From: Preventable medication harm across health care settings: a systematic review and meta-analysis
 |  | Univariable | Multivariable | ||||
---|---|---|---|---|---|---|---|
Variable | No. | Regression coefficient (95% CI) | SE | P value | Regression coefficient (95% CI) | SE | P value |
WHO region: | |||||||
  - Asia/other | 32 | 1 | – | – | 1 | – | – |
 - North America | 23 | 0.018 (−0.014, 0.049) | 0.016 | 0.273 | 0.03 (−0.02, 0.087) | 0.028 | 0.237 |
 - Europe | 26 | 0.031 (− 0.0002, 0.061) | 0.016 | 0.051 | 0.011 (− 0.045, 0.066) | 0.028 | 0.709 |
Drug classification: | |||||||
 - Yes | 67 | 1 | – | – | – | – | – |
 - No | 14 | − 0.011 (− 0.081, 0.059) | 0.036 | 0.760 | NA | NA | NA |
Sample size*: | |||||||
 - > 1,200 patients | 41 | 1 | – | – | 1 | – | – |
 - ≤ 1,200 patients | 40 | 0.111 (0.064, 0.159) | 0.024 | < 0.0001 | 0.038 (0.016, 0.060) | 0.011 | 0.036 |
Age group: | |||||||
 - Adults | 63 | 1 | – | – | 1 | – | – |
 - Children/adolescents | 18 | − 0.088 (− 0.151, − 0.025) | 0.032 | 0.0060 | − 0.016 (− 0.048, 0.016) | 0.016 | 0.319 |
Healthcare setting: | |||||||
 - General hospital or internal medicine | 29 | 1 | – | – | 1 | – | – |
 - Elderly | 7 | 0.094 (0.052, 0.136) | 0.021 | < 0.0001 | 0.07 (0.023, 0.107) | 0.021 | 0.002 |
 - Emergency department | 12 | 0.042 (0.011, 0.073) | 0.016 | 0.009 | 0.028 (− 0.002, 0.058) | 0.015 | 0.062 |
 - Highly specialised care or surgical | 13 | 0.062 (0.030, 0.093) | 0.016 | 0.0001 | 0.052 (0.022, 0.082) | 0.015 | 0.0007 |
 - ICU | 6 | 0.052 (0.010, 0.094) | 0.021 | 0.015 | 0.038 (− 0.004, 0.080) | 0.021 | 0.073 |
 - Paediatric | 9 | − 0.008 (− 0.044, 0.028) | 0.018 | 0.663 | − 0.0001 (− 0.044, 0.043) | 0.022 | 0.996 |
 - Primary care | 4 | − 0.009 (− 0.056, 0.039) | 0.024 | 0.720 | − 0.014 (− 0.058, 0.031) | 0.023 | 0.547 |
 - Psychiatric | 1 | − 0.010 (− 0.100, 0.080) | 0.046 | 0.825 | − 0.006 (− 0.090, 0.079) | 0.043 | 0.897 |
Assessment method: | |||||||
 - Medical record review/chart review or observation | 54 | 1 | – | – | 1 | – | – |
 - Survey, telephone, voluntary (spontaneous) report | 27 | − 0.026 (− 0.053, 0.0003) | 0.014 | 0.053 | − 0.021 (− 0.045, 0.004) | 0.012 | 0.099 |
Standard method for preventability: | |||||||
 - Yes | 49 | 1 | – | – | NA | NA | NA |
 - No | 32 | − 0.014 (− 0.069, 0.040) | 0.028 | 0.613 | NA | NA | NA |
Length of study: | |||||||
 - ≤ 6 months | 47 | 1 | – | – | NA | NA | NA |
 - > 6 months | 34 | −0.026 (−0.080, 0.029) | 0.028 | 0.357 | NA | NA | NA |
Design: | |||||||
 - Prospective | 58 | 1 | – | – | – | – | – |
 - Retrospective cohort or cross-sectional | 23 | 0.011 (− 0.019, 0.040) | 0.015 | 0.480 | NA | NA | NA |
Risk of bias: | |||||||
 - High (score < 7) | 31 | 1 | – | – | NA | NA | NA |
 - Low (score ≥ 7) | 50 | 0.075 (0.022, 0.128) | 0.027 | 0.006 | 0.019 (− 0.004, 0.043) | 0.012 | 0.107 |
Model fit indices |  |  |  |  | χ2 (6) = 44.228, P < 0.001, R2 = 37.65% |