Milliman's Denver Health practice, Colorado, USA.
Health Aff (Millwood). 2011 Apr;30(4):596-603. doi: 10.1377/hlthaff.2011.0084.
At a minimum, high-quality health care is care that does not harm patients, particularly through medical errors. The first step in reducing the large number of harmful medical errors that occur today is to analyze them. We used an actuarial approach to measure the frequency and costs of measurable US medical errors, identified through medical claims data. This method focuses on the analysis of comparative rates of illness, using mathematical models to assess the risk of occurrence and to project costs to the total population. We estimate that the annual cost of measurable medical errors that harm patients was $17.1 billion in 2008. Pressure ulcers were the most common measurable medical error, followed by postoperative infections and by postlaminectomy syndrome, a condition characterized by persistent pain following back surgery. A total of ten types of errors account for more than two-thirds of the total cost of errors, and these errors should be the first targets of prevention efforts.
至少，高质量的医疗保健是不会伤害患者的医疗保健，特别是通过医疗失误。减少当今大量有害医疗失误的第一步是对其进行分析。我们使用精算方法来衡量通过医疗索赔数据识别的可衡量的美国医疗失误的频率和成本。这种方法侧重于分析疾病的比较比率，使用数学模型来评估发生的风险，并将成本预测到总人口。我们估计，2008 年，对患者造成伤害的可衡量医疗失误的年成本为 171 亿美元。压疮是最常见的可衡量医疗失误，其次是手术后感染和脊柱手术后综合征，这是一种背部手术后持续疼痛的病症。总共十种类型的错误占错误总成本的三分之二以上，这些错误应该是预防工作的首要目标。
