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Investigators

  • Prof Peter Davis, Chch School of Medicine & Health Sciences
  • Dr Robin Briant, Clinical Director, Community Health, U of Auckland
  • Prof Stephan Schug, Department of Anaesthesia, U of Western Australia, Perth
  • Prof Alastair Scott, Dept Statistics, U of Auckland

Funded by the Health Research Council of NZ.

Abstract

The overall goal of the study was to identify the occurrence, causation, impact and preventability of injury to patients due to health care management, with a view both to advancing understanding of the quality of health care in a "no fault" legal environment and to actively improving the quality of care received by future patients in New Zealand public hospitals.

The methodology at the core of this study was the two-stage, retrospective, structured implicit review of a national sample of over 6,500 medical records (from 13 public hospitals) randomly selected to represent workload during the year 1998. After an initial screen, clinical assessors were required to make judgements from the medical record as to whether the patient suffered an unintended injury that was due to their health care management and that resulted in disability and/or extended hospital stay. This was classified as an adverse event. Once established, the assessors were asked to judge the adverse event's causation, its preventability and possible steps for the prevention of its recurrence.

Technical Report

Davis P, McLeod K, Ransom M, Ongley P, Pearce N, Howden-Chapman P. The New Zealand Socioeconomic index: developing and validating an occupationally-derived indicator of socioeconomic status. Australian and New Zealand Journal of Public Health, 23:20-26, 1999.

Publications

  • Brown P, McArthur C, Newby L, Lay-Yee R, Davis P, Briant R. Cost of medical injury in New Zealand: a retrospective cohort study. Journal of Health Services Research and Policy 7 Suppl 1: S1:29-34, 2002.
  • Davis P, Lay-Yee R, Fitzjohn J, Hider P, Briant R, Schug S. Compensation for medical injury in New Zealand: does 'no fault' increase the level of claims-making and reduce its social and clinical selectivity? Journal of Health Politics, Policy and Law 27 (5) :833-54, 2002.
  • Davis P, Lay-Yee R, Fitzjohn J, Hider P, Schug S, Briant R, Scott A. Co-morbidity and health outcomes in three Auckland hospitals. New Zealand Medical Journal 115: 211-215, 2002.
  • Davis P, Lay-Yee R, Schug S, Briant R, Scott A, Johnson S and Bingley W. Adverse Events Regional Feasibility Study: methodological results. New Zealand Medical Journal 114: 200-2, 2001.
  • Davis P, Lay-Yee R, Schug S, Briant R, Scott A, Johnson S and Bingley W. Adverse Events Regional Feasibility Study: indicative findings. New Zealand Medical Journal 114: 203-5, 2001.
  • Davis P, Lay-Yee R, Briant R, Schug S, Scott A, Johnson S, Bingley W. Adverse events in New Zealand public hospitals: Principal findings from a national survey. Wellington: Ministry of Health, Occasional Paper No 3, ISBN 0-478-26265-5 (Booklet), ISBN 0-478-26268-X (Internet), 105 pages, 2001.
  • Johnson S, Lay-Yee R. A national hospital survey of medical injury: methodological features. Health Manager 4 (7): 8-11 & 17, 2000.
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