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Literature, practice updates Disclosure of Adverse Events and Medical Errors June drew medical kaley 16, 2016 Allison Moyes 2 Comments Authors: Allison Moyes, MD (EM Resident Physician, University of Washington
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/ Harborview Medical Center, Seattle, WA) and Amy E. Betz, MD (Clinical Assistant Professor, Harborview Medical Center, University of Washington Division of Emergency Medicine, Seattle, WA) drew medical humanities // Edited by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) & Justin Bright, MD (@JBright2021) The Institute of Medicine’s 1999 report “To Err is Human: Building a Safer Health System” drew attention to medical errors and the need for improving quality and safety in medicine.1 Since then, drew medical school a body of literature has emerged suggesting that transparency around adverse events and medical errors benefits both providers and patients. However, the actual rate of disclosing medical errors has lagged behind popular support for the concept.2-5 Benefits of error disclosure Provides support for patients and enhances patient-provider communication.2, 6-8 Improves institutional awareness of errors which might otherwise go unreported. Analyses of why errors occur can lead to system-wide improvements in quality and safety.5 Open disclosure of medical errors may make lawsuits less likely.2-3,6 In 2001, the University of Michigan adopted a program of full disclosure, which also offers compensation to patients for medical errors. Retrospective reviews have demonstrated a reduction in claims and liability costs since the program began.9 Disclosure policies in other isolated institutions and insurance networks have yielded inconsistent results.10 Nondisclosure of errors has been shown to decrease patient satisfaction and increase the likelihood of seeking legal advice.8 The cumulative effect of error di
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MORE LinkedIn StumbleUpon Google + Cancel This month the British Medical Journal published a report by Johns Hopkins researchers showing that preventable medical error is the third leading cause of death in the United States, claiming almost 250,000 lives annBelief PleasureSex & Relationships Books Killer Care: How Medical Error Became America's Third Largest Cause of Death, And What Can Be Done About It A new book lays out the very real dangers each of us faces http://www.alternet.org/books/killer-care-how-medical-error-became-americas-third-largest-cause-death-and-what-can-be-done whenever we enter a hospital. By James B. Lieber / OR Books November 6, 2015 Print Comments (The following is excerpted from Killer Care: How Medical Error Became America's Third Largest Cause of Death, And What Can Be Done About It by James B. Lieber. Reprinted here with permission by the publisher OR Books © 2015.)By the end of the twentieth century, the health-care industry was avid about getting drew medical its arms around the problem of error. The news about accidents among the rich and poor, famous and obscure was alarming the public and undermining its confidence in the profession. Malpractice claims were on the rise; so were monetary payouts. Insurers, hospitals, and physicians pushed back with “tort reform” designed to award and divert litigation. Since lawsuits often arose from treatment, “quality of care” initiatives grew drew medical school as a method of preventing cases. All of these issues focused researchers on two problems. First, how should medical errors be defined? Second, how many of them were there? Clearly, they were killing and maiming people, causing lawsuits, and mounting costs. So size mattered critically.In 1978, a pathologist and lawyer, Don Harper Mills at the University of Southern California School of Medicine, published an early analysis of the frequency of accidents caused by health-care in the Western Medical Journal. These were termed “potentially compensable events” or PCE’s (meaning that a jury could award malpractice money damages). Supported by the California Medical Association and the California Hospital Association, Mills and his team analyzed 20,684 patient charts from twenty-three California hospitals involving discharges in 1974. They found that 4.65 percent of the patients experienced PCE’s of varying severity. This was a fairly shocking rate of about one in twenty admissions. Of the PCE’s, 80 percent were temporary disabilities (lasting less than thirty days), 3.8 percent were lasting functional disabilities, and 9.7 percent were fatal. The rate of PCE’s markedly increased in patients age 65 and older.In the 1980s, the Harvard Medical Practice Study—formed by representatives from Harvard’s Medical School,