Transforming healthcare: a safety imperative
Top Cited Papers
Open Access
- 1 December 2009
- journal article
- research article
- Published by BMJ in Quality and Safety in Health Care
- Vol. 18 (6), 424-428
- https://doi.org/10.1136/qshc.2009.036954
Abstract
Ten years ago, the Institute of Medicine reported alarming data on the scope and impact of medical errors in the US and called for national efforts to address this problem. While efforts to improve patient safety have proliferated during the past decade, progress toward improvement has been frustratingly slow. Some of this lack of progress may be attributable to the persistence of a medical ethos, institutionalized in the hierarchical structure of academic medicine and healthcare organizations, that discourages teamwork and transparency and undermines the establishment of clear systems of accountability for safe care. The Lucian Leape Institute, established by the US National Patient Safety Foundation to provide vision and strategic direction for the patient safety work, has identified five concepts as fundamental to the endeavor of achieving meaningful improvement in healthcare system safety. These five concepts are transparency, care integration, patient/consumer engagement, restoration of joy and meaning in work, and medical education reform. This paper introduces the five concepts and illustrates the meaning and implications of each as a component of a vision for healthcare safety improvement. In future roundtable sessions, the Institute will further elaborate on the meaning of each concept, identify the challenges to implementation, and issue recommendations for policy makers, organizations, and healthcare professionals.Keywords
This publication has 20 references indexed in Scilit:
- The Ascension Health Journey to Zero: Lessons Learned and Leadership PerspectivesThe Joint Commission Journal on Quality and Patient Safety, 2007
- Miles to Go: An Introduction to the 5 Million Lives CampaignThe Joint Commission Journal on Quality and Patient Safety, 2007
- Tracking Progress in Patient SafetyJAMA, 2006
- Incidence, Patterns, and Prevention of Wrong-Site SurgeryArchives of Surgery, 2006
- The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in CanadaCMAJ : Canadian Medical Association Journal, 2004
- The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough ImprovementDiabetes Spectrum, 2004
- Computer Physician Order Entry: Benefits, Costs, and IssuesAnnals of Internal Medicine, 2003
- Practice Makes Perfect: Risk-Free Medical Training With Patient SimulatorsJAMA, 2002
- Adverse events in British hospitals: preliminary retrospective record reviewBMJ, 2001
- The Quality in Australian Health Care StudyThe Medical Journal of Australia, 1995