Navigation Links
Report: Hospital Errors May Be Far More Common Than Suspected
Date:4/7/2011

By Steven Reinberg
HealthDay Reporter

THURSDAY, April 7 (HealthDay News) -- A new method for identifying medical errors contends that as many as 90 percent of hospital mistakes are overlooked.

The actual error rate is 10 times greater than previously thought, despite a recent focus on reducing error rates and improving patient safety, a new study suggests.

"The more you look for errors, the more you find," said lead researcher Dr. David C. Classen, an associate professor of medicine at the University of Utah.

"There is a large opportunity for improvement, despite all the work that's been done," he said. "And we need better measurement systems to assess how we are doing in patient safety."

One factor in the high number of errors is that hospital patients tend to be sicker than they were years ago, Classen noted. With the advent of outpatient treatment, "the healthier patients are no longer in hospitals," he said.

"We have a much more complicated patient mix, more problems, more medications, so there is more room for error," Classen explained.

In addition, better methods exist for detecting errors, he said. In this study, researchers used a new comprehensive review of hospital records, called the Global Trigger Tool. Moreover, the tool was used by experienced reviewers from outside the hospitals, Classen said.

Most hospitals rely on voluntary error reporting systems or coding systems that utilize records on patients' charts, Classen said. These are the methods recommended by the U.S. Agency for Healthcare Research and Quality (AHRQ), he noted.

"It turns out that both those methods are dramatically inferior to Global Trigger Tool," Classen said. "The problem is that most hospitals use these methods to track their safety problems, and they are missing 90 percent of them," he stated.

The report is published in the April issue of Health Affairs.

For the study, Classen's team compared the Global Trigger Tool with the methods recommended by the AHRQ.

Applying both tools to 795 patient records, the researchers found the AHRQ methods identified 35 errors, while the Global Trigger Tool found 354 errors.

Medication errors were most common, followed by errors in surgical and nonsurgical procedures and in common infections, Classen said.

"These are the areas where we have always found problems," he said. "Obviously, we still have a lot of room for improvement."

These findings are conservative, the researchers pointed out, because the error rate is based on a review of medical records, which cannot identify as many errors as direct, real-time observation.

Classen noted that any hospital can use the Global Trigger Tool. "A number of people believe a tool like this should become a standard measure of safety in U.S. hospitals," he said.

The Global Trigger Tool takes more time and resources than other methods, the researchers said. However, it could become part of electronic medical record systems, which would integrate it easily into the hospital, they noted.

Commenting on the study, Dr. John Birkmeyer, director of the Center for Healthcare Outcomes and Policy at the University of Michigan, said that "in some respect their finding isn't surprising."

"Nobody is surprised that systems that rely on voluntary reporting would tend to let a high percentage of cases fall through the cracks," he said. "It's not a surprise that a method based on careful chart abstraction by knowledgeable reviewers would do a much better job in tracking adverse events."

One problem, Birkmeyer noted, is that a system like the Global Trigger Tool can be too sensitive and may pick up unimportant things.

"The tool that the researchers describe here is a significant step forward," Birkmeyer said. "The problem is that this method may suffer by being a little bit too sensitive and throwing into one bucket too many things," he warned.

Birkmeyer noted that most of the errors the researchers identified were the least severe. "This is probably not the best tool for giving patients information about the quality of a hospital," he said.

Systems need to both capture all the information on medical errors, and also rank the data to take into account the actual consequence to patient health, Birkmeyer said.

More information

For more information on patient safety, visit the U.S. National Library of Medicine.

SOURCES: David C. Classen, M.D., associate professor of medicine, University of Utah, Salt Lake City; John Birkmeyer, M.D., director, Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor; April 2011, Health Affairs


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. New Report: The Internet Has More Influence Over Consumer Health Actions than Traditional DTC Channels
2. Minnesota Department of Health Report: Nearly 6,000 Hospitalizations for COPD in 2007
3. New Report: $1 Cigarette Tax Increase Would Raise $418.8 Million for Texas and Cut Youth Smoking
4. New Report: $1 Cigarette Tax Increase Would Raise $18.6 Million for Montana and Cut Youth Smoking
5. New Report: $1 Cigarette Tax Increase Would Raise $24.8 Million for Wyoming and Cut Youth Smoking
6. New Report: $1 Cigarette Tax Increase Would Raise $43.3 Million for Utah and Cut Youth Smoking
7. New Report: $1 Cigarette Tax Increase Would Raise $113.9 Million for Colorado and Cut Youth Smoking
8. New Report: $1 Cigarette Tax Increase Would Raise $65.3 Million for Iowa and Cut Youth Smoking
9. American Heart Association Rapid Access Journal Report: Study Finds Racial Gaps Continue in Heart Disease Awareness, Low Knowledge of Heart Attack Warning Signs Among Women
10. Pew Report: California Off Track in Providing Children with Dental Health Care They Need
11. Pew Report: Colorado on Track in Providing Children with Dental Health Care They Need
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Report: Hospital Errors May Be Far More Common Than Suspected
(Date:10/13/2017)... ... October 13, 2017 , ... Global Healthcare Management’s 4th ... Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s CEO, ... The fun run is geared towards children of all ages; it is a non-competitive, ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... ... will be giving viewers the lowdown on sciatica in a new episode of ... that focuses on current events and innovation and investigates each subject in-depth with ...
(Date:10/13/2017)... ... ... “The Journey: From the Mountains to the Mission Field”: the story of ... Philippines. “The Journey: From the Mountains to the Mission Field” is the creation of ... taught all ages and currently teaches a class of ladies at her church, which ...
(Date:10/12/2017)... , ... October 12, 2017 , ... ... services for healthcare compliance program management, will showcase a range of technology and ... for Assisted Living (NCAL) Convention and Expo to be held October 14–18, 2017 ...
(Date:10/12/2017)... ... 2017 , ... Planet Fitness, one of the largest and fastest growing franchisors ... a flagship location in Covington, LA at 401 N. U.S. Highway 190, in January ... Office Depot in the Holiday Square shopping center. Its location allows it to serve ...
Breaking Medicine News(10 mins):
(Date:9/19/2017)... ANN ARBOR, Mich. , Sept. 19, 2017 HistoSonics, Inc., a venture-backed medical ... the precise destruction of targeted tissues, announced three leadership team developments today:   ... Josh Stopek, PhD ... ... Veteran medical device executive ...
(Date:9/18/2017)... 18, 2017 EpiVax, Inc. ("EpiVax") ... and immune engineering, today announced a new ... (H7N9) vaccine. ... influenza and presents a challenge for traditional ... to be effective. Using state-of-the-art bioinformatics and molecular ...
(Date:9/12/2017)...  Consumer reviews on the independent review site Consumer Affairs ... company for hearing aids, ranking it higher than Miracle Ear ... ... For Hearing Aids ... online store that provides high performance, state-of-the-art, German-engineered hearing aids directly ...
Breaking Medicine Technology: