Medical
interventions are, by their very nature, high-risk procedures.
The nature of medicine as a hands-on endeavour and the
essentially human basis for health systems means that medical
treatment is inherently risky and has an inbuilt tendency for
error. Studies have shown that adverse events in health care
facilities affect a surprisingly high number of inpatients, with
unintended harmful consequences occurring on average in 10% of
acute admissions.
According to the Heinrich ratio, 1 in every
330 adverse events result in a major injury, while 29 result in
a minor injury. Death and serious disability occur in 0.3% and 1.7%
of admissions respectively. In the developed world, more people
die in a given year as a result of medical errors than from
motor vehicle accidents, breast cancer and AIDS put together.
Though this figure might seem high, an even greater concern is
that between 50-80% of these events are potentially preventable.
Currently little substantive data exists on
the magnitude of the problem in the Region. However, assuming
that 10% of acute admissions involve some sort of adverse event,
the numbers of people affected in the Region can be estimated.
11.0%, 9.5% and 10.7% of the populations of Bahrain, Oman and
Saudi Arabia annually are admitted as inpatients to health
facilities. Therefore working on the basis that at least 10% of
all inpatient episodes result in unintended harm, this
represents a significant number of people affected by patient
harm in countries of the Region. This figure could be much
higher in less developed countries where the potential for
mistakes is higher by virtue of their weaker, resource-poor
health systems.
Back home