Medical Errors, Negligence, and Litigation医疗过失、过失和诉讼.pptVIP

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Medical Errors, Negligence, and Litigation医疗过失、过失和诉讼.ppt

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Medical Errors, Negligence, and Litigation医疗过失、过失和诉讼

Medical Errors, Negligence, and Litigation Harvey Murff, M.D.,M.P.H. Center for Improving Patient Safety Vanderbilt University Estimated Deaths Due to Medical Error How Hazardous Is Health Care?(Modified from Leape) Medical Errors, Negligence, and Litigation Medical Errors Relationship of Medical Errors to Negligence Why do People Sue their Doctors? Potential Solutions to the Problem of Medical Errors Medical Errors, Negligence, and Litigation Medical Errors Relationship of Medical Errors to Negligence Why do People Sue their Doctors? Potential Solutions to the Problem of Medical Errors Definitions Error Failure of a planned action to be completed as intended (i.e., error of execution) or the use of a wrong plan to achieve an aim (i.e. error of planning) Adverse Event (AE) An injury caused by medical management rather than the underlying condition of the patient Preventable Adverse Event An adverse event attributable to an error Relationship of Medical Errors to Adverse Events Epidemiology of Medical Errors California Medical Insurance Feasibility Study (1974) 20,864 hospital admissions 4.65 injuries per 100 hospitalizations Harvard Medical Practice Study (1984) 30,121 hospital admissions in NY state Reported adverse events (AE’s) 3.7% of admissions had an AE Harvard Medical Practice Study Harvard Medical Practice Study Quality in Australian Health Care Study Reviewed 14,179 admissions in 1995 16.6% of admissions had an AE’s Permanent disability 13.7% Death 4.9% 51% of events preventable To Err is Human IOM releases report To Err is Human (2000) Estimates 44,000 to 98,000 unnecessary deaths each year due to medical error Estimated 1,000,000 excess injuries due to medical error Numbers based on the MPS and extrapolated to the general population Deaths due to Medical Error 44,000 to 98,000 unnecessary deaths each year More Americans are killed in US hospitals every 6 months than died in the entire Vietnam War Death rate equivalent to three “jumbo” jet crashed ev