Author Affiliations: The Trust for Healthcare Excellence and GreenField Health, Portland, Oregon (Dr Kilo); and Group Health Center for Health Studies, Seattle, Washington (Dr Larson).
While various forms of harm resulting from health care are well known, the full nature of such harm and the magnitude of health care's aggregate adverse health effects deserve more exploration. On balance, the data remain imprecise, and the benefits that US health care currently deliver may not outweigh the aggregate health harm it imparts. In this Commentary, we discuss potential harms from health care, suggest a taxonomy for health care harm, and suggest that investigators start addressing this issue.
Kilo CM, Larson EB. Exploring the Harmful Effects of Health Care. JAMA. 2009;302(1):89–91. doi:10.1001/jama.2009.957