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One in 10 suffers 'hospital harm' | One in 10 suffers 'hospital harm' |
(about 9 hours later) | |
Accidents, errors and mishaps in hospital affect as many as one in 10 in-patients, claim researchers. | Accidents, errors and mishaps in hospital affect as many as one in 10 in-patients, claim researchers. |
The report in the journal Quality and Safety in Health Care said up to half of these were preventable. | The report in the journal Quality and Safety in Health Care said up to half of these were preventable. |
Checks on 1,000 cases in just one hospital found examples of fatal surgical errors, infections and drug complications. | Checks on 1,000 cases in just one hospital found examples of fatal surgical errors, infections and drug complications. |
Researchers from the University of York experts say more should be spent on monitoring "adverse incidents". | Researchers from the University of York experts say more should be spent on monitoring "adverse incidents". |
PREVENTABLE HARM Skin burned with diathermy tool during operationDelay in cancer diagnosisBleeding from penis after catheter removed without deflating balloonSpleen torn during operation - patient needed six litres of blood to survivePatient addicted to painkillers after high dose continued after discharge | PREVENTABLE HARM Skin burned with diathermy tool during operationDelay in cancer diagnosisBleeding from penis after catheter removed without deflating balloonSpleen torn during operation - patient needed six litres of blood to survivePatient addicted to painkillers after high dose continued after discharge |
The government has encouraged trusts in recent years to spend more effort looking at complications and mistakes involving their patients. | The government has encouraged trusts in recent years to spend more effort looking at complications and mistakes involving their patients. |
Managers are supposed to report even "near misses" in which patients suffered no harm, so that lessons can be learned. | Managers are supposed to report even "near misses" in which patients suffered no harm, so that lessons can be learned. |
However, other studies have suggested that the reporting rate is poor. The University of York study focused on a single major acute hospital in England, and pored over the notes of 1,006 people admitted into it. | However, other studies have suggested that the reporting rate is poor. The University of York study focused on a single major acute hospital in England, and pored over the notes of 1,006 people admitted into it. |
Possible under-estimate | Possible under-estimate |
While 87 people had definitely suffered at least one "adverse event", the researchers said it was likely that even more had suffered harm. | While 87 people had definitely suffered at least one "adverse event", the researchers said it was likely that even more had suffered harm. |
Alongside more than 40 infections, there were 27 complications during or following operations, 19 drug complications, and 12 cases of bedsores. Between 30% and 55% of these could have been prevented by clinical staff or managers. | Alongside more than 40 infections, there were 27 complications during or following operations, 19 drug complications, and 12 cases of bedsores. Between 30% and 55% of these could have been prevented by clinical staff or managers. |
Examples of preventable incidents included a mistake in an operation which led to the death of the patient, another which caused lifelong damage, and a case in which a patient became addicted to opioid drugs after being given a high dose during and after a hospital stay. | Examples of preventable incidents included a mistake in an operation which led to the death of the patient, another which caused lifelong damage, and a case in which a patient became addicted to opioid drugs after being given a high dose during and after a hospital stay. |
The rates we found do not show that the NHS is faring worse - this is an international issue, and other countries have similar or worse rates Professor Trevor SheldonUniversity of York | The rates we found do not show that the NHS is faring worse - this is an international issue, and other countries have similar or worse rates Professor Trevor SheldonUniversity of York |
Professor Trevor Sheldon, who led the research, said that "finger-pointing" was not the answer - although the scale of the problem meant that more resources should be spent tackling it. | Professor Trevor Sheldon, who led the research, said that "finger-pointing" was not the answer - although the scale of the problem meant that more resources should be spent tackling it. |
"The rates we found do not show that the NHS is faring worse - this is an international issue, and other countries have similar or worse rates. | "The rates we found do not show that the NHS is faring worse - this is an international issue, and other countries have similar or worse rates. |
"The question we have to ask is whether the NHS is currently doing enough to help people find the time to reflect on these cases and learn lessons from them. | "The question we have to ask is whether the NHS is currently doing enough to help people find the time to reflect on these cases and learn lessons from them. |
"Our research does confirm though that hospitals are not completely safe places, and that people should try to steer clear of them unless absolutely necessary." | "Our research does confirm though that hospitals are not completely safe places, and that people should try to steer clear of them unless absolutely necessary." |
Many adverse events could be avoided if lessons were properly learned and fed back into practice Department of Health | Many adverse events could be avoided if lessons were properly learned and fed back into practice Department of Health |
A spokesman for the Department of Health said that the creation of the National Patient Safety Agency (NPSA) in 2001 was designed specifically to improve the NHS response to adverse incidents. | |
"We have long recognised patient safety as a top priority, and it is important to remember that serious failures are uncommon in relation to the volume of care provided by the NHS. | "We have long recognised patient safety as a top priority, and it is important to remember that serious failures are uncommon in relation to the volume of care provided by the NHS. |
"As the study suggests, many adverse events could be avoided if lessons were properly learned and fed back into practice." | "As the study suggests, many adverse events could be avoided if lessons were properly learned and fed back into practice." |
A spokesman for the NPSA welcomed the study, and said it was working with the NHS to improve safety. | |
"Around 13 million people are admitted to acute hospitals each year in England and Wales. Most people are cared for safely, however regrettably sometimes things can and do go wrong." |
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