Changes to Hospital Inpatient Volume After Newspaper Reporting of Medical Errors.

Abstract:

OBJECTIVE:The aim of this study was to investigate the influence of medical error case reporting by national newspapers on inpatient volume at acute care hospitals. DESIGN:A case-control study was conducted using the article databases of 3 major Japanese newspapers with nationwide circulation between fiscal years 2012 and 2013. Data on inpatient volume at acute care hospitals were obtained from a Japanese government survey between fiscal years 2011 and 2014. Panel data were constructed and analyzed using a difference-in-differences design. SETTING:Acute care hospitals in Japan. PARTICIPANTS:Hospitals named in articles that included the terms "medical error" and "hospital" were designated case hospitals, which were matched with control hospitals using corresponding locations, nurse-to-patient ratios, and bed numbers. EXPOSURE:Medical error case reporting in newspapers. MAIN OUTCOME MEASURES:Changes to hospital inpatient volume after error reports. RESULTS:The sample comprised 40 case hospitals and 40 control hospitals. Difference-in-differences analyses indicated that newspaper reporting of medical errors was not significantly associated (P = 0.122) with overall inpatient volume. CONCLUSIONS:Medical error case reporting by newspapers showed no influence on inpatient volume. Hospitals therefore have little incentive to respond adequately and proactively to medical errors. There may be a need for government intervention to improve the posterror response and encourage better health care safety.

journal_name

J Patient Saf

authors

Fukuda H

doi

10.1097/PTS.0000000000000349

subject

Has Abstract

pub_date

2017-06-30 00:00:00

eissn

1549-8417

issn

1549-8425

pub_type

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