Question

At a Master's level of education in 200 words or less.

To Err Is Human: Building a Safer Health System and Free from Harm, Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human, what key findings persist despite efforts to improve the quality of healthcare and prevent medical errors?

References below

Institute of Medicine. (2000). To err is human: Building a safer health system. The National Academies Press.

National Patient Safety Foundation. (2015). Free from harm: Accelerating patient safety improvement fifteen years after to err is human. National Patient Safety Foundation.

Answer 1

On 29 November, 1999, The Institute of Medicine (IMO) released a report called To Err is Human: Building a safer Health System. The IMO recommends

Moving the Focus from errors to safety:

Errors occurs in healthcare as well as other complex systems that involves human beings. It focusses on preventing death and injury from medical errors by following three important strategies- preventing, recognizing and mitigating harm from errors.

Improving safety by understanding error:

Everyday physicians, advance nurses and other hospital personnel recognizes and corrects errors and usually prevent harm. The main question for the IOM was what could be done to improve the safety.

Free from Harm was published by the National Patient Safety Foundation in 2015, Patient safety is a serious public health issue. Preventable harm remains unacceptably frequent and may not occur just in hospitals, it may include in ambulatory care clinics, diagnosis centres, long term care facilities, patients homes and other locations. To understand the full impact of patient safety problems, we must look at both mortality and morbidity. But we must look beyond hospitals to full care continuum. By some measures, Health care has gotten safer since To Err is Human. The advancement in patient safety and free from harm recommends the following:

-Ensure that leaders establish and sustain a safety culture.

-Create centralized and coordinated oversight of patient safety.

-Create a common set of safety metrics that reflect meaningful outcomes.

-Increase funding for research in patient safety and implementation science.

-Address safety across the entire care continuum

-Support the health care workforce

-Partner with patients and families for safest care

-Ensure that technology is safe and optimized to improve patient safety.