[Marxism] In-Hospital Deaths of Medicare patients from Medical Errors at 195, 000 per Year

sabocat59 at mac.com sabocat59 at mac.com
Sat Apr 25 10:40:43 MDT 2009


http://health.groups.yahoo.com/group/iatrogenic/message/1451

Study Highlights 

 Among the findings in the HealthGrades Patient Safety in American Hospitals study are as follows:  

  •      About 1.14 million patient-safety incidents occurred among the 37 million hospitalizations in the Medicare population over the years 2000-2002. 

   •      Of the total 323,993 deaths among Medicare patients in those years who developed one or more patient-safety incidents, 263,864, or 81 percent, of these deaths were directly attributable to the incident(s).   

 •      One in every four Medicare patients who were hospitalized from 2000 to 2002 and experienced a patient-safety incident died.    

•    The 16 patient-safety incidents accounted for $8.54 billion in excess in-patient costs to the Medicare system over the three years studied.  Extrapolated to the entire U.S., an extra $19 billion was spent and more than 575,000 preventable deaths occurred from 2000 to 2002. 

   •      Patient-safety incidents with the highest rates per 1,000 hospitalizations were failure to rescue, decubitus ulcer and postoperative sepsis, which accounted for almost 60 percent of all patient-safety incidents that occurred. 

   •      Overall, the best performing hospitals (hospitals that had the lowest overall patient safety incident rates of all hospitals studied, defined as the top 7.5 percent of all hospitals studied) had five fewer deaths per 1000 hospitalizations compared to the bottom 10th percentile of hospitals. This significant mortality difference is attributable to fewer patient-safety incidents at the best performing hospitals.   

 •      Fewer patient safety incidents in the best performing hospitals resulted in a lower cost of $740,337 per 1,000 hospitalizations as compared to the bottom 10th percentile of hospitals. The complete study, including the list of AHRQ patient-safety indicators, can be found at http://www.healthgrades.com. 

“If the Center for Disease Control’s annual list of leading causes of death included medical errors, it would show up as number six, ahead of diabetes, pneumonia, Alzheimer’s disease and renal disease,” continued Dr. Collier. “Hospitals need to act on this, and consumers need to arm themselves with enough information to make quality-oriented health care choices when selecting a hospital.” 


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