Adverse events in British hospitals: preliminary retrospective record review

doi:10.1136/bmj.322.7285.517

BMJ 2001;322:517-519 ( 3 March )

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Adverse events in British hospitals: preliminary retrospective record review

Editorial by Alberti Letters p 548Reviews pp 562, 563

Charles Vincent, professor of psychology, Graham Neale, consultant physician, Maria Woloshynowych, research fellow.

Clinical Risk Unit, Department of Psychology, University College London, London WC1E 6BT

Correspondence to: C Vincent c.vincent{at}ucl.ac.uk

Objectives: To examine the feasibility of detecting adverseevents through record review in British hospitals and to makepreliminary estimates of the incidence and costs of adverseevents.
Design: Retrospective review of 1014 medical and nursingrecords.
Setting: Two acute hospitals in Greater Londonarea.
Main outcome measure: Number of adverseevents.
Results: 110 (10.8%) patients experienced an adverseevent, with an overall rate of adverse events of 11.7% when multipleadverse events were included. About half of these events werejudged preventable with ordinary standards of care. A third ofadverse events led to moderate or greater disability ordeath.
Conclusions: These results suggest that adverse eventsare a serious source of harm to patients and a large drain onNHS resources. Some are major events; others are frequent, minorevents that go unnoticed in routine clinical care but togetherhave massive economicconsequences.

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Rapid Responses:

Read all Rapid Responses

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bmj.com, 3 Mar 2001 [Full text]
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Adverse events in British hospitals: Rosalind Plowman, et al.
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