In-Home Personal Attendants in San Diego County May Be Safest Choice When Possible – Hospital Errors 10 Times Higher Than Previously Estimated, Study Finds

From The California Healthcare Foundation “CaliforniaHealthline” today:

The number of hospital-related adverse medical events could be up to 10 times higher than previously estimated, according to a Health Affairs studyModern Healthcare reports

Study Details

For the study, University of Utah researchers and colleagues analyzed the records of nearly 800 patients admitted in October 2004 at three large U.S. medical centers with strong patient safety initiatives (McKinney, Modern Healthcare, 4/7).

A “key challenge” to measuring and reducing adverse events in hospitals “has been agreeing on a yardstick measuring the safety of care in hospitals,” according to the study authors. Prior research has indicated that automated measurements of patient safety are not specific enough to accurately identify adverse events.

In this study, researchers compared the Institute for Healthcare Improvement’s Global Trigger Tool — a new systematic review of patient charts that is conducted by two or three hospital employees — with the Agency for Healthcare Research and Quality’s Patient Safety Indicators and hospitals’ self-reporting systems (Classen et al., Health Affairs, April 2011).

Key Findings

Using all three measurement methods, the researchers identified 393 adverse events across approximately one-third of admissions.

The IHI tool detected 354 events — 90% of the total and 10 times more than the AHRQ indicators, which detected only 35 events, or 9% of the total. Meanwhile, hospitals’ voluntary reporting systems identified only four events, or 1% of the total.

The study’s authors suggest that adverse-event estimates that rely on the use of AHRQ indicators or voluntary reporting systems “may be seriously misjudging actual performance” (Modern Healthcare, 4/7). The researchers also note that more widespread adoption of electronic health records could “facilitate the use of multiple parallel adverse event detection methods.”


Despite the high number of adverse events identified by the IHI tool, the study notes that the “true rates are likely to be higher still” (Health Affairs, April 2011).

Health Affairs Editor-in-Chief Susan Dentzer said, “It’s clear we still have a great deal of work to do in order to achieve a health care system that is consistently high-quality” (Steenhuysen, Reuters,

From:   Hospital Errors 10 Times Higher Than Previously Estimated, Study Finds

Originally posted 2011-04-07 16:00:35.

Tim Colling
Tim Colling

Tim Colling is the founder and President of A Servant's Heart In-Home Care, which provided in-home caregiving services in San Diego County, and also of A Servant's Heart Geriatric Care Management, which provided
professional geriatric care management services and long term care placement services in San Diego County. Tim has more than 30 years of experience in management in a variety of industries. He held a Certified Care Manager credential from the National Academy of Certified Care Managers. Tim is also a Certified Public Accountant (retired), and received his Bachelor’s Degree in Accounting from California State University at San Diego. In addition to writing blog posts here for the Servant’s Heart blog, Tim also is a regular contributor to and to as well as blogs of other eldercare services provider companies. Finally, Tim is also the president of A Servant's Heart Web Design and Marketing, which provides home care marketing as well as website design and online marketing for those who serve the elderly and their families.

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