|Title||Adverse events in British hospitals: preliminary retrospective record review|
|Authors||Vincent, C., Neale, G. and Woloshynowych, M.|
Objectives: To examine the feasibility of detecting adverse events through record review in British hospitals and to make preliminary estimates of the incidence and costs of adverse events.
Design: Retrospective review of 1014 medical and nursing records.
Setting: Two acute hospitals in Greater London area.
Main outcome measure: Number of adverse events.
Results: 110 (10.8%) patients experienced an adverse event, with an overall rate of adverse events of 11.7% when multiple adverse events were included. About half of these events were judged preventable with ordinary standards of care. A third of adverse events led to moderate or greater disability or death.
Conclusions: These results suggest that adverse events are a serious source of harm to patients and a large drain on NHS resources. Some are major events; others are frequent, minor events that go unnoticed in routine clinical care but together have massive economic consequences
|Journal citation||322, pp. 517-519|
|Digital Object Identifier (DOI)||https://doi.org/10.1136/bmj.322.7285.517|
|Web address (URL)||https://www.bmj.com/content/322/7285/517|