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Special Article The Nature of Adverse Events in Hospitalized Patients — Results of the Harvard Medical Practice Study II Lucian L. Leape, M.D., Troyen A. Brennan, M.D., J.D., M.P.H., Nan Laird, Ph.D., Ann G. Lawthers, Sc.D., A. Russell Localio, J.D., M.P.H., Benjamin A.

Barnes, M.D., Liesi Hebert, Sc.D., Joseph P. Newhouse, Ph.D., Paul C. Weiler, LL.M., and Howard Hiatt, M.D.

N Engl J Med 1991; 324:377-384 DOI: 10. Ensode Net Pdf Crack Jsf. 1056/NEJM40605. Results Drug complications were the most common type of adverse event (19 percent), followed by wound infections (14 percent) and technical complications (13 percent).

Nearly half the adverse events (48 percent) were associated with an operation. Adverse events during surgery were less likely to be caused by negligence (17 percent) than nonsurgical ones (37 percent). The proportion of adverse events due to negligence was highest for diagnostic mishaps (75 percent), noninvasive therapeutic mishaps (“errors of omission”) (77 percent), and events occurring in the emergency room (70 percent). Errors in management were identified for 58 percent of the adverse events, among which nearly half were attributed to negligence. IN recent years, concern about the increasing cost of malpractice-insurance premiums has led to numerous tort reforms. At the same time, and largely independently of tort reform, interest in initiatives affecting the quality of care has grown.

Curiously, however, the problem of medical injury has received comparatively little attention from either perspective. But an important objective for those concerned with both medical malpractice and quality of care is the prevention of iatrogenic injury. Free English Dictionary Download For Java Phone.