Two Decades Since To Err Is Human : An Assessment Of Progress And Emerging Priorities In Patient Safety

The Institute of Medicine's To Err Is Human, published in 1999, represented a watershed moment for the US health care system. The report dramatically raised the profile of patient safety and stimulated dedicated research funding to this essential aspect of patient care. Highly effective interve...

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Vydáno v:	Health Affairs Ročník 37; číslo 11; s. 1736 - 1743
Hlavní autoři:	Bates, David W., Singh, Hardeep
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States The People to People Health Foundation, Inc., Project HOPE 01.11.2018
Témata:	Avoidable Bronze Age Catheters Clinical decision making Critical incidents Data analysis Diagnostic Errors - adverse effects Diagnostic Errors - statistics & numerical data Diagnostic systems Drugs Electronic health records Errors Health care Health care policy Health information Health Priorities Health services Historic artifacts Hospitals Humans Information technology Intervention Medical errors Medical Errors - prevention & control Medical Informatics - standards Medical technology Medication Errors - prevention & control Medicine Mortality Nosocomial infections Outpatient treatment Patient assessment Patient safety Patient Safety - standards Patients Population Quality Improvement Research funding Risk Safety Success Technology utilization Test procedures United States > US Quality Of Care Health Information Technology Health policy medical error Diagnostic error
ISSN:	0278-2715, 2694-233X, 1544-5208, 2694-233X
On-line přístup:	Získat plný text
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Popis
Shrnutí:	The Institute of Medicine's To Err Is Human, published in 1999, represented a watershed moment for the US health care system. The report dramatically raised the profile of patient safety and stimulated dedicated research funding to this essential aspect of patient care. Highly effective interventions have since been developed and adopted for hospital-acquired infections and medication safety, although the impact of these interventions varies because of their inconsistent implementation and practice. Progress in addressing other hospital-acquired adverse events has been variable. In the past two decades additional areas of safety risk have been identified and targeted for intervention, such as outpatient care, diagnostic errors, and the use of health information technology. In sum, the frequency of preventable harm remains high, and new scientific and policy approaches to address both prior and emerging risk areas are imperative. With the increasing availability of electronic data, investments must now be made in developing and testing methods to routinely and continuously measure the frequency and types of patient harm and even predict risk of harm for specific patients. This progress could lead us from a Bronze Age of rudimentary tool development to a Golden Era of vast improvement in patient safety.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	0278-2715 2694-233X 1544-5208 2694-233X
DOI:	10.1377/hlthaff.2018.0738