Adverse study medical errors. Medical search. Frequent questions

While manual chart review has been considered the "gold-standard" for identifying adverse events in many patient safety studies, this methodology is expensive and imperfect. (nih.gov)
The IHI Global Trigger Tool for identifying adverse events is also a focus of the discussion. (ihi.org)

Differences in medication reconciliation interventions between six hospitals: a mixed method study. (ahrq.gov)
Objective To assess the frequency and nature of adverse events in Irish hospitals. (bmj.com)
Back in 1984, the extrapolated statistics from relatively few records in only several states of the United States estimated that between 44,000 and 98,000 people annually die in hospitals because of medical errors. (wikipedia.org)
From all causes there have been numerous other studies, including "A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care" by John T. James, PhD that estimates 400,000 unnecessary deaths annually in hospitals alone. (wikipedia.org)
Relying on vicarious liability or direct corporate negligence, claims may also be brought against hospitals, clinics, managed care organizations or medical corporations for the mistakes of their employees and contractors. (wikipedia.org)
A retrospective study of a stratified random sample of 10 hospitals in North Carolina. (ihi.org)
Studies using physician implicit review have suggested that the number of deaths due to medical errors in US hospitals is extremely high. (ihi.org)
New Zealand has carried out a feasibility study on research into adverse events in public hospitals. (who.int)
The Institute of Medicine report estimated that "medical errors" cause between 44 000 and 98 000 deaths annually in hospitals in the United States of America - more than car accidents, breast cancer or AIDS. (who.int)
The Hospitals for Europe's Working Party on Quality Care in Hospitals estimated in 2000 that every tenth patient in hospitals in Europe suffers from preventable harm and adverse effects related to his or her care. (who.int)
PARTICIPANTS: All admissions to 11 medical and surgical units in two tertiary care hospitals over a 6-month period. (rand.org)
1 in Inquiry of 14,732 randomly selected 1,992 discharges from 28 hospitals found that medical errors cost an average of more than $65,000 per incident. (informit.com)
A study published in the Journal of the American Medical Association indicated that medical injuries in U.S. hospitals in 2000 led to about 32,600 deaths and at least 2.4 million extra days of patient hospitalization, with an additional cost to the U.S. healthcare system of about $9.3 billion. (informit.com)
This is a review on an article that examined the benefits and barriers of Computerized Provider Order Entry (CPOE) adoption in inpatient hospitals to determine the effects on medical errors and Adverse Drug Events (ADEs). (clinfowiki.org)
Providers and hospitals are continuing to moving forward towards using electronic medical records to meet the meaningful use standards and receive the financial incentives. (clinfowiki.org)
This will promote patient safety, better patient outcomes and care and also save hospitals and providers millions of dollars from preventable medical errors [1] . (clinfowiki.org)
A study released in early April 2011 compared three methods of detecting adverse events in hospitals. (medleague.com)
Part of the challenge is the variety of settings in which these errors can occur, including hospitals, emergency departments, a variety of outpatient settings (such as primary and specialty care settings and retail clinics), and long-term care settings (such as nursing homes and rehabilitation centers), combined with the complexity of the diagnostic process itself. (nationalacademies.org)
The study reported that medical errors cause between 44,000 and 98,000 preventable deaths in hospitals annually, surpassing motor vehicle accidents, breast cancer, and AIDS as causes of death. (ca.gov)
Prescribing errors (PEs) are a common cause of morbidity and mortality, both in community practice and in hospitals. (springer.com)
How Many Die From Medical Mistakes in U.S. Hospitals? (propublica.org)
In 1999, the Institute of Medicine published the famous "To Err Is Human" report, which dropped a bombshell on the medical community by reporting that up to 98,000 people a year die because of mistakes in hospitals. (propublica.org)
An estimate of 440,000 deaths from care in hospitals "is roughly one-sixth of all deaths that occur in the United States each year," James wrote in his study. (propublica.org)
For 10 years it has been grading hospitals on patient safety and steps to prevent serious medical errors . (grgpc.com)
A group of medical safety experts has compiled a list of steps hospitals should take to prevent diagnostic errors. (grgpc.com)

Physicians tended not to report medical errors when no harm had occurred to patients. (who.int)
The use of 'triggers,' or clues, to identify adverse events (AEs) is an effective method for measuring the overall level of harm in a health care organization. (ihi.org)
When a doctor or hospital deviates from what's known as the standard of acceptable medical care and acts negligently, the resulting injuries could be the basis for a medical malpractice claim if it is also shown that the actions or failure to act on the part of the medical provider was the cause of harm. (lommen.com)
Diagnostic errors persist throughout all settings of care, involve common and rare diseases, and continue to harm an unacceptable number of patients. (nationalacademies.org)
There is even less information available with which to assess the frequency and severity of harm related to diagnostic errors. (nationalacademies.org)
In this study, PEs occurred commonly and pharmacists' interventions were critical in preventing possible medication related harm to patients. (springer.com)
PEs are defined as "a clinically meaningful prescribing error that occurs as a result of a prescribing decision or the prescription writing process resulting in an unintentional significant reduction in the probability of treatment being timely and effective [ 5 ] or in increasing the risk of harm when compared to generally accepted practice" [ 6 ]. (springer.com)
Adverse effects and adverse drug reactions constitute major morbidity and sometimes mortality, but how to make a diagnosis and manage adverse drug effects in an individual to avoid or reduce serious harm does not receive much attention. (springer.com)
We need to examine systematic causes of adverse effects in all individual situations to help find ways to prevent harm in the future. (springer.com)
It is no coincidence that Dr. Neelam Dhingra, Unit Head of WHO Patient Safety Flagship, recently stated that unsafe medication practices and medication errors are a leading cause of avoidable harm in healthcare systems across the world. (eaasm.eu)
Medication related harm represents 50% of all preventable harm in medical care, with prescribing and monitoring errors contributing to the highest sources. (eaasm.eu)
The WHO is thus committed to the eradication of medication errors and launched a global initiative called "The Third Global Patient Safety Challenge: Medication Without Harm" in 2017 2 . (eaasm.eu)
The aim of this initiative is to reduce medication errors and the associated harm in all countries around the world by 50% within 5 years. (eaasm.eu)
To support this global, remarkable campaign, the ECAMET Alliance 7 (European Collaborative Action on Medication errors and Traceability) takes step to raise awareness of the high burden of medication-related harm due to medication errors and unsafe practices, and advocates urgent actions to tackle these major patient safety issues. (eaasm.eu)
Therefore, nursing home patients might be at increased risk of harm related to medical errors. (biomedcentral.com)
Now comes a study in the current issue of the Journal of Patient Safety that says the numbers may be much higher - between 210,000 and 440,000 patients each year who go to the hospital for care suffer some type of preventable harm that contributes to their death, the study says. (propublica.org)
James based his estimates on the findings of four recent studies that identified preventable harm suffered by patients - known as "adverse events" in the medical vernacular - using use a screening method called the Global Trigger Tool , which guides reviewers through medical records, searching for signs of infection, injury or error. (propublica.org)
Medical records flagged during the initial screening are reviewed by a doctor, who determines the extent of the harm. (propublica.org)
The actual number more than doubles, James reasoned, because the trigger tool doesn't catch errors in which treatment should have been provided but wasn't, because it's known that medical records are missing some evidence of harm, and because diagnostic errors aren't captured. (propublica.org)
An organization focused on preventing patient harm from preventable medical errors recently released a list that spotlights the dangers from defective medical devices . (grgpc.com)
SIMD asserts that misdiagnoses likely cause more patient harm than all other medical errors combined. (grgpc.com)
Recently released research further documents the catastrophic harm caused by diagnostic errors. (grgpc.com)
According to the Society to Improve Diagnosis in Medicine, misdiagnoses harm more patients than all other medical errors combined. (grgpc.com)
2006). Poor communication of a patient's medication-use history between community practitioners and emergency department personnel contributes to many adverse drug events (ADEs) and can be a potential source of harm to patients (Pippins et al. (psqh.com)
Prior to the COVID-19 pandemic, medical error was the third leading cause of death in the United States, with conservative estimates of more than 250,000 patients dying annually from preventable medical harm and costs of more than $17 billion to the U.S. healthcare system. (prhi.org)

