Hospital and ICU Organizational Structure and Quality of Care for Surgical Patients
The quality of care for surgical patients varies depending on where they choose to receive their operation [1–3]. In the United States, two recent reports from the Institute of Medicine (IOM) have focused on the frequency of medical errors and the poor quality of health care services received by some patients. In the first report issued in 1998 “To Err is Human: Building a Safer Health System” , the IOM committee concluded that between 44000 and 98000 Americans die each year as a result of medical errors. These estimates were based largely on two population-based investigations . One of these studies, conducted in the large states of Utah and Colorado, demonstrated that 2.9% of hospitalized patients experience adverse events. Of these adverse events, 6.6% lead to death and more than half of these adverse events were related to medical errors that could have been prevented.
KeywordsHospital Volume Physician Staffing Abdominal Aortic Surgery Daily Round Provider Volume
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