| 词条 | To Err Is Human (report) |
| 释义 |
The report called for a comprehensive effort by health care providers, government, consumers, and others. Claiming knowledge of how to prevent these errors already existed, it set a minimum goal of 50 percent reduction in errors over the next five years. Though not currently quantified, {{As of|2007|lc=on}} this ambitious goal has yet to be met. ImpactThe report "brought the issues of medical error and patient safety to the forefront of national concern".[2] The report has been called "groundbreaking" for suggesting that 2-4% of all deaths in the United States are caused by medical errors.[3] The report is credited with raising awareness of the extent to which medical error was a problem.[4] The report described that errors were not rare or isolated, and only by broad planning could they be diminished.[4] It also described that most errors are systemic in the health care industry, and cannot be resolved at the level of individual health care providers.[4] ResponsesThe report had a huge impact on management of health care. As a result of the report President Bill Clinton signed Senate bill 580, the Healthcare Research and Quality Act of 1999, which renamed The Agency for Health Care Policy and Research to Agency for Healthcare Research and Quality to indicate a change in focus. The bill also funded projects through that organization.[5] Follow upThe report was followed in 2001 by another widely cited Institute of Medicine report, "Crossing the Quality Chasm," which furthers many points from the original study. Both are widely referenced. "To Err Is Human" was the inspiration for the Institute for Healthcare Improvement's 100,000 Lives Campaign , which in 2006 claimed to have prevented an estimated 124,000 deaths in a period of 18 months through patient-safety initiatives in over 3,000 hospitals. See also
References1. ^{{cite journal | last=Mokdad| first=Ali|author2=James Marks |author3=Donna Stroup |author4=Julie Gerberding | year=2000 | url=http://www.csdp.org/research/1238.pdf | title=Actual Causes of Death in the United States, 2000 | publisher=Journal of the American Medical Association | accessdate=2007-04-10| doi = 10.1001/jama.291.10.1238 | pmid = 15010446 | volume=291 | issue=10 | journal=JAMA | pages=1238–45}} 2. ^{{cite journal|last1=Mahn-DiNicola|first1=Vicky A|title=Changing competencies in health care professions|journal=Nurse Leader|volume=2|issue=1|year=2004|pages=38–43|issn=1541-4612|doi=10.1016/j.mnl.2003.11.003}} 3. ^{{cite book|editor1-last=Ballweg|editor1-first=Ruth|title=Physician assistant : a guide to clinical practice|date=2013|publisher=Elsevier/Saunders|location=Philadelphia, PA|isbn=978-1455706570|edition=5th|chapter=Prevention of Medical Errors}} 4. ^1 2 {{cite book|last1=Yoder-Wise|first1=[edited by] Patricia S.|title=Leading and managing in nursing|date=2014|publisher=Elsevier Mosby|location=St. Louis, Mo.|isbn=978-0323241830|edition=5th ed., rev. reprint.|page=26}} 5. ^{{cite web |url= https://www.premierinc.com/safety/topics/patient_safety/index_1.jsp#Responses%20IOM-1%20government |title=Medical errors and the Institute of Medicine (IOM) - Patient safety |work=premierinc.com |year=2014 |accessdate=25 June 2014}} External links
4 : Medical literature|1999 documents|Patient safety|Nursing |
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