CLINICAL DECISION MAKING ON MEDICAL ADVERSE EVENTS

医疗实践研究报告了不良事件的发生率 1984年，在纽约31,000名住院患者的样本中发现了这种病毒。 不良事件是指至少部分由医疗引起的致残性伤害 管理层。这些估计基于一项协议，该协议要求 对7700份病历进行重复的医生评论。作为这项工作的一部分 在这个过程中，研究确定了1600例以医生为特征的病例 关于伤害之间是否存在因果联系的分歧 还有医疗保健。建议的无过错诉讼替代方案 赔偿受伤的患者还没有经验地评估 在一个管理系统下的临床决策 患者赔偿的资格和责任。这项建议 寻求描述和评估审查者的范围和性质 关于不良事件的分歧，并解决以下问题的影响 这些经验发现为当前针对无过错患者的建议提供了依据 薪酬体系。

The Medical Practice Study has reported rates of adverse events discovered in a sample of 31,000 hospitalizations in 1984 in New York. An adverse event is a disabling injury caused at least in part by medical management. Those estimates were based on a protocol that called for duplicate physician reviews on 7700 medical records. As part of this process, the Study identified 1600 cases characterized by physician disagreement on the presence -of a causal connection between the injury and the medical care. Proposed no-fault alternatives to litigation for compensating injured patients have not assessed empirically the issues of clinical decision-making under an administrative system that determines eligibility and responsibility for patient compensation. This proposal seeks to describe and assess the extent and nature of reviewer disagreement about adverse events, and to address the implications of these empirical findings for current proposals for no-fault patient compensation systems.