title: Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals.
abstract: High costs and unsafe care are major challenges for U.S. hospitals. Two sources of raised costs and unsafe care are adverse events in hospitals and tests ordered by several different physicians. After reviewing rates of these two occurrences in U.S. hospitals and simulating their costs, we estimated that in 2004 alone, eliminating readily preventable adverse events would have resulted in direct savings of more than $16.6 billion (5.5 percent of total inpatient costs). Eliminating redundant tests would have saved an additional $8 billion (2.7 percent). Addressing these situations could generate major savings to the system while improving patient care.
authors.affiliation: Harvard School of Public Health (HSPH), Boston, Massachusetts, USA. ajha@hsph.harvard.edu
authors.forename: Ashish K
authors.initials: AK
authors.lastname: Jha
authors.forename: David C
authors.initials: DC
authors.lastname: Chan
authors.forename: Abigail B
authors.initials: AB
authors.lastname: Ridgway
authors.forename: Calvin
authors.initials: C
authors.lastname: Franz
authors.forename: David W
authors.initials: DW
authors.lastname: Bates
mesh_terms: D003363:Cost Control / Q000379:methods*; D003955:Diagnostic Tests, Routine / Q000191:economics* / Q000706:statistics & numerical data; D004469:Economics, Hospital; D006300:Health Services Misuse; D006302:Health Services Research; D017721:Hospital Costs; D006801:Humans; D019300:Medical Errors / Q000191:economics* / Q000517:prevention & control; D017751:Safety Management; D014481:United States