What I'm trying to figure out is, how to I determine whether a source I'm looking at is telling the truth? For an example, let's take this page from Metamed: http://www.metamed.com/vital-facts-and-statistics
At first glance, I see some obvious things I ought to consider. It often gives numbers for how many die in hospitals/year, but for my purposes I ought to interpret it in light of how many hospitals are in the US, as well as how many patients are in each hospital. I also notice that as they are trying to promote their site, they probably selected the data that would best serve that purpose.
So where do I go from here? Evaluating each source they reference seems like a waste of time. I do not think it would be wrong to trust that they are not actively lying to me. But how do I move from here to an accurate picture of general doctor competence?
Interestingly this article offers a QUALY-based economic estimate, but for some weird reasons plucks a wild ass guess as to the average number of years of life lost as a result of medical errors - ten years, with not the slightest justification. Of course this leads to a largish estimate of total impact.
This other article updates the estimates of annual deaths in the US to 400,000 with a lower bound of 210,000. This may be the result of misapplying an estimate of what fraction of adverse events are preventable - this was estimated on the overall sample (including non-fatal adverse events) but then applied to the much smaller set of fatal adverse events. Most fatal events result from surgery, which the same article notes has a much lower rate of "preventable" events, but I can't see that the total deaths estimate accounts for that.