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In contrast to the United States and Australia, little is known
about adverse patient events in the United Kingdom. On p 517 Vincent
et al report a preliminary study of adverse events in two London
hospitals. They found that 10.8% of patients experienced adverse
events, and the overall rate of events was 11.7% when multiple events
were included. A third of these events resulted in moderate or severe
impairment, and around half were judged preventable. The authors
estimate that the cost of additional bed days for the preventable
events was over £290 000 and that the bill for such events throughout
the NHS could be around £1bn a year.