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Medical errors are a serious problem in the healthcare industry, costing anywhere between $17 and $29 billion annually—even ranking as the third-highest cause of death, according to some estimates. Errors come in many forms, such as misdiagnosis, patient misidentification, and poor sterilization procedures. One classification of error, known as misadventure, has its own set of ICD-10 diagnosis codes. Misadventure is defined as harm from or adverse reactions to medical treatment. The codes, which range from Y62 to Y69, cover accidental cuts, foreign objects left in body, failures to sterilize, dosage errors, instrument failures, blood or drug contamination, and other causes. The following list identifies the top 25 hospitals with the highest estimated number of combined diagnoses of misadventures in 2016 (most recent data available).
The overall number of hospitals with diagnoses in any of the relevant ICD-10 codes was quite small, totaling slightly less than 175 according to Definitive Healthcare data. The facilities with the highest estimated diagnoses tended to be large hospitals with significant patient volumes, as would be expected when measuring the absolute number of diagnoses. They also had far more estimated inpatient surgeries than the national median of 914. Most of the ICD-10 codes deal with errors that are more likely to or can only occur during surgical procedures.
Top 25 Hospitals by Misadventure Diagnosis
|
|
Hospital Name |
ICD-10 |
Est. Total Diagnoses |
Total Surgeries |
|
1. |
Sonora Behavioral Health Hospital (AZ) |
Y636 |
225 |
N/A |
|
2. |
University Hospital (MO) |
Y658 |
77 |
23,937 |
|
3. |
Specialists Hospital Shreveport (LA) |
Y658 |
56 |
1,703 |
|
4. |
Sharp Grossmont Hospital (CA) |
Y658 |
45 |
12,427 |
|
5. |
Baptist Medical Center Jacksonville (FL) |
Y658 |
38 |
38,502 |
|
6. |
Hospital Of University Of Pennsylvania (PA) |
Y658 |
35 |
25,456 |
|
7. |
Sharp Memorial Hospital (CA) |
Y658 |
31 |
21,436 |
|
8. |
Beth Israel Deaconess Medical Center (MA) |
Y658 |
29 |
41,164 |
|
9. |
Intermountain Medical Center (UT) |
Y658 |
29 |
24,078 |
|
10. |
VCU Medical Center Main Hospital (VA) |
Y658 |
27 |
22,706 |
|
11. |
Hendrick Medical Center (TX) |
Y658 |
26 |
9,878 |
|
12. |
Saint Thomas West (TN) |
Y658 |
19 |
9,456 |
|
13. |
Rancho Los Amigos National Rehabilitation Center (CA) |
Y658 |
18 |
1,414 |
|
14. |
Sinai Hospital of Baltimore (MD) |
Y658 |
16 |
19,646 |
|
15. |
Texas Health Harris Methodist Hospital Southlake (TX) |
Y658 |
15 |
4,491 |
|
16. |
Park City Medical Center (UT) |
Y658 |
13 |
5,140 |
|
17. |
Kaweah Delta Medical Center (CA) |
Y658 |
13 |
8,518 |
|
18. |
Barnes - Jewish Hospital South (MO) |
Y658 |
12 |
42,327 |
|
19. |
Texas Health Presbyterian Hospital Rockwall (TX) |
Y658 |
12 |
5,562 |
|
20. |
Hospital Oriente (PR) |
Y658 |
12 |
1,153 |
|
21. |
Western Pennsylvania Hospital (PA) |
Y635 |
12 |
9,533 |
|
22. |
Western Pennsylvania Hospital (PA) |
Y658 |
12 |
9,533 |
|
23. |
Dixie Regional Medical Center - River Road (UT) |
Y658 |
11 |
13,456 |
|
24. |
Dixie Regional Medical Center - River Road (UT) |
Y69 |
10* |
13,456 |
|
25. |
University of Vermont Medical Center (VT) |
Y658 |
10* |
16,792 |
Fig 1. Data from Definitive Healthcare based on 2016 Medicare SAF (1/1/2016 - 12/31/2016). Complete Calendar Year 2017 data is projected to be released in fall 2018 by the Centers for Medicare and Medicaid Services (CMS).
*All columns with less than 11 claims/procedures are left blank due to CMS privacy requirements.
Top 10 Most Common Misadventure Diagnoses
|
|
ICD-10 Description |
ICD-10 Code |
Est. Total Diagnoses |
ICD-9 Code |
|
1. |
Other specified misadventures during surgical and medical care |
Y658 |
879 |
E8768 |
|
2. |
Underdosing and nonadministration of necessary drug, medicament or biological substance |
Y636 |
263 |
E8738 |
|
3. |
Unspecified misadventure during surgical and medical care |
Y69 |
84 |
E8769 |
|
4. |
Inappropriate temperature in local application and packing |
Y635 |
19 |
E8735 |
|
5. |
Overdose of radiation given during therapy |
Y632 |
13 |
E8732 |
|
6. |
Failure in dosage during other surgical and medical care |
Y638 |
12 |
E8738 |
|
7. |
Nonadministration of surgical and medical care |
Y66 |
11 |
E8768 |
|
8. |
Inadvertent exposure of patient to radiation during medical care |
Y633 |
10* |
E8733 |
|
9. |
Failure in dosage during unspecified surgical and medical care |
Y639 |
10* |
E8739 |
|
10. |
Contaminated medical or biological substance administered by unspecified means |
Y649 |
10* |
E8759 |
Fig 2. Data from Definitive Healthcare based on 2016 Medicare SAF (1/1/2016 - 12/31/2016). Complete Calendar Year 2017 data is projected to be released in fall 2018 by the Centers for Medicare and Medicaid Services (CMS).
*All columns with less than 11 claims/procedures are left blank due to CMS privacy requirements