6 One study estimated that in 2008, the annual cost of preventable medical errors accounted for $17.1 billion of the total national health expenditures, $2.3 trillion. (healthcapital.com)

A 2022 review on adverse events in Human challenge trials found that reporting improved over time, but remains non-standardized in ways that make comparisons difficult. (wikipedia.org)

An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. (wikipedia.org)
however, little is known about adverse event occurrence. (bmj.com)
We studied physicians' knowledge of the occurrence, frequency and causes of medical errors and their actual practice toward reporting them. (who.int)
Yet, diagnosis-and, in particular, the occurrence of diagnostic errors-is not a major focus in health care practice or research. (nationalacademies.org)
Despite the fact that there is variability in the documented rates of medication errors due to the utilization of various medication safety classification systems in addition to the different tools and methods of recording medication errors, PEs are nevertheless considered a common occurrence with substantially high burden [ 7 ]. (springer.com)
Future research should study whether there is an association between patient safety climate in nursing homes and occurrence of adverse events among the patients. (biomedcentral.com)

A majority of errors were related to late interventions and misdiagnosis. (who.int)
7 The waste attributed to medical errors result in adverse outcomes from misdiagnosis, surgical injuries, incorrect drug prescriptions, and various other mishaps. (healthcapital.com)
Misdiagnosis is a common medical error. (grgpc.com)

1 Robert Graham Center: Policy Studies in Family Practice and Primary Care, 2023 Massachusetts Ave NW, Washington, DC 20036, USA. (nih.gov)

The adverse event rate varied substantially (8.6%-17.0%) when applying different published adverse event eligibility criteria. (bmj.com)

The study was conducted from July 2018 to May 2019, and all units at least were involved for 3 months in the control period and 4 months in the intervention period. (bmj.com)
The Novavax coronavirus disease 2019 (COVID-19) vaccine is currently being studied to prevent coronavirus disease 2019 caused by the SARS-CoV-2 virus. (medlineplus.gov)

A qualitative study of interprofessional dissonance in hospital infection prevention and control. (ahrq.gov)
The impact of organisational and individual factors on team communication in surgery: a qualitative study. (ahrq.gov)
A multi-language qualitative study of limited English proficiency patient experiences in the United States. (ahrq.gov)

In the February 2nd edition of CMAJ, they reported on the incidence of adverse events that occur once patients are discharged from hospital. (ohri.ca)
Patient safety is a widely discussed subject worldwide, especially because of the high incidence of adverse events in health institutions. (bvs.br)

CRICO funded a research grant that ultimately led to the creation of I-PASS, and CRICO's Candello data served as the centerpiece of a landmark study published in the Journal of the American Medical Association which validated that patient handoff communication errors are primary root causes in more than 50 percent of adverse events and malpractice claims. (harvard.edu)
We conduct searches in Scielo databases and SciELO Public Health, from medical error descriptors, adverse events and malpractice in January 2003 publications to November 2012, in Brazil. (bvsalud.org)

For example, while a study that tests the effectiveness of a new blood pressure cuff for a period of 10 minutes might seem innocuous, the potential exists for the patient's skin to be irritated by the device. (wikipedia.org)
Thus, when a patient claims injury as the result of a medical professional's care, a malpractice case will most often be based upon one of three theories: Failure to diagnose: a medical professional is alleged to have failed to diagnose an existing medical condition, or to have provided an incorrect diagnoses for the patient's medical condition. (wikipedia.org)
Failure to warn: a medical professional is alleged to have treated the patient without first warning the patient of known risks and obtaining the patient's informed consent to that course of treatment. (wikipedia.org)
2010). Analyses of malpractice claims data indicate that diagnostic errors are the leading type of paid claims, represent the highest proportion of total payments, and are almost twice as likely to have resulted in the patient's death compared to other claims (Tehrani et al. (nationalacademies.org)
This lack of data increases the risks of adverse reactions to treatment or medication that threaten the patient's safety and drive health care costs higher. (ca.gov)
It seems that every time researchers estimate how often a medical mistake contributes to a hospital patient's death, the numbers come out worse. (propublica.org)
Some surgeries fail, not due to a surgeon error, or medical device failure, but because of a patient's failure to comply with post-surgical instruction, rehabilitation, or due to other medical conditions the patient may have. (charlesboyk-law.com)
One-third of medical malpractice lawsuits that involve the patient's death or permanent disability allege a diagnostic error. (grgpc.com)

