Despite more than a decade of national focus on patient safety, medical errors and other adverse events occur in one-third of hospital admissions — as much as ten times more than some previous estimates have indicated, according to the most-read Health Affairs article published in 2011. The study, by David Classen and coauthors, appeared in the journal’s April’s issue.

Second on the most-read list was a report that national health spending in 2009 grew at the lowest rate in five decades.  Every year Health Affairs publishes these widely read health spending reports by the researchers at the Centers for Medicare and Medicaid Services Office of the Actuary; the 2010 spending report will appear next week in the journal’s January 2012 issue.

The most-read list for 2011 includes additional articles on topics such as accountable care organizations, palliative care, medical homes, health information technology, and quality improvement efforts. The list, with links, appears below. The full text of all ten articles will be available free to all for two weeks.

  1. Global Trigger Tool Shows That Adverse Events In Hospitals May Be Ten Times Greater Than Previously Measured
    by David C. Classen, Roger Resar, Frances Griffin, Frank Federico, Terri Frankel, Nancy Kimmel, John C. Whittington, Allan Frankel, Andrew Seger, and Brent C. James, April 2011
  2. Recession Contributes To Slowest Annual Rate Of Increase In Health Spending In Five Decades
    by Anne Martin, David Lassman, Lekha Whittle, Aaron Catlin, and the National Health Expenditure Accounts Team, January 2011
  3. The Ongoing Quality Improvement Journey: Next Stop, High Reliability
    by Mark R. Chassin and Jerod M. Loeb, April 2011
  4. The Benefits Of Health Information Technology: A Review Of The Recent Literature Shows Predominantly Positive Results
    by Melinda Beeuwkes Buntin, Michael F. Burke, Michael C. Hoaglin, and David Blumenthal, March 2011
  5. Palliative Care Consultation Teams Cut Hospital Costs For Medicaid Beneficiaries
    by R. Sean Morrison, Jessica Dietrich, Susan Ladwig, Timothy Quill, Joseph Sacco, John Tangeman, and Diane E. Meier, The Care Span, March 2011
  6. Accountable Care Organizations: The Case For Flexible Partnerships Between Health Plans And Providers
    by Jeff Goldsmith, Analysis and Commentary, January 2011
  7. The $16,819 Pay Gap For Newly Trained Physicians: The Unexplained Trend Of Men Earning More Than Women
    by Anthony T. Lo Sasso, Michael R. Richards, Chiu-Fang Chou and Susan E. Gerber, February 2011
  8. Higher Fees Paid To US Physicians Drive Higher Spending For Physician Services Compared To Other Countries
    by Miriam J. Laugesen and Sherry A. Glied, September 2011
  9. Driving Population Health Through Accountable Care Organizations.
    by Susan DeVore and R. Wesley Champion, January 2011
  10. Transforming Physician Practices To Patient-Centered Medical Homes: Lessons From The National Demonstration Project
    by Paul A. Nutting, Benjamin F. Crabtree, William L. Miller, Kurt C. Stange, Elizabeth Stewart, and Carlos Jaén, March 2011