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AARP Research | Medical Error
and Patient Injury: Costly and Often Preventable
Medical Malpractice: Just the Facts
Institutes of Medicine Report, "To Err is Human"
The knowledgeable health reporter
for the Boston Globe, Betsy Lehman, died from an overdose during chemotherapy.
Willie King had the wrong leg amputated. Ben Kolb was eight years old
when he died during "minor" surgery due to a drug mix up.
These horrific cases that make
the headlines are just the tip of the iceberg. Two large studies, one
conducted in Colorado and Utah and the other in New York, found that adverse
events occurred in 2.9 and 3.7 percent of hospitalizations, respectively.
In Colorado and Utah hospitals, 8.8 percent of adverse events led to death,
as compared with 13.6 percent in New York hospitals. In both of these
studies, over half of the adverse events resulted from medical errors
and could have been prevented.
When extrapolated to the over
33.6 million admissions to U.S. hospitals in 1997, the results of the
study in Colorado and Utah imply that at least 44,000 Americans die each
year as a result of medical errors. The results of the New York Study
suggest the number may be as high as 98,000. Even when using the lower
estimate, deaths due to medical errors exceed the number attributable
to the 8th leading cause of death. More people die in a given year as
a result of medical errors than from motor vehicle accidents (43,458),
breast cancer (42,297) or AIDS (16,516).
Total national costs (lost
income, lost household production, disability and health care costs) of
preventable adverse events (medical errors resulting in injury) are estimated
to be between $17 billion and $29 billion, of which health care costs
represent over one-half.
In terms of lives lost, patient
safety is as important an issue as worker safety. Every year, over 6,000
Americans die from workplace injuries. Medication errors alone, occurring
either in or out of the hospital, are estimated to account for over 7,000
deaths annually.
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