Preventable Harms to Patients "Common" in NC Hospitals
The New England Journal of Medicine recently published the results of a six-year, 10 hospital study conducted in North Carolina between 2002 and 2007. The report can be found online for free here. The study's authors included Dr. Christopher Landrigan, Dr. Gareth Parry, Catherine Bones, Andrew Hackbarth, Dr. Donald Goldmann, and Dr. Paul Sharek.
The study randomly selected 10 hospitals in NC to participate. In those hospitals, researchers randomly pulled 10 patient admissions to the hospital for each quarter from 2002 to 2007. Those records were then reviewed utilizing a "trigger tool" which allows researchers to quickly locate adverse events. Those adverse events were then scrutinized to determine whether the harms were preventable or not preventable.
The authors of the study conclude:
In a statewide study of 10 North Carolina hospitals, we found that harm resulting from medical care was common, with little evidence that the rate of harm had decreased substantially over a 6-year period ending in December 2007.
That embarrassing conclusion was all the more a cause of concern for patient safety advocates since the authors of the report selected North Carolina hospitals for their "high level of engagement in efforts to improve patient safety." Clearly, North Carolina hospitals have a long way to go before they live up to their reputation.
Breakdown of the data and an interesting though experiment on the flip.
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