Deaths from preventable adverse events originating in hospitals

Drs Shojania and Dixon-Woods1 seem to misunderstand the nature of preventable adverse events originating in hospitals as characterised in my study from the Journal of Patient Safety (JPS) in 2013.2 I do not appreciate being lumped in with the study by Makary and Daniel for their criticisms.3 In fact, I wrote a serious criticism on the Makary and Daniel study after it was published.4

Although Makary and Daniel started with almost the same data that I did, they deviated from the method I used and the conclusions I reached. My estimate, based on data available at the time of my review, asserted that approximately 400 000 people die prematurely because of mistakes (preventable lethal events) originating during hospital care. I acknowledged that the deaths of these patients likely involved a basic cause, say cancer or cardiovascular disease, but a preventable adverse event initiated during...

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