The Nature of Adverse Events in Hospitalized Patients: Results of the Harvard Medical Practice Study II

IN recent years, concern about the increasing cost of malpractice-insurance premiums has led to numerous tort reforms. At the same time, and largely independently of tort reform, interest in initiatives affecting the quality of care has grown. Curiously, however, the problem of medical injury has re...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The New England journal of medicine 1991-02, Vol.324 (6), p.377-384
Hauptverfasser: Leape, Lucian L, Brennan, Troyen A, Laird, Nan, Lawthers, Ann G, Localio, A. Russell, Barnes, Benjamin A, Hebert, Liesi, Newhouse, Joseph P, Weiler, Paul C, Hiatt, Howard
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 384
container_issue 6
container_start_page 377
container_title The New England journal of medicine
container_volume 324
creator Leape, Lucian L
Brennan, Troyen A
Laird, Nan
Lawthers, Ann G
Localio, A. Russell
Barnes, Benjamin A
Hebert, Liesi
Newhouse, Joseph P
Weiler, Paul C
Hiatt, Howard
description IN recent years, concern about the increasing cost of malpractice-insurance premiums has led to numerous tort reforms. At the same time, and largely independently of tort reform, interest in initiatives affecting the quality of care has grown. Curiously, however, the problem of medical injury has received comparatively little attention from either perspective. But an important objective for those concerned with both medical malpractice and quality of care is the prevention of iatrogenic injury. A first step in prevention is to develop a better understanding of the types of such injuries and their causes. In our investigation of accidental injury in . . .
doi_str_mv 10.1056/NEJM199102073240605
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_223959083</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2835908</sourcerecordid><originalsourceid>FETCH-LOGICAL-c458t-6908dcaf87fe94b114647648ab341e1b19121f7972af5d730ea9946131701f3a3</originalsourceid><addsrcrecordid>eNp9kF9LwzAUxYMoc04_gQhF8UmquUmaP49jTKfM6cN8LmmbYMfazqQd6Kc3owNf1Lxccs_vnss9CJ0DvgWc8LvF9OkZlAJMsKCEYY6TAzSEhNKYhd8hGmJMZMyEosfoxPsVDg-YGqABSLJrD1GyfDfRQredM1Fjo3GxNc6baLo1deujso5mjd-UrV6XX6aIXnVb7oRTdGT12puzfR2ht_vpcjKL5y8Pj5PxPM5ZItuYKyyLXFsprFEsA2CcCc6kzigDAxkoIGCFEkTbpBAUG60U40BBYLBU0xG67H03rvnojG_TVdO5OqxMCaEqCf40QFd_QaAkZSGZcOoI0Z7KXeO9MzbduLLS7jMFnO7iTH-JM0xd7L27rDLFz0yfX9Cv97r2uV5bp-u89D-Y4lxJCYG76bmq8mltVtW_W78BrDyFCQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1983424079</pqid></control><display><type>article</type><title>The Nature of Adverse Events in Hospitalized Patients: Results of the Harvard Medical Practice Study II</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>ProQuest Central UK/Ireland</source><source>New England Journal of Medicine</source><creator>Leape, Lucian L ; Brennan, Troyen A ; Laird, Nan ; Lawthers, Ann G ; Localio, A. Russell ; Barnes, Benjamin A ; Hebert, Liesi ; Newhouse, Joseph P ; Weiler, Paul C ; Hiatt, Howard</creator><creatorcontrib>Leape, Lucian L ; Brennan, Troyen A ; Laird, Nan ; Lawthers, Ann G ; Localio, A. Russell ; Barnes, Benjamin A ; Hebert, Liesi ; Newhouse, Joseph P ; Weiler, Paul C ; Hiatt, Howard</creatorcontrib><description>IN recent years, concern about the increasing cost of malpractice-insurance premiums has led to numerous tort reforms. At the same time, and largely independently of tort reform, interest in initiatives affecting the quality of care has grown. Curiously, however, the problem of medical injury has received comparatively little attention from either perspective. But an important objective for those concerned with both medical malpractice and quality of care is the prevention of iatrogenic injury. A first step in prevention is to develop a better understanding of the types of such injuries and their causes. In our investigation of accidental injury in . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199102073240605</identifier><identifier>PMID: 1824793</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Biological and medical sciences ; Diagnostic Errors ; Disabled Persons ; Disease management ; Drug-Related Side Effects and Adverse Reactions ; Emergency medical care ; Feasibility studies ; Health care ; Hospital Records ; Hospitalization ; Hospitals ; Hospitals - standards ; Hospitals - statistics &amp; numerical data ; Humans ; Iatrogenic Disease - epidemiology ; Injuries ; Inpatients - statistics &amp; numerical data ; Legal reform ; Malpractice - statistics &amp; numerical data ; Medical malpractice ; Medical sciences ; Middle Aged ; Morbidity ; New York - epidemiology ; Patients ; Physicians ; Prevention ; Public health ; Public health. Hygiene-occupational medicine ; Quality ; Random Allocation ; Risk Factors ; Sampling Studies ; Surgery ; Wound healing ; Wound Infection - epidemiology ; Wounds</subject><ispartof>The New England journal of medicine, 1991-02, Vol.324 (6), p.377-384</ispartof><rights>1991 INIST-CNRS</rights><rights>Copyright Massachusetts Medical Society Feb 7, 1991</rights><rights>Copyright Massachusetts Medical Society, Publishing Division Feb 7, 1991</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-6908dcaf87fe94b114647648ab341e1b19121f7972af5d730ea9946131701f3a3</citedby><cites>FETCH-LOGICAL-c458t-6908dcaf87fe94b114647648ab341e1b19121f7972af5d730ea9946131701f3a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199102073240605$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1983424079?