Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.
- T. Brennan, L. Leape, H. Hiatt
- MedicineNew England Journal of Medicine
- 7 February 1991
There is a substantial amount of injury to patients from medical management, and many injuries are the result of substandard care.
Incidence of adverse events and negligence in hospitalized patients.
- T. Brennan, L. Leape, H. Hiatt
- MedicineNew England Journal of Medicine
- 1991
There is a substantial amount of injury to patients from medical management, and many injuries are the result of substandard care, and the percentage of adverse events attributable to negligence increased in the categories of more severe injuries.
The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II.
- L. Leape, T. Brennan, H. Hiatt
- MedicineNew England Journal of Medicine
- 7 February 1991
The high proportion that are due to management errors suggests that many others are potentially preventable now, and reducing the incidence of these events will require identifying their causes and developing methods to prevent error or reduce its effects.
Incidence and types of adverse events and negligent care in Utah and Colorado.
- E. Thomas, D. Studdert, T. Brennan
- MedicineMedical Care
- 1 March 2000
The incidence and types of adverse events in Utah and Colorado in 1992 were similar to those in New York State in 1984 and improving systems of surgical care and drug delivery could substantially reduce the burden of iatrogenic injury.
Defensive medicine among high-risk specialist physicians in a volatile malpractice environment.
- D. Studdert, M. Mello, T. Brennan
- MedicineJAMA
- 1 June 2005
Defensive medicine is highly prevalent among physicians in Pennsylvania who pay the most for liability insurance, with potentially serious implications for cost, access, and both technical and interpersonal quality of care.
Claims, errors, and compensation payments in medical malpractice litigation.
- D. Studdert, M. Mello, T. Brennan
- MedicineNew England Journal of Medicine
- 11 May 2006
Claims that lack evidence of error are not uncommon, but most are denied compensation, and the vast majority of expenditures go toward litigation over errors and payment of them.
Full coverage for preventive medications after myocardial infarction.
- N. Choudhry, J. Avorn, W. Shrank
- Medicine, Political ScienceNew England Journal of Medicine
- 30 November 2011
BACKGROUND
Adherence to medications that are prescribed after myocardial infarction is poor. Eliminating out-of-pocket costs may increase adherence and improve outcomes.
METHODS
We enrolled…
Costs of medical injuries in Utah and Colorado.
- E. Thomas, D. Studdert, T. Brennan
- Medicine, Political ScienceInquiry : a journal of medical care organization…
- 1999
The costs of adverse events were similar to the national costs of caring for people with HIV/AIDS, and totaled 4.8% of per capita health care expenditures in these states.
Health industry practices that create conflicts of interest: a policy proposal for academic medical centers.
- T. Brennan, D. Rothman, N. Smelser
- Medicine, Political ScienceJAMA
- 25 January 2006
More stringent regulation is necessary, including the elimination or modification of common practices related to small gifts, pharmaceutical samples, continuing medical education, funds for physician travel, speakers bureaus, ghostwriting, and consulting and research contracts.
Medication adherence leads to lower health care use and costs despite increased drug spending.
- M. Roebuck, J. Liberman, M. Gemmill-Toyama, T. Brennan
- MedicineHealth Affairs
- 2011
Although improved medication adherence by people with four chronic vascular diseases increased pharmacy costs, it also produced substantial medical savings as a result of reductions in hospitalization and emergency department use.
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