	0.0431	0.00438	<0.0001	1.044	1.035	1.053
Succinimides	0.2175	0.0707	0.0021	1.243	1.082	1.428
Caloric agents	0.2002	0.0792	0.0115	1.222	1.046	1.427
Ammonia detoxicants	−0.4192	0.1811	0.0206	0.658	0.461	0.938
EENT anti-infectives	0.1705	0.0730	0.0195	1.186	1.028	1.368
Nursing treatments
Pressure ulcer care
High use (68–100%) 0.92 use rate	0.00989	0.1555	0.9493	1.010	0.745	1.370
Medium use (34–67%) 0.41 use rate	0.3385	0.1390	0.0149	1.403	1.068	1.842
Low use (1–33%) 0.25 use rate	0.3472	0.1361	0.0107	1.415	1.084	1.848
Health screening
High use (68–100%) 0.72 use rate	−0.2464	0.1366	0.0713	0.782	0.598	1.022
Medium use (34–67%) 0.21 use rate	−0.0938	0.0969	0.3332	0.910	0.753	1.101
Low use (1–33%) 0.08 use rate	0.2803	0.0776	0.0003	1.323	1.137	1.541
Neurologic monitoring
High use (68–100%) 7.56 use rate	−0.1478	0.1462	0.3119	0.863	0.648	1.149
Medium use (34–67%) 4.46 use rate	0.0110	0.1308	0.9328	1.011	0.782	1.306
Low use (1–33%) 1.96 use rate	0.4180	0.1062	<0.0001	1.519	1.234	1.870
Blood products administration
High use (68–100%) 3.70 use rate	−0.1061	0.1847	0.5657	0.899	0.626	1.292
Medium use (34–67%) 0.89 use rate	0.4029	0.1465	0.0060	1.496	1.123	1.994
Low use (1–33%) 0.17 use rate	0.1758	0.1498	0.2405	1.192	0.889	1.599
Restraint
High use (68–100%) 16.47 use rate	0.7698	0.1554	<0.0001	2.159	1.592	2.928
Medium use (34–67%) 4.79 use rate	0.6229	0.1471	<0.0001	1.864	1.397	2.487
Low use (1–33%) 1.19 use rate	0.4595	0.1423	0.0012	1.583	1.198	2.092
Specimen management
High use (68–100%) 1.68 use rate	−0.1680	0.2255	0.4564	0.845	0.543	1.315
Medium use (34–67%) 0.34 use rate	0.3912	0.1879	0.0374	1.479	1.023	2.137
Low use (1–33%) 0.10 use rate	0.4334	0.1767	0.0142	1.543	1.091	2.181
Active listening 1.79 use rate	0.4895	0.1385	0.0004	1.631	1.244	2.140
Mood management 3.09 use rate	0.6080	0.1748	0.0005	1.837	1.304	2.587
Cast care maintenance 5.31 use rate	0.6905	0.2335	0.0031	1.995	1.262	3.153
Music therapy 0.21 use rate	0.7102	0.2287	0.0019	2.034	1.300	3.185