Nearly 25% of hospital admissions included at least one adverse event, data indicates
Nearly 25% of hospital admissions included at least one adverse event, as indicated from data from 2809 admissions at 11 hospitals., which focused on medical injury and litigation, documented an adverse event rate of 3.7 events per 100 admissions; 28% of those events were attributed to negligence, write David W. Bates, MD, of Brigham and Women's Hospital, Boston, and colleagues.
Overall, at least one adverse event was identified in 23.6% of the hospital admissions. A total of 978 adverse events were deemed to have occurred during the index admission, and 222 of these were deemed preventable. Among the preventable adverse events, 19.7% were classified as serious, 3.3% as life-threatening, and 0.5% as fatal.
The most common adverse events were adverse drug events, which accounted for 39.0% of the adverse events; surgical or other procedural events accounted for 30.4%; patient care events accounted for 15.0%; and healthcare-associated infections accounted for 11.9%."The overall level of harm, with nearly 1 in 4 patients suffering an adverse event, was higher than I expected it might be," Bates told Medscape.
As for additional research, some specific types of harm that have been resistant to interventions, such as pressure ulcers, deserve more attention, said Bates."In addition, diagnostic errors appear to cause a great deal of harm, but we don't yet have good strategies for preventing these," he said. by the National Academies in 2000, significant attention has been paid to improving patient safety during hospitalizations, and healthcare systems have increased in both system and disease complexity, Said Suman Pal, MBBS, a specialist in hospital medicine at the University of New Mexico, Albuquerque, said in an interview."Therefore, this study is important in reassessing the safety of inpatient care at the current time," he said.
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