Many Reports of Medical Device Deaths Misclassified: Study
Researchers at the University of California San Francisco and other locations say that many medical device adverse event reports that involve a patient death are classified in categories other than death in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. “As FDA only routinely reviews all adverse events that are reported on patient deaths, improving the accuracy of adverse event reporting may enhance patient safety,” the researchers say in a JAMA Internal Medicine report.
The researchers say they applied a natural language processing algorithm to the MAUDE database, followed by manual text review, to identify reports in the injury, malfunction, other, or missing categories that included at least one term that suggested a patient death. The algorithm identified 290,141 reports from 12/31/1991 to 4/30/2020 in which a serious injury or death was reported. Of them, 52% were classified by the reporter as death and 48% were classified as malfunction, injury, other, or missing.
For the overall sample, the study says, the percentage of reports with deaths that were not classified as deaths was 23%, suggesting that some 31,552 reports in the sample had deaths that were classified in other categories. The overall percentage of missed deaths (the percentage of deaths that were classified in other categories) was 17%.