Week 4 Paper Assignment - David A Givens III HC Quality...

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David A. Givens III HC Quality Assessment & Improvement Instructor: Mountasser Kadrie Healthcare System and IOM Report
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1 In the winter of 1999, the Institute of Medicine (IOM) published a report entitled To Err is Human: Building a Safer Health System. The report focused on a raising epidemic of preventable medical errors that were compromising patient safety and resulting in needless deaths. Of course this information created quite the stir at the time. The public at large recognized the need to hold a small population of individual health care professionals accountable for engaging in unacceptable, reckless, and criminal behaviors. However, the implementation of new reporting requirements for medical errors and a renewed vigor in holding people or organizations accountable do not make a system any safer for patients seeking treatment (Donaldson, 2008). The report, itself, offered a four-tiered approach to help combat the issue and ensure basic safety: 1.) Create a National Center for Patient Safety. 2.) Establish a nationwide mandatory public reporting system. 3.) Pressure from consumers, professionals, and accreditation groups. 4.) Build and environment focused on safety. The following paragraphs will evaluate how the current healthcare system has responded to the recommendations laid out in the report. Within the IOM report it was claimed that health care in the United States was severely lagging behind other high-risk industries when it came to presenting a safe environment, defining national safety goals, meeting those same goals or even track progress towards them, and researching preventive measures. The solution was to create the Agency for Healthcare Research and Quality (AHRQ). This organization develops evidence reports and technological assessments oriented towards assisting public and private organizations in their efforts to improve the quality of health care in the United States (Shojania, Ducan, McDonald, & Wachter, 2001). Recently, the information provided by the AHRQ helped to devise additons to the
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  • Spring '16
  • Dr. Mountasser Kadrie
  • IOM, medical error, Patient safety, Patient Safety and Quality Improvement Act, Iatrogenesis

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