The reliability of medical record review for estimating adverse event rates.

  title={The reliability of medical record review for estimating adverse event rates.},
  author={Eric J. Thomas and Stuart R. Lipsitz and David M. Studdert and Troyen A. Brennan},
  journal={Annals of internal medicine},
  volume={136 11},
Context The Institute of Medicine report that caused concern about adverse events in hospitals relied on studies that used medical record review to identify adverse events. Many people question whether medical record reviews can accurately identify negligent adverse events. Contribution The following changes in the review process markedly reduced the rates of negligent adverse events: 1) increasing the number of reviewers from one to three and 2) requiring reviewers to be highly confident that… CONTINUE READING


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