In the Harvard Medical Practice Study a sample of 31429 medi

In the Harvard Medical Practice Study, a sample of 31,429 medical records of hospital patients were reviewed to assess the frequency of medical malpractice. Two types of malpractice were identified:

(1) An adverse event was defined as an injury caused by medical management rather than by the underlying disease.

(2) Negligence was defined as care that fell below the standard expected of physicians in the community.

An approximate 1% sample of records was reviewed on two different occasions by different review teams.

Data

Adverse Events                                          

            Review Process B

Review process A                              35                                13

                                                          21                                249

Negligence

                                                            Review Process B

Review Process A                              4                                  9

                                                          12                                293

Can you assess the reproducibility of adverse events and negligence designations? Which seems to be more reproducible?

Solution