Nonetheless, the enterprise is fraught with poor coordination, inefficiencies in administration, and avoidable medical errors. (nist.gov)

As illustrated in Columbia Medical Center of Las Colinas v Bush, 122 S.W. 3d 835 (Tex. 2003), "following orders" may not protect nurses and other non-physicians from liability when committing negligent acts. (wikipedia.org)
Physicians did not appreciate attempts to improve the system of error reporting and a culture of blame still prevailed. (who.int)
To prevent COVID-19-related diagnostic errors, physicians and healthcare organizations must address cognitive biases that are often present during clinical decision-making. (mlmic.com)
I recently read the award-winning physician essay in Medical Economics entitled "Lunch is for Losers," about the sacrifice that physicians make for patient care. (medicaleconomics.com)
This medical error taxonomy, developed from self-reports of errors observed by family physicians during their routine clinical practice, emphasizes problems in healthcare processes and acknowledges medical errors arising from shortfalls in clinical knowledge and skills. (nih.gov)
Errors were classified according to proximal cause and underlying systems failure by multidisciplinary teams of physicians, nurses, pharmacists, and systems analysts. (rand.org)
The most common systems failure was in the dissemination of drug knowledge, particularly to physicians, accounting for 29% of the 334 errors. (rand.org)
A study reported in the New England Journal of Medicine (August 2011) found that 7.4 percent of all physicians could expect a medical malpractice claim to be filed against them in any given year but only 1.6 percent of physicians would be subject to a claim that would lead to a payment. (iii.org)
and (5) professional medical education should be stricter with emphasis on prevention and expansion of primary care physicians. (healthcapital.com)
Since 1973, data on ambulatory patient visits to physicians' offices have been collected through the National Ambulatory Medical Care Survey (NAMCS). (cdc.gov)

Adverse events categorized as "serious" (results in death, illness requiring hospitalization, events deemed life-threatening, results in persistent or significant incapacity, a congenital anomaly, birth defect or medically important condition) must be reported to the regulatory authorities immediately, whereas non-serious adverse events are merely documented in the annual summary sent to the regulatory authority. (wikipedia.org)

The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. (ahrq.gov)
In a time of austerity, adverse events in adult inpatients were estimated to cost over €194 million. (bmj.com)
In another study, discrepancies among documented regimens from different sites of care were found to be highly prevalent, with up to 67% of inpatients in the study having at least one error in their medication history at the time of hospital admission (Pippins et al. (psqh.com)

The most recent available official study (1995) indicated 18,000 deaths per year are a result of hospital care. (wikipedia.org)
The Medical Error Action Group is lobbying for legislation to improve the reporting of AEs and through quality control, minimize the needless deaths. (wikipedia.org)
The data used by the U.S. Institute of Medicine to estimate deaths from medical errors come from a study that relied on nurse and physician reviews of medical records to detect the errors. (ihi.org)
Medical errors became a national issue in 1999, when the Institute of Medicine issued a highly published report stating that medical errors in the United States contribute to more than 1 million injuries and up to 98,000 deaths annually. (informit.com)
This is considerably lower than the 1999 study on medical errors reported by the Institute of Medicine that stated up to 98,000 deaths were caused by medical errors. (informit.com)
According to Institute of Medicine report published in 1999, medication errors are responsible for at least 44000 to 98000 deaths each year in USA. (clinfowiki.org)
2014). Postmortem examination research that spans several decades has consistently shown that diagnostic errors contribute to around 10 percent of patient deaths (Shojania et al. (nationalacademies.org)
Further evidence of deaths caused by medication errors In Europe taking statistics from Spain 4 , Germany 5 and the US 6 cause between 60,000 and 131,000 deaths per year. (eaasm.eu)
By combining the findings and extrapolating across 34 million hospitalizations in 2007, James concluded that preventable errors contribute to the deaths of 210,000 hospital patients annually. (propublica.org)

Disclosure of medical error: policies and practice. (ahrq.gov)
Medical malpractice is professional negligence by act or omission by a health care provider in which the treatment provided falls below the accepted standard of practice in the medical community and causes injury or death to the patient, with most cases involving medical error. (wikipedia.org)
The questionnaire had 6 sections covering demographic data, knowledge, attitudes and practice towards reporting medical errors, perceived causes of and frequency of medical errors in their hospital and personal experiences of medical error reporting. (who.int)
We are leaving the practice of medicine, either by leaving medicine entirely or more heart-wrenchingly, by taking their own lives, with physician suicide claiming the lives of approximately 400 doctors-an entire medical school class-each year. (medicaleconomics.com)
Lommen Abdo's medical malpractice attorneys are licensed to practice in both Minnesota and Wisconsin and, in partnership with other medical malpractice attorneys, handle medical cases in other states as well. (lommen.com)
The Harvard Medical Practice Study, which reviewed medical records, found diagnostic errors in 17 percent of the adverse events occurring in hospitalized patients (Leape et al. (nationalacademies.org)
However, the committee concluded that the available research estimates were not adequate to extrapolate a specific estimate or range of the incidence of diagnostic errors within clinical practice today. (nationalacademies.org)
The NPSB would support existing agencies in monitoring and anticipating adverse events with artificial intelligence, conduct studies, create recommendations and solutions to prevent medical error, and leverage existing systems to bring key learnings into practice. (prhi.org)

Department of Health, in its 2000 report, An organization with a memory, estimated that adverse events occur in around 10% of hospital admissions, or about 850 000 adverse events a year. (who.int)
In other cases, adverse events occur as a result of preventable errors, such as giving a patient the wrong medication or misdiagnosing a medical problem. (ohri.ca)
The majority of medical mistakes occur with orders services due to illegible handwriting and ADEs . (clinfowiki.org)
Among ambulatory people ≥ 65, adverse drug effects occur at a rate of about 50 events per 1000 person-years. (msdmanuals.com)
Adverse drug effects can occur in any patient, but certain characteristics of older adults make them more susceptible. (msdmanuals.com)

