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Alarming Trend: Medical Errors Have Increased in the U.S.
The editors present other attention-getting statistics from several scientific studies establishing that medical errors remain a serious problem in the U.S. and appear to have increased over the last 10 years, despite national attention called to this problem.
The Lancet editors ask, “Why?” And, they make some suggestions that should well be considered by medical professionals, patients and caregivers, and policy makers in the U.S.
The Alarming Statistics:
The editorial, entitled, “Medical errors in the USA: human or systemic?“, appears in the April 16, 2011 Issue of The Lancet. It cites and describes the findings of several published studies on medical errors in the U.S. by recognized U.S. scientific and professional sources. Among them are the following:
The study, conducted by scientists and professionals at three leading U.S. medical schools as well as at the Institute for Healthcare Improvement, compared three different methods commonly used for measuring “adverse events” in hospitals: (i) voluntary reporting, (ii) the Agency for Healthcare Research and Quality’s Patient Safety Indicators (which rely on automated review of discharge codes to detect adverse events), and (iii) the Global Trigger Tool pioneered by the Institute for Healthcare Improvement (based upon independent review of medical charts, with follow up investigation where indicated).
The study found that this third method measured at least ten times more confirmed serious medical errors than did the other two methods. As observed by The Lancet’s editorial, “This finding suggests that the two currently used methods for detecting medical errors in the USA are unreliable, underestimate the real burden, and also risk misdirection of present efforts to improve patient safety.”
The Lancet’s editors ask,
“Who or what is to blame for medical errors and their consequences?”
The potential causes they suggest could well be considered and addressed by U.S. medical providers and policy makers:
What can be done?
The Lancet’s editors observe that “US health providers and policy makers must make patients’ safety a national priority.”
They suggest, “A good start in the right direction will be to implement at the federal level a mandatory and comprehensive nationwide monitoring system to track medical errors.”
Read The Lancet’s Editorial, Medical errors in the USA: human or systemic? in The Lancet, April 16, 2011 Issue.
For additional editorials, advocacy, news and information on health care reform issues in the U.S., see our VoicesForCare™ section, including:
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