1.http://www.hospitalsafetygrade.org/about-us/newsroom/display/527797
Washington, D.C., April 12, 2017 – The Leapfrog Group today announced new grades for the Leapfrog Hospital Safety Grade, the first and only national health care rating focused on errors, accidents and infections. The program has been assigning A, B, C, D and F letter grades to general acute-care hospitals in the U.S. since 2012. Over that time there have been significant strides in improving patient safety, such as a 21 percent decline in hospital acquired conditions, increased adoption and improved functionality of computerized physician order entry systems, and millions of averted patient harms.
Nonetheless, problems with safety persist, with more than 1,000 people a day estimated to die from preventable errors, making this the third leading cause of death in America.
A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care
Objectives: Based on 1984 data developed from reviews of medical records of patients treated in New York hospitals, the Institute of Medicine estimated that up to 98,000 Americans die each year from medical errors. The basis of this estimate is nearly 3 decades old; herein, an updated estimate is developed from modern studies published from 2008 to 2011.
Methods: A literature review identified 4 limited studies that used primarily the Global Trigger Tool to flag specific evidence in medical records, such as medication stop orders or abnormal laboratory results, which point to an adverse event that may have harmed a patient. Ultimately, a physician must concur on the findings of an adverse event and then classify the severity of patient harm.
Results: Using a weighted average of the 4 studies, a lower limit of 210,000 deaths per year was associated with preventable harm in hospitals. Given limitations in the search capability of the Global Trigger Tool and the incompleteness of medical records on which the Tool depends, the true number of premature deaths associated with preventable harm to patients was estimated at more than 400,000 per year. Serious harm seems to be 10- to 20-fold more common than lethal harm.
Conclusions: The epidemic of patient harm in hospitals must be taken more seriously if it is to be curtailed. Fully engaging patients and their advocates during hospital care, systematically seeking the patients’ voice in identifying harms, transparent accountability for harm, and intentional correction of root causes of harm will be necessary to accomplish this goal.
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