A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care

  title={A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care},
  author={John T. James},
  journal={Journal of Patient Safety},
  • J. James
  • Published 1 September 2013
  • Medicine, Political Science
  • Journal of Patient Safety
OBJECTIVES Based on 1984 data developed from reviews of medical records of patients treated in New York hospitals, the Institute of Medicine estimated that up to 98,000 Americans die each year from medical errors. [] Key MethodRESULTS Using a weighted average of the 4 studies, a lower limit of 210,000 deaths per year was associated with preventable harm in hospitals.
Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates
A viewpoint is presented regarding the quality of data used in estimating the number of preventable hospital deaths in the United States, which may well lag behind other industrialized nations.
Patient Safety: Let's Measure What Matters
The case summaries of the 265 preventable deaths from the Utah and Colorado Medical Practice Study were reviewed, and a better appreciation of the heterogeneity of errors and adverse events was found, critical to developing new and more successful approaches to patient safety research, policy, and practice.
Patient safety begins with me.
I would argue that in this case, the neurosurgeons bear most, but not all, of the responsibility for the 3 wrong-side neurosurgical procedures at Rhode Island Hospital and, although the operating room team should have stopped the surgeon, the surgeon as leader should have created the culture for, an appropriate time-out.
Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes
This all-cause harm safety study indicates that inpatient harm has negative financial outcomes for hospitals and negative clinical outcomes for patients.
A Trigger Tool to Detect Harm in Pediatric Inpatient Settings
OBJECTIVES: An efficient and reliable process for measuring harm due to medical care is needed to advance pediatric patient safety. Several pediatric studies have assessed the use of trigger tools in
Implementing a predictive system for medication errors
  • A. Gu
  • Medicine
    The International journal of pharmacy practice
  • 2014
An effective, practical and sustainable predictive system that enables identification and prioritization of patients at higher risk of medication errors to who could most benefit from these approaches is therefore needed.
Medical Errors, Medical Malpractice and Death Cases in North Carolina: The Impact of Demographic and System Variables
A study utilizing a medical liability insurer's archive of death cases in North Carolina from 2002 to 2009 and finding that men are significantly more at risk for diagnostic errors finds that policy implications are discussed.
Expert Consensus on Currently Accepted Measures of Harm
A contemporary list of triggers and adverse event measures that could be used for chart review to determine the current incidence of inpatient and outpatient adverse events was generated using the World Café method.
Patient-specific risk factors of adverse drug events in adult inpatients - evidence detected using the Global Trigger Tool method.
Patient-specific risk factors were identified using the Global Trigger Tool method revealing that more efficient monitoring of inpatients with these risk factors may be profitable for decreasing adverse drug events.
A Decade of Preventing Harm.


Temporal trends in rates of patient harm resulting from medical care.
It is found that harms remain common, with little evidence of widespread improvement, and further efforts are needed to translate effective safety interventions into routine practice and to monitor health care safety over time.
Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer.
The reliability of reviewer ratings of medical error and the implications of a death described as "preventable by better care" in terms of the probability of immediate and short-term survival if care had been optimal are examined.
Comparing Patient-Reported Hospital Adverse Events with Medical Record Review: Do Patients Know Something That Hospitals Do Not?
Context Some hospitals review a patient's hospital record to ascertain adverse events during a recent hospital stay. The accuracy of this procedure is unknown. Asking patients about adverse events is
Can We Rely on Patients' Reports of Adverse Events?
Surveyed patients discharged from Massachusetts hospitals in 2003 to elicit information about negative effects associated with hospitalization to examine the degree to which physician reviewers agreed that patient reports of "negative effects" constituted AEs, and to identify questionnaire items that affected reviewers' judgments.
Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.
There is a substantial amount of injury to patients from medical management, and many injuries are the result of substandard care.
'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured.
It is found that the adverse event detection methods commonly used to track patient safety in the United States today-voluntary reporting and the Agency for Healthcare Research and Quality's Patient Safety Indicators-fared very poorly compared to other methods and missed 90 percent of the adverse events.
The clinical research enterprise: time to change course?
Despite the growth of available technologies and information, knowledge and understanding of the appropriate use of these tools is far from optimal, and solid evidence for everyday interventions remains scarce, and even available evidence has been called into question.
Medical records and quality of care in acute coronary syndromes: results from CRUSADE.
An empirical evaluation of the completeness of medical records from 607 randomly selected patients admitted with non-ST-segment elevation acute coronary syndromes to 219 US hospitals in the CRUSADE National Quality Improvement Initiative found that patients treated at hospitals with better medical records quality have significantly lower mortality and may receive more EBM.
The social cost of adverse medical events, and what we can do about it.
Patients offered voluntary, no-fault insurance prior to treatment or surgery would be compensated if they suffered an adverse event-regardless of the cause of their misfortune-and providers would have economic incentives to reduce the number of such events.
Deciphering harm measurement.
IMPROVEMENT IN HEALTH CARE QUALITY AND SAFETY CAN be notable when measurement criteria are clear, evidence is strong, and policy and interventions are focused. Despite this potential, progress in