Epidemiology of Medical Injury : How serious is the problem?
Medical dispute is due to patients are injured when receiving medical treatment, and doctors and patients have different opinion on who should be responsible for this medical injury. What is “Medical injury”?
The Harvard Medical Practice Study (HMPS) method for identifying adverse events is based on a two stage chart review. They create a weighted sample of 31429 records of hospitalized patients from a population of 2671863 non-psychiatric patients discharged from nonfederal acute care hospitals in New York in 1984. Initially, the records were screened by trained nurses and medical records analysts. According to HMPS 3 7% hospitalized patients suffer from medical injury and 76% of it are avoidable.HMPS laid the groundwork for policy discussions on patient safety in several countries.
This article aims to analysis and discuss the using of “chart review” in other countries.