AEs in patients participating in clinical trials must be reported to the study sponsor and if required could be reported to the local ethics committee. (wikipedia.org)
Researchers participating in a clinical trial must report all adverse events to the drug regulatory authority of the respective country where the drug or device is to be registered [e.g. (wikipedia.org)
Clinical trial results often report the number of grade 3 and grade 4 adverse events. (wikipedia.org)
Investigators have developed or are currently evaluating, several electronic methods that can detect adverse events using coded data, free-text clinical narratives, or a combination of techniques. (nih.gov)
With increasing use in clinical and public health practices, molecular genetic testing affects persons and their families in every life stage by contributing to disease diagnosis, prediction of future disease risk, optimization of treatment, prevention of adverse drug response, and health assessment and management. (cdc.gov)
Clinical diagnosis of adverse drug reactions and patient management are complex, interwoven processes. (springer.com)
Clinical information and experiences about individual patients will aid prevention of adverse drug reactions. (springer.com)
An 'adverse drug reaction' (ADR) is the clinical response of a patient to a drug, defined here as "An appreciably harmful or unpleasant reaction, resulting from an intervention related to the use of a medicinal product, which predicts hazard from future administration and warrants prevention or specific treatment, or alteration of the drug regimen, or withdrawal of the product" [ 1 ]. (springer.com)
The root cause(s) of adverse effects may be complex, and investigation is time consuming and so does not form a major part of clinical evaluation. (springer.com)
The May 2016 issue of Clinical Chemistry published a paper that compared prospective bedside and laboratory accuracy studies that demonstrated the validity of active surveillance via an EMR data mining method comparing point-of-care glucose results to near in-time central laboratory glucose results. (aacc.org)
Spielberg also will oversee a cluster of programs that affect all medical units, including offices for orphan drugs, pediatric therapeutics, combination products, and good clinical practices. (biopharminternational.com)
The instrument aims to identify possible weaknesses in clinical settings and motivate quality improvement interventions leading to reductions in medical errors. (biomedcentral.com)
Diagnosis-related claims consistently represent 20 percent (or more) of medical malpractice claims, with 25 percent of those occurring in the Emergency Department (ED). Of the ED events, clinical judgment and communication issues are key drivers of diagnostic-related claims. (harvard.edu)
Clinical research is necessary to establish the safety and effective- ness of specifi c health and medical products and practices. (who.int)
We reviewed routinely avail- able clinical and laboratory parameters collected when pa- The Study tients initially sought care. (cdc.gov)
During study, enrolling all consecutive adult patients admit- the past few decades, hantavirus infection outbreaks ted to the Department of Internal Medicine, Medical increased, demonstrating an emerging problem for University of Graz, Austria, because of clinical suspi- healthcare systems ( 1 ). (cdc.gov)
COVID-19 vaccine, adjuvanted is still being studied in clinical trials. (medlineplus.gov)

Frailty, gaps in care coordination, and preventable adverse events. (ahrq.gov)
Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial. (ahrq.gov)
Predictors of adverse events in patients after discharge from the intensive care unit. (ahrq.gov)
Although a 'health care provider' usually refers to a physician, the term includes any medical care provider, including dentists, nurses, and therapists. (wikipedia.org)
One-third of respondents feared punitive actions if they reported errors and only 56.4% felt that error reporting had led to positive changes in overall care. (who.int)
The objective of this study was to understand the experience of limited English proficiency patients with health care services in an urban setting. (ahrq.gov)
The purpose of this study was to examine the relative effectiveness of continuity of care and language concordance as alternative or complementary interventions to improve health outcomes of people with limited English proficiency. (ahrq.gov)
The hectic pace of pandemic care may contribute to medication errors. (mlmic.com)
A recent study attributed over half of adverse events associated with surgical care to cognitive error. (mlmic.com)
Our nation enjoys the best medical care and the brightest medical personnel in the world. (nist.gov)
no studies have demonstrated true evidence of serious adverse effects on patient care. (medicaleconomics.com)
In fact, one study actually showed no correlation between patient care and physician burnout. (medicaleconomics.com)
The problem of adverse events in health care is not new. (who.int)
The Quality in Australian Health Care Study (QAHCS) released in 1995 found an adverse-event rate of 16.6% among hospital patients. (who.int)
1 UTCOS revised using the same methodology as the Quality in Australian Health Care Study (harmonizing the four methodological discrepancies between the two studies). (who.int)
To develop a preliminary taxonomy of primary care medical errors. (nih.gov)
Patient safety strategies with most effect in primary care settings need to be broader than the current focus on medication errors. (nih.gov)
Communication failure at the time of handoff of patient care from one resident to another is a significant cause of medical errors. (the-hospitalist.org)
This study reminds us that there are inherent risks in medical care," said Dr. Jack Kitts, President and CEO of The Ottawa Hospital, "but some of those risks are preventable. (ohri.ca)
Our study shows that adverse events are relatively common, and that most are due to medical care that is appropriate and correctly given," said the study's lead author, Dr. Alan Forster. (ohri.ca)
Health care providers are usually insured and must pay compensation if a medical malpractice claim is proven against them. (lommen.com)
The intensive care unit (ICU) is a specialized ward of a hospital that provides special medical attention to patients who require critical medical care. (thebusinessresearchcompany.com)
in 2009 2 to describe the state of mind of a health care provider whose patient has experienced an unanticipated adverse event, medical error, or care-related injury as the "first victim. (apsf.org)
Second victims are health care providers who are involved in an unanticipated adverse patient event, in a medical error and/or patient-related injury, and are traumatized by the event. (apsf.org)
Studies have shown that nearly 80% of health care providers experience and are psychologically impacted by a significant adverse event at least once in their career. (apsf.org)
4 System failures occurring before a health care provider even enters the picture can lead to medical errors and unforeseen outcomes. (apsf.org)
Illuminating the blind spot of diagnostic error and improving diagnosis in health care will require a significant reenvisioning of the diagnostic process and widespread commitment to change. (nationalacademies.org)
The first conclusion is that urgent change is needed to address the issue of diagnostic error, which poses a major challenge to health care quality. (nationalacademies.org)
For example, a recent study estimated that 5 percent of U.S. adults who seek outpatient care experience a diagnostic error, and the researchers who conducted the study noted that this is likely a conservative estimate (Singh et al. (nationalacademies.org)
One consequence is that patients today often must provide their medical information repeatedly to different care providers and specialists in the course of receiving treatment. (ca.gov)
These errors result in wasted resources of an estimated $17 billion to $29 billion each year, over one-half of which are for health care costs. (ca.gov)
The purpose of this study was to describe reported interventions conducted by pharmacists to prevent or minimize PEs in a tertiary care hospital. (springer.com)
The study was carried in a tertiary care hospital in Riyadh region. (springer.com)
Bringing awareness of such systematic errors for consideration and management is part of a health care professional's responsibilities. (springer.com)
Postmarket Surveillance of Point-of-Care Glucose Meters through Analysis of Electronic Medical Records Clin Chem 2016;62:716-724. (aacc.org)
The electronic medical record, or EMR, holds a promising source of data for active postmarket surveillance of diagnostic accuracy, particularly for point-of-care devices. (aacc.org)
Accountable care began in 1932 when the Committee on the Costs of Medical Care was tasked with studying the economics of healthcare and the prevention of illness. (healthcapital.com)
Creating Accountable Care Organizations: The Extended Hospital Medical Staff" By Elliott S. Fisher, et al. (healthcapital.com)
Patient safety culture involves leader and staff interaction, routines, attitudes, practices and awareness that influence risks of adverse events in patient care. (biomedcentral.com)
Nursing homes may be among the primary care services with the highest risks of adverse events. (biomedcentral.com)
Giuliano saw firsthand these challenges with IV smart pumps-and so many other medical devices-when she was a critical care nurse at Baystate Medical Center in Springfield. (umass.edu)
There, she became interested in how medical device innovation could "improve the delivery of care for nurses and the experience of care for patients and their families. (umass.edu)
As the largest group of health care providers in the country, nurses use more products than any other health care professional and thus have unique insights on developing and designing medical products," she said. (umass.edu)
The nation's leading organization of doctors devoted to proper healthcare for infants, children and adolescents recently issued a blueprint for preventing serious medical errors during emergency care to young patients . (grgpc.com)
Ambulatory medical care is the predominant method of providing health care services in the United States (reference 1). (cdc.gov)
However, visits to hospital emergency and outpatient departments, which represent a significant portion of total ambulatory medical care, are not included in the NAMCS (reference 2). (cdc.gov)
Therefore, the omission of hospital ambulatory care from the ambulatory medical care database leaves a significant gap in coverage and limits the utility of the current NAMCS data. (cdc.gov)
A complete description of the NHAMCS is contained in the publication entitled, 'Plan and Operation of the National Hospital Ambulatory Medical Care Survey' (reference 4). (cdc.gov)
The national estimates produced from these studies describe the utilization of hospital ambulatory medical care services in the United States. (cdc.gov)

