Journal Article
Commentary

Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric?

Shojania KG; Marang-van de Mheen PJ.

Patient safety advocates recognize the lack of appropriate measures to track improvements, and the debate continues regarding what metrics can fulfill this role. Building on results of a recent study of hospitals in the Netherlands, this commentary discusses the degree to which the nonsignificant reduction in preventable adverse events may actually signify real improvements. The authors also suggest that the study findings highlight some of the limitations of adverse events as a measure of progress in patient safety.