Can you assess the reproducibility of adverse events and negligence designations? Which seems to be more reproducible?

Health Services Administration

In the Harvard Medical Practice Study [16], a sample of 31,429 medical records of hospital patients were reviewed to assess the frequency of medical malpractice. Two types of malpractice were identified:

(1) An adverse event was defined as an injury caused by medical management (rather than by the underlying disease).

(2) Negligence was defined as care that fell below the standard expected of physicians in the community.

An approximate 1% sample of records was reviewed on two different occasions by different review teams. The data in Table 10.29 were obtained.

Table 10.29: Reproducibility of types of malpractice

 

Transcribed Image Text:

(b) Negligence (a) Adverse events Review process B Review process Review process Review 35 13 4 process 293 21 249 12