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Estimation of the number of patient deaths recognized by a medical practitioner as caused by adverse events in hospitals in Japan: A cross-sectional study.

Medicine (Baltimore)

September 2017

Toho University School of Medicine Nerima General Hospital Institute of Healthcare Quality Improvement, Tokyo Hitachinaka General Hospital, Ibaraki Iwate Medical University School of Nursing, Iwate Obihiro Respiratory and Internal Medical Hospital, Hokkaido, Japan.

Chart reviews have been used to assess the incidence and impact of adverse events, but most of them are not a nationally representative sample. In addition, the definition of adverse events is generally broad and covers unintended events; the relationship to outcome is often unclear, and official estimates have not matched those of medical practitioner's recognition. The number of patient deaths from adverse events remains unknown.

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