PLEASE NOTE: Information for article is supplied by Jean Seiler, clinical quality coordinator/patient safety officer, Performance Measurement and Improvement, from the IHI Calls to Action series, Implementing the Quality Chasm Report.
- Two years before publishing Crossing the Quality Chasm, the Institute of Medicine reported that in the United States alone, an estimated 44,000 to 98,000 people die annually from medical mistakes.
- Current estimates from the Agency for Healthcare Research and Quality place medical errors as the eighth leading cause of death in the US. That makes medicine deadlier than highway accidents, breast cancer, or AIDS.
- Seven out of every 100 hospital patients are subjected to a serious or potentially serious medication error during their admission. The mistakes — the adverse events — range from the harmless, like misplacing patient records, to the harmful, like administering the wrong drug. No matter what the degree of harm, most adverse events are symptoms not of bad character or incompetence on the part of the individual care provider, but of a fundamentally faulty system.
- simplifying forms
- reorganizing medication storage and delivery procedures
- adding safety responsibilities to staff job descriptions
- giving patients brochures about medication safety
- adopting electronic medical records and computerized order entry capabilities
- involving patients in safety initiatives
- abolishing punishments for adverse events
Many organizations are beginning to make dramatic leaps in patient safety by taking on these challenges: Some have reduced their number of adverse drug events by 75 percent, and others have improved medication reconciliation at transition points by 75 percent. The results these organizations achieved are remarkable, and they demonstrate the great potential for positive change in our health care system.
SOURCE:
http://www.ihi.org/resources/Pages/ImprovementStories/HealthCareMustBeSafe.aspx
DON’T FORGET! The culture of safety survey is currently available on the intranet through April 14, under staff quick links. The survey results will provide valuable information about UM Shore Regional Health’s patient safety environment – a kind of “pulse check” as to where we are as an organization. If you have any questions, please contact Jean Seiler, 410-443-5315 or jean.seiler@umm.edu