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,2759,2760,26103,27924,27925,52382,54064,64385,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=19669881$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1824793$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leape, Lucian L</creatorcontrib><creatorcontrib>Brennan, Troyen A</creatorcontrib><creatorcontrib>Laird, Nan</creatorcontrib><creatorcontrib>Lawthers, Ann G</creatorcontrib><creatorcontrib>Localio, A. Russell</creatorcontrib><creatorcontrib>Barnes, Benjamin A</creatorcontrib><creatorcontrib>Hebert, Liesi</creatorcontrib><creatorcontrib>Newhouse, Joseph P</creatorcontrib><creatorcontrib>Weiler, Paul C</creatorcontrib><creatorcontrib>Hiatt, Howard</creatorcontrib><title>The Nature of Adverse Events in Hospitalized Patients: Results of the Harvard Medical Practice Study II</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>IN recent years, concern about the increasing cost of malpractice-insurance premiums has led to numerous tort reforms. At the same time, and largely independently of tort reform, interest in initiatives affecting the quality of care has grown. Curiously, however, the problem of medical injury has received comparatively little attention from either perspective. But an important objective for those concerned with both medical malpractice and quality of care is the prevention of iatrogenic injury. A first step in prevention is to develop a better understanding of the types of such injuries and their causes. In our investigation of accidental injury in . . .</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Diagnostic Errors</subject><subject>Disabled Persons</subject><subject>Disease management</subject><subject>Drug-Related Side Effects and Adverse Reactions</subject><subject>Emergency medical care</subject><subject>Feasibility studies</subject><subject>Health care</subject><subject>Hospital Records</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Hospitals - standards</subject><subject>Hospitals - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Iatrogenic Disease - epidemiology</subject><subject>Injuries</subject><subject>Inpatients - statistics &amp; numerical data</subject><subject>Legal reform</subject><subject>Malpractice - statistics &amp; numerical data</subject><subject>Medical malpractice</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>New York - epidemiology</subject><subject>Patients</subject><subject>Physicians</subject><subject>Prevention</subject><subject>Public health</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality</subject><subject>Random Allocation</subject><subject>Risk Factors</subject><subject>Sampling Studies</subject><subject>Surgery</subject><subject>Wound healing</subject><subject>Wound Infection - epidemiology</subject><subject>Wounds</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kF9LwzAUxYMoc04_gQhF8UmquUmaP49jTKfM6cN8LmmbYMfazqQd6Kc3owNf1Lxccs_vnss9CJ0DvgWc8LvF9OkZlAJMsKCEYY6TAzSEhNKYhd8hGmJMZMyEosfoxPsVDg-YGqABSLJrD1GyfDfRQredM1Fjo3GxNc6baLo1deujso5mjd-UrV6XX6aIXnVb7oRTdGT12puzfR2ht_vpcjKL5y8Pj5PxPM5ZItuYKyyLXFsprFEsA2CcCc6kzigDAxkoIGCFEkTbpBAUG60U40BBYLBU0xG67H03rvnojG_TVdO5OqxMCaEqCf40QFd_QaAkZSGZcOoI0Z7KXeO9MzbduLLS7jMFnO7iTH-JM0xd7L27rDLFz0yfX9Cv97r2uV5bp-u89D-Y4lxJCYG76bmq8mltVtW_W78BrDyFCQ</recordid><startdate>19910207</startdate><enddate>19910207</enddate><creator>Leape, Lucian L</creator><creator>Brennan, Troyen A</creator><creator>Laird, Nan</creator><creator>Lawthers, Ann G</creator><creator>Localio, A. Russell</creator><creator>Barnes, Benjamin A</creator><creator>Hebert, Liesi</creator><creator>Newhouse, Joseph P</creator><creator>Weiler, Paul C</creator><creator>Hiatt, Howard</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>19910207</creationdate><title>The Nature of Adverse Events in Hospitalized Patients</title><author>Leape, Lucian L ; Brennan, Troyen A ; Laird, Nan ; Lawthers, Ann G ; Localio, A. Russell ; Barnes, Benjamin A ; Hebert, Liesi ; Newhouse, Joseph P ; Weiler, Paul C ; Hiatt, Howard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-6908dcaf87fe94b114647648ab341e1b19121f7972af5d730ea9946131701f3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Diagnostic Errors</topic><topic>Disabled