To mitigate risk, MLMIC examines common sources of medical errors such as medication mistakes, lack of communication and workplace distractions. (mlmic.com)
The American Hospital Association says the guilty verdict for a nurse who made a medication error "discourages health caregivers from coming forward with their mistakes. (mlmic.com)
This education of the healthcare consumer has, for better or worse, led to the start of a healthcare consumer revolution, which logically leads to the recognition of quality and medical mistakes. (informit.com)
There are many reasons for medical error, ranging from outright negligence to mistakes made by conscientious health professionals who are too tired or pressured or distracted. (springer.com)
So we're left with approximations, which are imperfect in part because of inaccuracies in medical records and the reluctance of some providers to report mistakes. (propublica.org)
The annual one-day observance serves to educate the public on serious medical errors, with a particular emphasis this year on drug administration mistakes. (grgpc.com)

The committee drew this conclusion based on its collective assessment of the available evidence describing the epidemiology of diagnostic errors. (nationalacademies.org)
This study is published in 2001 in the American Journal of Epidemiology . (cdc.gov)

Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. (ahrq.gov)
Changes in medical errors after implementation of a handoff program. (the-hospitalist.org)
Hand-off bundle implementation associated with decreased medical errors and preventable adverse events on an academic family medicine in-patient unit: A pre-post study. (guthrie.org)
The study also examined the cost and savings associated with the implementation of this new technology [1] . (clinfowiki.org)
Implementation of CPOE in hospital system can reduced adverse drug events and also decreases in medication errors such as incorrect dosages, incomplete orders, duplicate therapies, drug allergies etc. (clinfowiki.org)
The Academic Search Premier, PubMed, ProQuest, ScienceDirect, and Google Scholar electronic databases were searched for the terms "CPOE" OR "Computerized Physician Order Entry" OR "Electronic Prescribing" AND "Medical Errors" OR "ADEs" OR "Adoption" OR "Implementation" AND "Meaningful Use" OR "HITECH. (clinfowiki.org)
A recent study of hospitalists involved in design and implementation of medication reconciliation processes felt that medication reconciliation would likely have a positive impact on patient safety (Clay et al, 2008). (psqh.com)

The result of this inattention is significant: It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. (nationalacademies.org)
Each method captures information about different subgroups in the population, different dimensions of the problem, and different insights into the frequency and causes of diagnostic error. (nationalacademies.org)
Amid the almost 200 examples of diagnostic error analyzed, problems in patient-physician interactions emerged as a major contributing factor. (medscape.com)
And the overall diagnostic error rate is 5%, or one in 20 adults annually. (medscape.com)

