Article

The controversy around estimating deaths from medical error

Leave a Comment

Your email address will not be published. Required fields are marked *

20 Comments
  • Jimmy Edwards says:

    I had an out-patient repair surgery on my left shoulder, I remember the nurse and I were talking as she moved me from recovery to my outpatient room. After she got me settled in my room, she ask if there was ant thing she could get me, I asked for a cup of coffee. She replied it was old but she would bring me a cup of water. I remember her leaving the room and turning to her right. ( Note ) I felt very groggy and fuzzy headed feeling,,,,,
    The next thing I knew was waking up with doctors all around me, they said I coded and Rebecca the nurse had to do CPR for 7 minutes but did not respond until NARCAN was given ( no EPY was given ) I then was moved to ICU they ran all the test on my heart including a medication induced stress test, every thing on my heart checked normal. Then I had to wear the MCOT monitor for 30 days, it also came back normal. Now I have been diagnosed with PTSD from dying, cant sleep even with taking TRAZODONE, waiting to get in to see a psychiatrist due to the Anxiety disorder / unspecified.
    So was I given to much of something during surgery, and overdosed in the out patient room with my wife at my side. Why did my heart just stop ?? and no EPY was given. someone knew I had been overdosed is the reason for the NARCAN ???
    My weght is 145 lbs. age is 60 my height is 5.5 ft. blood pressure usually runs around 135/76 pulse is normally around 72-75 never any problems with my heart in the past.

  • Polish Portal says:

    What made you think about such a topic. Its funny I am not the only one that feels that way about it. Keep it up!

  • Bobby Light says:

    The AMA has tried to discredit naturopathic organizations as “quackery” based off of assumptions and not backing it up with research. It’s funny that they can’t take it when someone turns the tables and attacks them. Stats can always be misinterpreted but John Hopkins also stated something very similar as far as annual deaths. The medical profession needs to face the fact that insurance companies dictate how they treat their patients and having someone “try” a pill to see what effects it has is not very scientific.

  • Terence Young says:

    Lazarou at al showed 106,000 deaths yearly in US hospitals caused by prescription drugs alone. 0.32 % in1998. Does anyone think that number has gone down? Add to that all other errors and To Err is Human is credible.

  • Dan miller says:

    It’s become a for profit industry run by the insurance company’s and big pharmaceutical. Sad but true. Just hope you don’t get sick

  • Barbara Charis says:

    One of the worst errors…no unbiased nutritional research has been done and provided to medical schools. In my own life this created major health problems in my first child by following the information his pediatrician gave me. When poor nutrition creates malnutrition – no drug will solve the problem,
    Why hasn’t nutritonal research been done by the U.S. government? In most cases it has been left to the food industries. They provide their research to nutriton schools. It has put America behind the blackball in world health.
    Malnutrition leads to illness and a shorter life, even medical doctors suffer from lack of nutritional knowledge According to medical statistics the mortality of docors is 72 years.

  • Kaeleigh says:

    Preventable medical-error related deaths are devastating. It does not matter the number of cases that happen, one to fifty, all should be considered an issue. Referenced in the article, “the term is also used by some to include all adverse events… such as an allergic reaction to a medication” (Dorian, 2019). Although these incidents are unfortunate, I do not believe that they should be added into the accounts of preventable medical errors and their related deaths because some are unavoidable and not always the physicians fault. This leads into where the inaccurate numbers of cases can occur. If preventable medical-error related deaths are not strictly defined, what some people consider a preventable error, others may not. In another article, Modern medicine, they state, “A recent Johns Hopkins study claims more than 250,000 people in the U.S. die every year from medical errors. Other reports claim the numbers to be as high as 440,000” (Sipherd, 2018). This is a 190,000 patient death difference. Those who conduct these experiments and take polls should include a strict guideline to the cases they include so a more accurate number can be developed. This would lead to restoring the credibility of the number of cases and can bring attention to the issue.

  • Mokashi says:

    this is one of the best articles about medical error-causing death. i really thank you for giving this information…

  • Allison Dysart says:

    Good article. Thanks!

  • Kit says:

    I enjoyed this article as well as the range of reactions to it. But one thing is inescapable – unintended severe harm and death will continue to occur to patients if there is no analysis, learning or improvement based on the causes of these critical incidents. As long as we don’t have accurately reported, analysed and transparent data, the real number, causes and potential solutions will be speculative to some degree. A first step would be to remove the stigma practitioners and health safety professionals have around admitting fallibility, fatigue, distraction, under-staffing, poor labeling of drugs, illegible orders and instructions, misplaced case notes, faulty equipment, poor patient transfers and handoffs, etc. as causes of critical incidents. Let’s focus on systems that are not optimally coordinated, rather than the medical staff who are required to operate within them, as the things that need to be assessed and changed to improve patient safety.

  • Patient Commando says:

    Great article. It highlights how we have become inured to what these mass numbers really mean, whether 250,000 or 25,000, in the human context.

