Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: In the first several paragraphs
of their article, Drs Zhan and Miller1 used
4 apparently interchangeable phrases: "medical injuries," "adverse events,"
"quality gaps," and "incidences of concern." In their analysis, the authors
similarly conflated incidents that most physicians consider inevitable in
a percentage of cases (eg, surgical infection and transfusion reaction) with
injuries that are the result of gross negligence, such as a hip fracture sustained
when the patient is dropped or death when the wrong dose of a drug is given.
Blank A. Definitions of Medical Injuries. JAMA. 2004;291(3):303. doi:10.1001/jama.291.3.304-a