Patients in that study might also die during that 10-minute period. (wikipedia.org)
If the researcher feels there is an imminent danger posed by the device, he or she can use medical discretion to stop patients from participating in the study. (wikipedia.org)
Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments. (ahrq.gov)
The objectives of this study were to investigate the relationship between emergency nurses' emotional experiences in response to the COVID-19 pandemic and their perceptions of risk to both patients and themselves, and also to investigate the extent to which the use of suppression and reappraisal processes for emotion management were associated with these perceptions. (ahrq.gov)
I scoured the medical literature and I found while there were an awful lot of presumptions that burned-out doctors would do a worse job at caring for patients, there was really no data to show this to be the case. (medicaleconomics.com)
Ten errors resulted in patients being admitted to hospital and one patient died. (nih.gov)
Nisha Acharya The key to performing phacoemulsifica-tion in patients with uveitis is to operate only if the uveitis is controlled on a stable medical regimen for a minimum of 3 months. (aao.org)
OTTAWA, April 12, 2004 -- One in eight hospitalized patients experience some form of adverse event or complication resulting from medical treatments, suggests a new study by a group of doctors at The Ottawa Hospital. (ohri.ca)
This new study reviewed the health records of 502 patients admitted to The Ottawa Hospital over a one-year period. (ohri.ca)
Of those, 64 patients had an adverse event documented in their health record, or 1 in every 8 patients. (ohri.ca)
The study also documented that some patients experienced adverse events that should not have occurred. (ohri.ca)
While some adverse events happened in hospital, almost two thirds of those observed in the study occurred before hospital admission while patients were being cared for in the community. (ohri.ca)
This new study reviewed the medical records of patients after they were hospitalized to determine if and when an adverse event occurred. (ohri.ca)
Medical malpractice insurance covers doctors and other professionals in the medical field for liability claims arising from their treatment of patients. (iii.org)
Almost 6.5 % of morbidity and mortality in hospitalized patients have been linked to PEs, while more than half of these errors are considered as preventable [ 9 ]. (springer.com)
7 As well as increased costs, overseas studies have shown significantly longer length of stay (LOS) in patients who experience indicator conditions such as adverse drug events, 8 hospital-acquired infections 9 and postoperative complications. (mja.com.au)
Patients in nursing homes are particularly vulnerable to adverse events. (biomedcentral.com)
In the four studies, which examined records of more than 4,200 patients hospitalized between 2002 and 2008, researchers found serious adverse events in as many as 21 percent of cases reviewed and rates of lethal adverse events as high as 1.4 percent of cases. (propublica.org)
Leapfrog states that most hospital medical errors can be prevented and notes that 1,000 hospital patients die every day due to a preventable medical mistake. (grgpc.com)
Medication errors are preventable yet injure over 1 million patients in the United States every year. (grgpc.com)
2008). Other studies support that at least 50% of all patients have had at least one unintentional medication discrepancy (Gleason et al. (psqh.com)
About two thirds of the narratives were contributed by female patients, and 4 out of 5 of the reported diagnostic errors took place in a hospital. (medscape.com)
More than half of patients reported the error to the healthcare institution responsible, but only 9% said that they were satisfied with the response. (medscape.com)
A recent publication described three GWAS meta-analyses comprising 49,562 COVID-19 patients from 46 studies across19 countries worldwide. (cdc.gov)
Furthermore, hospital ambulatory patients are known to differ from office patients in their demographic characteristics and medical aspects (reference 3). (cdc.gov)

The poor state of infrastructure and equipment, unreliable supply and quality of drugs, shortcomings in waste management and infection control, poor performance of personnel because of low motivation or insufficient technical skills, and severe underfinancing of essential operating costs of health services make the probability of adverse events much higher than in industrialized nations. (who.int)
Low absolute lymphocyte count This study was approved by the institutional review and dyspnea were parameters associated with a severe board of the Medical University of Graz (approval no. course of infection. (cdc.gov)
In addition, social determinants of health are also important factors in increased risk of COVID-19 infection and adverse outcomes. (cdc.gov)

Most reports were of errors that were recognized and occurred in reporters' practices. (nih.gov)
These recommendations are intended for laboratories that perform molecular genetic testing for heritable diseases and conditions and for medical and public health professionals who evaluate laboratory practices and policies to improve the quality of molecular genetic laboratory services. (cdc.gov)
Facilitate the systematic exchange of best practices between healthcare providers both at European and national levels to reduce medication errors in healthcare settings. (eaasm.eu)
The Alliance champions many patient safety issues to enhance medical practices, including the development of a robust and harmonised EU regulatory framework in the field of nanomedicines to protect patient safety. (eaasm.eu)
ECRI compiled the list through a comprehensive process of testing medical devices, reviewing reports highlighting problems, observing hospital practices, and speaking with healthcare providers. (grgpc.com)
These facts come from the Institute for Safe Medication Practices (ISMP), a nonprofit organization whose mission is to prevent medication errors. (grgpc.com)
After content analysis, primary studies were grouped into two subject categories: "Innovative teaching practices" and "Curricular evaluation. (bvs.br)

Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers. (ahrq.gov)
Researchers say that over "100,000 Americans die or are permanently disabled each year due to medical diagnoses that initially miss conditions or are wrong or delayed" and that "three major disease categories account for nearly three-fourths of all serious harms from diagnostic errors. (mlmic.com)
The researchers studied claims received by one major medical malpractice insurer from 1991 through 2005 with a nationwide client base. (iii.org)
Researchers used difference-in-differences regression models to estimate the causal effect of medical cannabis laws on marijuana use, and simulations to account for measurement error. (jackherer.com)
ProPublica asked three prominent patient safety researchers to review James' study, however, and all said his methods and findings were credible. (propublica.org)
The findings were consistent with previous mortality studies of workers from this cohort, which were published by NIOSH researchers in the 1980s. (cdc.gov)

Although the pre-post nature of this study prevents a causal relationship from being established, the outcomes provide evidence in support of this particular handoff improvement program. (the-hospitalist.org)
Future studies should evaluate the impact of pharmacists' interventions on patient outcomes. (springer.com)
Age, certain underlying medical conditions, and other risk factors increase the likelihood of severe outcomes. (cdc.gov)
Nevertheless, known environmental, demographic, and medical factors do not explain all individual variability in COVID-19 outcomes. (cdc.gov)
One year into the pandemic, the search for host genetic factors in COVID-19 susceptibility and outcomes has taken various approaches For example, family-based and population-based analyses of "extreme phenotypes" -such as death or severe disease in young people with no underlying medical conditions-can uncover rare genetic variants with large effects. (cdc.gov)

