But another major limitation of the death certificate is that it relies on assigning an International Classification of Disease (ICD) code to the cause of death. There is no code to capture diagnostic error, poor judgement, communication breakdown or inadequate skill which can directly result in patient harm and death.
"People don't just die from heart attacks and bacteria, they die from system-wide failings and poorly coordinated care," lead author Dr. Martin Makary, a professor of surgery and health policy at Johns Hopkins University School of Medicine," "It's medical care gone awry."
NSW Health staff can read the full text of the article in BMJ via CIAP otherwise ask your library staff.
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