NSG6002 Week 3 DiscussionIdentify the role of patient safety and the influence on the Federal initiatives that are used to prevent unintentional death as a result of medical mistakes.Patients expect the health care system to provide safe, effective and quality care to maintain or rebuild their health. The Institute of Medicine’s (IOM) seminal report in 1999, To Err is Human: Building a Safer Health System, stirred the public and health care system to the realities of medical errors (Nickitas, Middaugh & Aries, 2016). Errors can occur from numerous incidents such as improper testing, misread or misinterpreted results, miscommunication, prescribing or administration errors, lack of attentiveness, etc. (Nickitas, Middaugh & Aries, 2016). Unfortunately, medical errors represent a serious health problem and are considered a leading cause of death in the United States (Rodziewicz & Hipskind, 2018). After the IOM’s report was published, the Agency for Healthcare Research and Quality (AHRQ, 2012) and other federal agencies started the policy development on finding patient safety challenges and what can be done to prevent them. The AHRQ created numerous tools to make care safer in all types of health care facilities and to prevent avoidable complications of care. These tools include the Consumer Assessment of Healthcare Providers and Systems (CAHPS), Surveys on Patient Safety Culture (SOPS), Team Strategies and Tools to Enhance Performance and Patient Safety 2.0 (TeamSTEPPS), Guide to Patient and Family Engagement inHospital Quality and Safety, etc. (AHRQ, 2018). Comparative effectiveness research (CER) is also a tool the AHRQ developed, which produces evidence of benefits and harms of specific interventions and approaches to diagnose, treat, and monitor patients to improve health care delivery (Nickitas, Middaugh & Aries, 2016).
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- Spring '16
- Dr Shelly Neil-Watters
- Health care provider, AHRQ, Nickitas