Persons</topic><topic>Disease management</topic><topic>Drug-Related Side Effects and Adverse Reactions</topic><topic>Emergency medical care</topic><topic>Feasibility studies</topic><topic>Health care</topic><topic>Hospital Records</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Hospitals - standards</topic><topic>Hospitals - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Iatrogenic Disease - epidemiology</topic><topic>Injuries</topic><topic>Inpatients - statistics &amp; numerical data</topic><topic>Legal reform</topic><topic>Malpractice - statistics &amp; numerical data</topic><topic>Medical malpractice</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>New York - epidemiology</topic><topic>Patients</topic><topic>Physicians</topic><topic>Prevention</topic><topic>Public health</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quality</topic><topic>Random Allocation</topic><topic>Risk Factors</topic><topic>Sampling Studies</topic><topic>Surgery</topic><topic>Wound healing</topic><topic>Wound Infection - epidemiology</topic><topic>Wounds</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leape, Lucian L</creatorcontrib><creatorcontrib>Brennan, Troyen A</creatorcontrib><creatorcontrib>Laird, Nan</creatorcontrib><creatorcontrib>Lawthers, Ann G</creatorcontrib><creatorcontrib>Localio, A. Russell</creatorcontrib><creatorcontrib>Barnes, Benjamin A</creatorcontrib><creatorcontrib>Hebert, Liesi</creatorcontrib><creatorcontrib>Newhouse, Joseph P</creatorcontrib><creatorcontrib>Weiler, Paul C</creatorcontrib><creatorcontrib>Hiatt, Howard</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leape, Lucian L</au><au>Brennan, Troyen A</au><au>Laird, Nan</au><au>Lawthers, Ann G</au><au>Localio, A. Russell</au><au>Barnes, Benjamin A</au><au>Hebert, Liesi</au><au>Newhouse, Joseph P</au><au>Weiler, Paul C</au><au>Hiatt, Howard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Nature of Adverse Events in Hospitalized Patients: Results of the Harvard Medical Practice Study II</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1991-02-07</date><risdate>1991</risdate><volume>324</volume><issue>6</issue><spage>377</spage><epage>384</epage><pages>377-384</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>IN recent years, concern about the increasing cost of malpractice-insurance premiums has led to numerous tort reforms. At the same time, and largely independently of tort reform, interest in initiatives affecting the quality of care has grown. Curiously, however, the problem of medical injury has received comparatively little attention from either perspective. But an important objective for those concerned with both medical malpractice and quality of care is the prevention of iatrogenic injury. A first step in prevention is to develop a better understanding of the types of such injuries and their causes. In our investigation of accidental injury in . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>1824793</pmid><doi>10.1056/NEJM199102073240605</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0028-4793
ispartof The New England journal of medicine, 1991-02, Vol.324 (6), p.377-384
issn 0028-4793
1533-4406
language eng
recordid cdi_proquest_journals_223959083
source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ProQuest Central UK/Ireland; New England Journal of Medicine
subjects Adolescent
Adult
Age Factors
Aged
Biological and medical sciences
Diagnostic Errors
Disabled Persons
Disease management
Drug-Related Side Effects and Adverse Reactions
Emergency medical care
Feasibility studies
Health care
Hospital Records
Hospitalization
Hospitals
Hospitals - standards
Hospitals - statistics & numerical data
Humans
Iatrogenic Disease - epidemiology
Injuries
Inpatients - statistics & numerical data
Legal reform
Malpractice - statistics & numerical data
Medical malpractice
Medical sciences
Middle Aged
Morbidity
New York - epidemiology
Patients
Physicians
Prevention
Public health
Public health. Hygiene-occupational medicine
Quality
Random Allocation
Risk Factors
Sampling Studies
Surgery
Wound healing
Wound Infection - epidemiology
Wounds
title The Nature of Adverse Events in Hospitalized Patients: Results of the Harvard Medical Practice Study II
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T19%3A03%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Nature%20of%20Adverse%20Events%20in%20Hospitalized%20Patients:%20Results%20of%20the%20Harvard%20Medical%20Practice%20Study%20II&rft.jtitle=The%20New%20England%20journal%20of%20medicine&rft.au=Leape,%20Lucian%20L&rft.date=1991-02-07&rft.volume=324&rft.issue=6&rft.spage=377&rft.epage=384&rft.pages=377-384&rft.issn=0028-4793&rft.eissn=1533-4406&rft.coden=NEJMAG&rft_id=info:doi/10.1056/NEJM199102073240605&rft_dat=%3Cproquest_cross%3E2835908%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1983424079&rft_id=info:pmid/1824793&rfr_iscdi=true