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1、ThenewenglandjournalofmedicinespecialarticleNationalTrendsinPatientSafetyforFourCommonConditions,2005–2011YunWang,Ph.D.,NoelEldridge,M.S.,MarkL.Metersky,M.D.,NancyR.Verzier,M.S.N.,ThomasP.Meehan,M.D.,M.P.H.,MichelleM.Pandolfi,M.S.W.,M.B.A.,JoAnneM.Foody,M.D.,Shih-YiehH
2、o,Ph.D.,M.P.H.,DeronGalusha,M.S.,RebeccaE.Kliman,M.P.H.,NancySonnenfeld,Ph.D.,HarlanM.Krumholz,M.D.,andJamesBattles,Ph.D.ABSTRACTBackgroundChangesinadverse-eventratesamongMedicarepatientswithcommonmedicalFromQualidigm,Wethersfield(Y.W.,conditionsandconditionsrequirings
3、urgeryremainlargelyunknown.M.L.M.,N.R.V.,T.P.M.,M.M.P.,J.M.F.,S.-Y.H.,D.G.),theDivisionofPulmonaryandCriticalCareMedicine,UniversityofCon-MethodsnecticutSchoolofMedicine,FarmingtonWeusedMedicarePatientSafetyMonitoringSystemdataabstractedfrommedical(M.L.M.),andtheCenter
4、forOutcomesResearchandEvaluation,Yale–NewHavenrecordson21adverseeventsinpatientshospitalizedintheUnitedStatesbetweenHospital(Y.W.,H.M.K.),theDepartment2005and2011foracutemyocardialinfarction,congestiveheartfailure,pneumonia,ofHealthPolicyandManagement,Yaleorconditionsr
5、equiringsurgery.WeestimatedtrendsintherateofoccurrenceofSchoolofPublicHealth(H.M.K.),andtheSectionofCardiovascularMedicineadverseeventsforwhichpatientswereatrisk,theproportionofpatientswithoneandtheRobertWoodJohnsonClinicalormoreadverseevents,andthenumberofadverseevent
6、sper1000hospitalizations.ScholarsProgram(H.M.K.)andtheSec-tionofGeneralInternalMedicine(T.P.M.,D.G.,H.M.K.),DepartmentofInternalResultsMedicine,YaleUniversitySchoolofMed-Thestudyincluded61,523patientshospitalizedforacutemyocardialinfarctionicine,NewHaven—allinConnectic
7、ut;(19%),congestiveheartfailure(25%),pneumonia(30%),andconditionsrequiringtheDepartmentofBiostatistics,HarvardSchoolofPublicHealth(Y.W.),andthesurgery(27%).From2005through2011,amongpatientswithacutemyocardialin-DepartmentofMedicine,Brighamandfarction,therateofoccurrenc
8、eofadverseeventsdeclinedfrom5.0%to3.7%(differ-Women’sHospitalandHarvardMedicalence,1.3percentagepoints;95%confidencei