    Building on the earlier comment citing the aviation industry, the former number would result in the crash of 1,250 Boeing 737 MAX aircraft with an average passenger capacity of 200 people. The latter number results in 125 crashes, or TWO crashes per WEEK.

    It took TWO crashes of the MAX for the global aviation industry to ground all of the planes.

    The debate over numbers is misleading, as I would think that there is general agreement that this is a serious problem. The more important question is, “why is there no public outcry over the lack of action from regulators, professionals, and policy makers to tackle a problem that is clearly killing lots of people”?

    Guns kill people. And we have to take action against that. Let’s admit that health care also kills people and find the brave leadership with the will to take action to remedy that.

    • Skeptical Scalpel says:

      No one is denying there’s a problem. Even 1 preventable death is a tragedy.

      Maybe you missed this in the article above: “Over the past three years, the value generated by the 2016 paper has been used by some groups to undermine physicians and their credibility. In a recent online dispute between the National Rifle Association and physicians regarding gun control, supporters of the NRA used this statistic to argue that doctors are more harmful than guns, and to de-legitimize the concerns doctors were raising about gun safety. A similar argument has been made by some naturopathic organizations and reported by alternative news sites to “warn” readers about the dangers of the health care system.”

      That’s where the harm of inflated numbers occurs. And those are not the only two groups trumpeting the 250,000 number.

    • Gavin says:

      How many lives are saved by flying in an airplane. There are definitely to medical treatment or procedures, and yes some of those risk can be mitigated by not making mistakes, but let’s not forget most people dont go to the doctor just for the hell of it, they typically have an issue of some sort. Most people flying are doing it for leisure or work.

  • Scott says:

    If the medical industry was as transparent as the aviation industry about safety incidents, we wouldn’t even be having this tangential conversation from the real issue of hidden data and denial of accountability.

    It is curious that so few studies have been conducted on medical harm and death.

    From what I understand, hospitals and physician organizations keep those numbers close to their chest. And government legislation in some jurisdictions prevents the data from being used in medical malpractice law suits.

    In all likelihood, medical error (death, harm, near misses, etc) is vastly underreported. I interview victims / survivors of medical errors on my podcast (Medical Error Interviews) and each and every one them experienced multiple medical errors.

    Compounding the harm and trauma of medical error, is the resistance and denial to make amends by hospitals and physician organizations. It only makes a bad situation worse for the harmed patient and their family.

  • Linda says:

    The problem with our broken, disfunctional health system has a great deal to do with a lack of accountability to the patients who rely on the training and expertise of the medical practitioners. In every business there is a mode of measurement to determine if operations are running the way they should be and the medical field should be no exception. Whether these stats are accurate or not in the writers opinion, is not the issue. The issue is that it does not take a special study to know that we are now having to rely on a medical system that is broken and sick people have to deal with doctors that may try to do their best, but rely heavily on 10 minute assessments and pharmaceutical drugs and have no time for the patient education or to properly assess the patients status, and that is just a remedy for mistakes. The attitudes of many healthcare practitioners, for whatever reason, are arrogant and cold, which does not promote a good patient doctor relationship in an industry that invades a person’s privacy to the extreme in order to do their job. The first stop to resolve these concerns is to the bean counters, that put the dollars before the life of patients, and the second to the doctors who are happy to earn very large dollars in lieu of taking less patients but doing a better job. There is also a distinct lack of effort for G.P. to update their education on diseases and alternatives to pharmaceutical drugs.
    Instead of skirting the issues in favour of a healthy financial gain, doctors need to be in the medical field for the right reasons(do no harm). The status quo of “work to rule” mentality from medical staff should no longer be tolerated by the taxpayers that put those large dollars in their pockets every year, whether they do a good job or not.

  • Joel Lexchin says:

    There’s a much larger meta-analysis, also published in the BMJ in 2019, that used 70 studies with over 337,000 patients. The estimate number of people with preventable severe harm or death was just over 2400, i.e., about 0.7% of the patients.

  • Ron Worton says:

    Great article. Research leading to demonstrably inaccurate results can never be justified, and this includes ill concieved attempts to raise awareness.

Authors

David Dorian

Contributor

David Dorian is a second-year internal medicine resident at the University of Toronto.

Ryan Hinds

Contributor

Ryan Hinds is the lead for Community Engagement at the Toronto Central LHIN, and Co-Lead for the DLSPH Outreach and Access Program. He is also an adjunct lecturer at the Institute of Health Policy Management and Evaluation at the University of Toronto and a Public Speaker.

Serena Thompson

Contributor

Serena Thompson is a single mom living in Toronto with sickle cell anemia and is dedicated to helping those who are also affected through community outreach. She sits on the Sickle Cell Association of Ontario’s Transition Team, Miss Caribbean Canada Pageant Planning Committee, Minister’s Patient and Family Advisory Council and is the Chair of the Ujima Sickle Cell Patient Emergency Fund.