The type of method used to elicit AEs reported by individuals for evidence on likely adverse drug reactions (ADRs) influences the extent and nature of data. (wikipedia.org)
How we cut drug errors. (ahrq.gov)
OBJECTIVE: To identify and evaluate the systems failures that underlie errors causing adverse drug events (ADEs) and potential ADEs. (rand.org)
CONCLUSIONS: Hospital personnel willingly participated in the detection and investigation of drug use errors and were able to identify underlying systems failures. (rand.org)
Systems changes to improve dissemination and display of drug and patient data should make errors in the use of drugs less likely. (rand.org)
Can Utilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events? (clinfowiki.org)
Research is showing the reduction in medical errors and adverse drug effects. (clinfowiki.org)
CPOE is an effective sollution toward reducing and limiting medication errors and adverse drug events. (clinfowiki.org)
Approximately 50% these medication errors are related to adverse drug events (ADE) which are preventable. (clinfowiki.org)
the most frequently reported medication errors among children were accidental overdosing and drug maladministration. (nursingcenter.com)
7 To our knowledge, no intervention studies have been focused upon parents who administer medication to their children for the purpose of increasing medication knowledge and preventing drug misuse. (nursingcenter.com)
This paper describes the personal views of the author about diagnosis and management of an adverse drug effect. (springer.com)
Drug-related adverse effects may be due to the drug itself, though many are due to systematic errors occurring in the process from diagnosis of the primary treated condition, through prescribing and dispensing, to the way the drug is used by the patient. (springer.com)
Provision of adverse drug reaction information must be timely, and relevant to support busy health professionals in their consultations. (springer.com)
The term 'adverse drug effect' (ADE) refers to an adverse effect where some attribution to a drug, or to the use or misuse of a drug, has been made. (springer.com)
In some more unusual instances, adverse drug reactions may be more commonly related to drug or chemical exposure than to alternative possible causes (such as agranulocytosis or Stevens-Johnson syndrome), making the diagnostic challenge somewhat easier. (springer.com)
Therapeutic error, unexpected failure of effect (perhaps related to a substandard/counterfeit product), drug abuse, accidental or suicidal self-administration, and homicidal use of drugs are all also adverse drug effects, which the wise clinician needs to bear in mind. (springer.com)
There is a strengthening view that we have neglected this area of adverse effects related in some way to drug use. (springer.com)
The U.S. Food and Drug Administration monitors postmarket surveillance of in vitro diagnostics usually through passive adverse event reporting. (aacc.org)
This infusion device is a computerized version of the traditional IV, equipped with a drug library meant to protect against potentially dangerous errors in delivering drugs. (umass.edu)
This information, which can reduce therapeutic duplication and adverse drug interactions, must include the drug name, dose, and frequency. (psqh.com)
Please do not use this form to submit personal or patient medical information or to report adverse drug events. (medscape.com)
You are encouraged to report adverse drug event information to the FDA. (medscape.com)
Adverse drug effects are effects that are unwanted, uncomfortable, or dangerous. (msdmanuals.com)
Our study examines the association between kratom use categories and mental health and substance use disorders in the U.S. METHODS: We used the 2020 National Survey on Drug Use and Health data (N=32,893), a cross-sectional survey data, on the U.S. population aged 12 years or older. (cdc.gov)
By uncovering underlying causal mechanisms, such studies may suggest directions for drug development. (cdc.gov)

It also presents a cognitive framework for error monitoring and detection. (nih.gov)
Specialty intention and program satisfaction among medical residents: The moderating role of cognitive flexibility. (guthrie.org)
Drugs may be ineffective in older adults because clinicians under-dose (eg, because of increased concern about adverse effects) or because adherence is poor (eg, because of financial or cognitive limitations). (msdmanuals.com)

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient? (ahrq.gov)
Faced with this issue, the Brazilian Ministry of Health instituted the National Patient Safety Program in 2013, based on international guidelines, to prevent and/or reduce the incidence of adverse effects related to healthcare services. (bvs.br)

and 14 (4.1%) were reports of adverse events, not errors. (nih.gov)
METHODS: We searched the U.S. Vaccine Adverse Event Reporting System (VAERS) database for reports of adverse events (AEs) following influenza vaccination in infants less than 6 months old for the 2010-2018 influenza seasons. (cdc.gov)

Pharmacists clearly identified the most important areas to reduce medication errors were traceability systems such as electronic prescription, medication error surveillance and barcode medication administration systems. (eaasm.eu)
During an 11-month period from September 2004 through July 2005, more than 2,000 medication error reports involving a reconciliation issue were submitted to MEDMARX (USP, Rockville, MD) (Santell, 2006). (psqh.com)

To evaluate interventions for reducing medical errors and adverse event, effective methods for detecting such events are required. (nih.gov)
The authors discuss a new study in Health Affairs that finds that the IHI Global Trigger Tool identified at least ten times more confirmed, serious events than other methods. (ihi.org)
Qualitative analysis to identify categories of error reported during a randomized controlled trial of computer and paper reporting methods. (nih.gov)
METHODS: Errors were detected by interviews of those involved. (rand.org)
In addition, aggregating data from various research methods-such as postmortem examinations, medical record reviews, and malpractice claims-is problematic. (nationalacademies.org)

The prevalence of adverse events in admissions was 12.2% (95% CI 9.5% to 15.5%), with an incidence of 10.3 events per 100 admissions (95% CI 7.5 to 13.1). (bmj.com)
International studies demonstrate that 3%-17% of admissions are associated with an adverse event (defined as an injury caused by healthcare management resulting in prolonged hospitalisation, disability on discharge or death 1 ). (bmj.com)

This white paper provides information on the development and methodology of the IHI Global Trigger Tool, enabling the ability to accurately identify adverse events and measure the rate of adverse events over time. (ihi.org)
The findings suggested that better integration of the healthcare system could help reduce the rate of adverse events post-hospital discharge. (ohri.ca)

Conclusions This first study of adverse events in Ireland reports similar rates to other countries. (bmj.com)
CONCLUSIONS: Reports identified of influenza vaccination in infants less than 6 months old indicate that vaccination errors in this age group are occurring and healthcare providers who vaccinate infants should be aware of how to prevent such events. (cdc.gov)

A retrospective analysis of the electronic medical records data was conducted to identify pharmacists' interventions related to reported PEs. (springer.com)

Study in 1991. (who.int)
1991), and a more recent study in the Netherlands found that diagnostic errors comprised 6.4 percent of hospital adverse events (Zwaan et al. (nationalacademies.org)

A CPOE system can decrease the number of ADEs in a hospital, enhance patient safety, and decrease preventable medical errors [1] . (clinfowiki.org)
We have seen many valiant efforts to reduce the problem of preventable medical error, but most of these have been focused on the actions of the frontline workforce. (prhi.org)

The medication reconciliation process has been demonstrated to be a powerful method for reducing ADEs and medication errors (Provonost et al. (psqh.com)

