Experts estimate that as many as 98,000 people die in any given
year from medical errors that occur in hospitals. That's more than
die from motor vehicle accidents, breast cancer, or AIDS?three
causes that receive far more public attention. Indeed, more people
die annually from medication errors than from workplace injuries.
Add the financial cost to the human tragedy, and medical error
easily rises to the top ranks of urgent, widespread public
problems. To Err Is Human breaks the silence that has surrounded
medical errors and their consequence?but not by pointing fingers at
caring health care professionals who make honest mistakes. After
all, to err is human. Instead, this book sets forth a national
agenda?with state and local implications?for reducing medical
errors and improving patient safety through the design of a safer
health system. This volume reveals the often startling statistics
of medical error and the disparity between the incidence of error
and public perception of it, given many patients' expectations that
the medical profession always performs perfectly. A careful
examination is made of how the surrounding forces of legislation,
regulation, and market activity influence the quality of care
provided by health care organizations and then looks at their
handling of medical mistakes. Using a detailed case study, the book
reviews the current understanding of why these mistakes happen. A
key theme is that legitimate liability concerns discourage
reporting of errors?which begs the question, "How can we learn from
our mistakes?" Balancing regulatory versus market-based initiatives
and public versus private efforts, the Institute of Medicine
presents wide-ranging recommendations for improving patient safety,
in the areas of leadership, improved data collection and analysis,
and development of effective systems at the level of direct patient
care. To Err Is Human asserts that the problem is not bad people in
health care?it is that good people are working in bad systems that
need to be made safer. Comprehensive and straightforward, this book
offers a clear prescription for raising the level of patient safety
in American health care. It also explains how patients themselves
can influence the quality of care that they receive once they check
into the hospital. This book will be vitally important to federal,
state, and local health policy makers and regulators, health
professional licensing officials, hospital administrators, medical
educators and students, health caregivers, health journalists,
patient advocates?as well as patients themselves. First in a series
of publications from the Quality of Health Care in America, a
project initiated by the Institute of Medicine Table of Contents
Front Matter Executive Summary 1 A Comprehensive Approach to
Improving Patient Safety 2 Errors in Health Care: A Leading Cause
of Death and Injury 3 Why Do Errors Happen? 4 Building Leadership
and Knowledge for Patient Safety 5 Error Reporting Systems 6
Protecting Voluntary Reporting Systems from Legal Discovery 7
Setting Performance Standards and Expectations for Patient Safety 8
Creating Safety Systems in Health Care Organizations A Background
and Methodology B Glossary and Acronyms C Literature Summary D
Characteristics of State Adverse Event Reporting Systems E Safety
Activities in Health Care Organizations Index
General
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