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Medical error: transforming the culture of blame

24 April 2008

In Categories: Nursing

Startling information on the risk to patients who entered hospitals in England began to emerge in the late 1990’s and early 2000’s. Research at the time was suggesting that about 850 000 adverse events (unintended injuries or complications that result in prolonged admission, disability at discharge, or death and caused by healthcare management rather than the disease process) might occur in a year, costing upwards of £2-billion in extended hospital stays alone.

About the same time, across the Atlantic, the Institute of Medicine's Committee on the Quality of Health Care in America released a report – To Err is Human: Building a Safer Health System which stated that as many as 98 000 people died each year from medical errors that occur in hospitals. “That's more than die from motor vehicle accidents, breast cancer, and AIDS - making medical errors the fifth leading cause of death in this country.”

On 25 January 2000, giving testimony before the United States Senate Subcommittee on Labour, Health and Human Services and Education, lead author of the report and world authority on adverse events, Lucian Leape, told the US Senate that “findings from several studies of large numbers of hospitalised patients indicated that each year a million or more people are injured and as many as 100 000 die as a result of errors in their care.

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