And the biggest factors in lawsuits against hospitalists are diagnostic errors, according to a study by The Doctors Company, a physician-owned medical malpractice insurer, which was presented earlier at the meeting, as reported by Medscape Medical News . (medscape.com)

Doctors frequently do not have access to the medical information they need, such as the prescriptions a patient is currently taking, increasing the risks of complications during treatment. (ca.gov)
Autor anticipates further assessment of these approaches in a consensus study by the Institute of Medicine (IOM) on the global public-health risks from substandard, falsified, and counterfeit medical products. (biopharminternational.com)
While there were sessions related to data, such as data visualization and trends in adverse events, the presentations offering actionable insights into specific risks were limited. (harvard.edu)

In Australia, 'Adverse EVENT' refers generically to medical errors of all kinds, surgical, medical or nursing related. (wikipedia.org)
Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. (ahrq.gov)
The surgical failure also caused Client D.H. significant financial stress from his lost wages and medical expenses. (charlesboyk-law.com)

Background There are only a few studies on handoff quality and adverse events (AEs) rigorously evaluating handoff improvement programmes' effectiveness. (bmj.com)
The study team evaluated the impact of the I-PASS Handoff Bundle (illness severity, patient summary, action items, situation awareness and contingency planning, and synthesis by receiver) from January 2011 through May 2013. (the-hospitalist.org)
The I-PASS Handoff Bundle might reduce preventable adverse events and medical errors without significant impact on handoff duration or resident workflow. (the-hospitalist.org)

They conclude that the Nationwide Inpatient Sample should not be used for state-level research and specified that AHRQ provides resources to assist analysts with state-specific studies using State Inpatient Database files. (ahrq.gov)

Medication reconciliation is a process that aims to improve patient safety and reduce the risk of medical error by ensuring that healthcare providers have an up-to-date list of the medications a patient is taking. (psqh.com)

Medical record reviews suggest that diagnostic errors account for 6% to 17% of hospital adverse events, according to a landmark report issued last fall by the Institute of Medicine (now a division of the National Academies of Sciences, Engineering, and Medicine). (medscape.com)

An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. (wikipedia.org)
An adverse event can also be declared in the normal treatment of a patient which is suspected of being caused by the medication being taken or a medical device used in the treatment of the patient. (wikipedia.org)
The impact on adverse event rate of differing application of international adverse event criteria was also examined. (bmj.com)
These results provide important baseline data on the adverse event burden and, alongside web-based chart review, provide an incentive and methodology to monitor future patient-safety initiatives. (bmj.com)
According to the study, an adverse event is defined as a poor outcome resulting from a treatment or other medical intervention. (ohri.ca)
In almost 5 % of the cases we studied, we noted that the adverse event could have been prevented," said Dr. Forster. (ohri.ca)
In processing this experience and in sharing the lessons learned from it, I came to understand that many patient-related adverse events are not over when the event ends. (apsf.org)
Safety of bivalent human papillomavirus vaccine in the US vaccine adverse event reporting system (VAERS), 2009-2017. (cdc.gov)
We analyzed reports to the U.S. Vaccine Adverse Event Reporting System (VAERS) of adverse events (AE) following bivalent HPV vaccine (2vHPV). (cdc.gov)

ABSTRACT Identifying reasons for under-reporting is crucial in reducing the incidence of medical errors. (who.int)

This is the first Canadian effort to document the frequency and type of adverse events happening in hospital. (ohri.ca)

The medical error refers to a condition that affects the person as a result of a medical operation based on reckless, negligent or inexpert attitudes. (bvsalud.org)

ATSDR determines that additional studies of mortality and cancer incidence among persons living and working at Camp Lejeune are feasible and would be scientifically useful and helpful to people exposed to contaminated water. (cdc.gov)

Our study adds to the existing literature by providing valuable information regarding the general absence of serious adverse events in the case of vaccination errors associated with inadvertent influenza vaccine within this population. (cdc.gov)

Programs to improve the quality of handoffs have been created to reduce such errors, but few have been rigorously evaluated. (the-hospitalist.org)

This means that adverse effects often masquerade as other diseases. (springer.com)
They need diagnosis not only in terms of the adverse effects but also why they occurred. (springer.com)
10 However, few studies report effects on LOS for the full range of hospital-acquired complications. (mja.com.au)
They concluded, "We find limited evidence of causal effects of medical marijuana laws on measures of reported marijuana use. (jackherer.com)
and (3) control populations, to identify potential for long-term adverse health effects in less exposed populations. (cdc.gov)
both increase the risk of adverse effects. (msdmanuals.com)
However, adverse effects are thought to be preventable in at least 25% of cases in older adults. (msdmanuals.com)
If used at all, NSAIDs should therefore be used cautiously with a full understanding of their potential adverse effects. (medscape.com)

OBJECTIVE To assess the prevalence of medical errors (specifically, near misses [NMs] and adverse events [AEs]) and their personal and professional impact on veterinarians. (avma.org)

Diseases2

Analytical, Diagnostic and Therapeutic Techniques and Equipment9

Psychiatry and Psychology10

Disciplines and Occupations4

Anthropology, Education, Sociology and Social Phenomena13

Humanities1

Information Science11

Named Groups3

Health Care36

Geographicals4

Identifying adverse events2

Hospitals25

Harm25

Cost of preventable1

20221

Occurrence6

Misdiagnosis3

20231

Published adverse event1

20192

Qualitative study3

Incidence of adverse events2

Events and malpractice2

Patient's8

Avoidable1

Physicians10

Requiring hospitalization1

Inpatients3

Deaths9

Practice8

Occur5

Clinical17

Care49

Mistakes6

Epidemiology2

Implementation7

Diagnostic error4

Patients25

Infection3

Practices7

Researchers6

Outcomes5

Drug26

Cognitive3

Reduce the incidence2

Reports of adverse events2

Medication error2

Methods5

Admissions2

Rate of adverse events2

Conclusions2

Interventions1

19912

Preventable medical2

ADEs1

Malpractice insurer1

Risks3

Surgical3

Handoff3

Inpatient1

Healthcare providers1

Hospital adverse events1

EVENT9

Abstract1

Frequency1

Refers1

Mortality1

Serious adverse events1

Rigorously1

Effects8

Prevalence1