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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Bibliographic Details
Published in:Health Affairs Vol. 37; no. 11; pp. 1736 - 1743
Main Authors: Bates, David W., Singh, Hardeep
Format: Journal Article
Language:English
Published: United States The People to People Health Foundation, Inc., Project HOPE 01.11.2018
Subjects:
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
Online Access:Get full text
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Summary: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.
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ISSN:0278-2715
2694-233X
1544-5208
2694-233X
DOI:10.1377/hlthaff.2018.0738