Study of Massachusetts hospitals underscores importance of patientsafety, need for continued improvement nejm
The New England Journal of Medicine"The study clearly demonstrates a need for better tools, increased measurement of patient harm, and better implementation systems," said corresponding author David Westfall Bates, MD, medical director of Clinical and Quality Analysis for Mass General Brigham and chief of General Internal Medicine at Brigham and Women's Hospital.
The SafeCare study followed a similar methodology to the HMPS, performed in 1984, although ways of capturing levels of harm have improved in the ensuing decades. Through review of 2,800 inpatient charts from patient visits in 2018 to hospitals ranging from large to small, the research team identified at least one adverse event in 23.6% of admissions. Overall, 23% of these adverse events were judged to be preventable given what is known today, and 32% had serious or higher clinical severity.
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