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Adverse events
What is an adverse event? (click this icon to display the answer)
An incident in which harm resulted to a person receiving health care (ACSQHC)
How often does an adverse event occur? 
~5% of hospital admissions have an adverse event
Patients harmed in ~340 000 admissions in Australia in a year (AIHW 2006)
What are some examples of adverse events? 
Infections, falls, medication errors, pressure ulcers, wrong side surgery
For further information about the frequency and impact of adverse events click 
20.8% of hospital inpatients had a pressure ulcer (VQC Pressure Ulcer Point Prevalence Survey 2004)
150,000 health care associated infections in Australia each year (ACSQHC)
~1400 falls/year in a 500 bed facility
30 – 40% falls cause an injury (VQC Falls Guidelines)
Cost of inappropriate use of medicines is $380million/yr in the public hospital system (AIHW 2002)
In Victoria, on average, patients experiencing an adverse event stay 10 days longer in hospital
Cost of each adverse event in Victoria is $6826 (MJA 5 June 2006)
Consider this list of causes of death:
- Breast cancer
- Car accidents
- Preventable adverse events
Which do you think causes more deaths? 
You are correct if you thought preventable adverse events cause more deaths
(US data -To Err is Human)
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