Personal Injury Law

Hospital Errors Endanger Patients

An analysis of 41 million Medicare patient records, released April 8 by HealthGrades, a health care ratings organization, found that patients treated at top-performing hospitals were, on average, 43 percent less likely to experience one or more medical errors than patients at the poorest-performing hospitals.

From 2004 through 2006, patient safety errors resulted in 238,337 potentially preventable deaths of U.S. Medicare patients and cost the Medicare program $8.8 billion, according to the fifth annual Patient Safety in American Hospitals Study.

The overall medical error rate was about 3 percent for all Medicare patients, which works out to about 1.1 million patient safety incidents during the three years included in the analysis.

Among the other findings:

Patients who experienced a patient safety incident had a 20 percent chance of dying as a result of the incident.

The overall death rate among patients who experienced one or more patient safety incidents fell by almost 5 percent between 2004 and 2006.

Over that time, there were increases in post-operative respiratory failure, post-operative pulmonary embolism or deep vein thrombosis, post-operative sepsis (blood infection), and post-operative abdominal wound separation/splitting.

The most common types of medical errors were bed sores, failure to rescue, and post-operative respiratory failure. Together, they accounted for 63.4 percent of incidents. Failure to rescue improved 11.1 percent from 2004 to 2006, while both bed sores and post-operative respiratory failure worsened during that time.

Of the 270,491 deaths that occurred among patients who experienced one or more patient safety incidents, 238,337 were potentially preventable, the researchers said.

If all hospitals performed at the level of the top-ranked hospitals, about 220,106 patient safety incidents and 37,214 patient deaths could have been avoided, and about $2 billion could have been saved.

Starting Oct. 1, the federal Centers for Medicare and Medicaid Services will stop reimbursing hospitals for the treatment of eight major preventable errors, including objects left in the body after surgery and certain kinds of post-surgical infections.

Full post as published by Georgia Injury Lawyer Blog on April 13, 2008 (boomark / email).