Medical Error stats

Edita Falco edita.falco at GMAIL.COM
Wed Jul 6 20:01:57 UTC 2016


to Joe
do you mean that unnecesary surgeries killed 12000 people? or that  there
are 12000  unnecesarysurgeries? please send a reference

On Wed, Jul 6, 2016 at 12:58 PM, Joe's New Gmail <jgraedon at gmail.com> wrote:

> David,
>
> We have been fascinated with the push back from the medical community.
> Shooting the messenger is a time-honored tradition. Admitting that there is
> a patient safety epidemic is a very hard thing to do.
>
> There is another way to assess health care harm. If one considers data
> that has been collected from other sources this is what you discover:
>
> DEATHS ANNUALLY:
>
> Healthcare-associated infections: 75,000 (CDC data)
>
> Adverse drug reactions:
> >100,000 (FDA)
>
> Misdiagnosis:
> 40,000 to 80,000 (Pronovost, et al)
>
> C diff infections in nursing homes:
> 16,599 (CDC)
>
> Excessive radiation CT scans:
> 29,500 (JAMA Int. Med.)
>
> Unnecessary surgery:
> 12,000 (JAMA)
>
> DVT/PE:
> 119,000 (Cleveland Clinic) mostly occur in healthcare settings
>
> Surgical and post-op complications:
> 32,591 (JAMA)
>
> There is some overlap, but when you consider most of these stats do not
> include the outpatient setting I would argue that Makary's estimate is low!
> Deaths from prescribed medications in the outpatient setting have been
> estimated to be as high as 200,000 but no one really tracks them.
>
> Bottom line, how do we begin to fix a problem that remains out of sight
> (not on the CDC mortality stats) and out of mind?
>
> Joe Graedon
>
>
>
> On Jul 6, 2016, at 10:51 AM, David Katz <d.katz at MAIL.UTORONTO.CA
> <d.katz at mail.utoronto.ca>> wrote:
>
> Martine,
>
>
>
> I disagree with your point. Nobody on this forum disagrees about the
> importance of diagnostic errors, however, this paper was all about the
> numbers. If an article about statistics and numbers is published in a
> peer-reviewed scientific journal, like BMJ, then the numbers are extremely
> important.
>
> I don’t disagree the issue is important regardless of the stats. As a
> physician I am mortified that one mistake could lead to a single patient
> death but the purpose of this paper was to comment on the stats and
> therefore they must be held to the rigorous expectations of a
> well-respected scientific journal.
>
>
>
> David
>
>
>
>
>
> *From: *martineehrenclou <mge at martineehrenclou.com>
> *Date: *Wednesday, July 6, 2016 at 12:10 AM
> *To: *Society to Improve Diagnosis in Medicine <
> IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <IMPROVEDX at list.improvediagnosis.org>>,
> David Katz <d.katz at mail.utoronto.ca>
> *Subject: *Re: Medical Error stats
>
>
>
> Worth the read but worth discarding as well.  Makery doesn't have to
> publish his own study to justify the number of medical errors that end in
> death.  It's certainly credible to cite other studies.
>
> I don't doubt that certain clinicians need to doubt medical error as the
> third leading cause of death.  Even if it is the fifth, it's still too
> much.  There is no way to eradicate the damaging stats given workplace
> stress, short staffing, the unreliability of diagnosis, medication errors,
> and more.
>
> All you have do is become a hospitalized patient yourself to realize the
> number of medical errors that occur every day.  Try becoming a caregiver
> for a patient with a serious illness or chronic medical condition, and
> you'll wake up to the number of diagnostic errors, medication errors,
> patient safety incidents in hospitals and ambulatory settings.  Until
> you've been there it's too easy to dismiss.
>
>
>
> Martine Ehrenclou, M.A
>
> Healthcare consultant
>
> Freelance journalist
>
> Award-winning author
>
> 310-502-5244
>
> Martineehrenclou.com <http://martineehrenclou.com>
>
>
>
>
> On Jul 5, 2016, at 8:06 PM, David Katz <d.katz at MAIL.UTORONTO.CA
> <d.katz at mail.utoronto.ca>> wrote:
>
> I am not sure if this has been circulated to the group yet but it is a
> rebuttal to the BMJ Paper that claims medical error is the 3rd leading
> cause of death.
>
> Definitely worth a read.
>
> http://www.bmj.com/content/353/bmj.i2139/rr-54
>
>
>
> David Katz
>
>
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> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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