To Err Is Human Building a Safer Health System (2000) / Chapter Skim
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1 A Comprehensive Approach to Improving Patient Safety
1 A Comprehensive Approach to Improving Patient Safety
Pages 17-25
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From page 17... ...
A general model of how the external environment influences health care organizations to improve different domains of quality is presented and the model is then discussed as it applies to patient safety, the focus of this first report of the Quality of Health Care in America Committee. Second, the chapter provides a roadmap to the remainder of the report by briefly describing the chapters that follow.
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From page 18... ...
Safety, the first domain of quality, refers to "freedom from accidental injury." This definition is stated from the patient's perspective. As discussed in chapter 2 of this report, health care is not as safe as it should be.
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From page 19... ...
Economic and other incentives constitute a broad category that includes the collective and individual actions of purchasers and consumers, the norms and values of health professionals, and the social values of the nation and local communities. Regulation and legislative action can influence quality in health care organizations in two ways.
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From page 20... ...
In health care, efforts to make comparative performance data available in the public domain to assist purchasers and consumers in identifying high quality providers are just starting to emerge through activities such as the Health Plan Employer Data and Information Set (HEDIS) of the National Committee for Quality Assurance (NCQA)
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From page 21... ...
The actions of regulatory bodies, group purchasers, consumers and professional groups are all critical to achieving this goal. At the same time, investments in an adequate knowledge base and tools to improve safety are also important to assist health care organizations in responding to this challenge.
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From page 22... ...
The lack of explicit and consistent standards for patient safety creates gaps in licensing and accreditation and lets health care organizations function without some of the basic safety systems in place. The lack of any agency or organization with primary responsibility for patient safety prevents the dissemination of any cohesive message about patient safety.
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From page 23... ...
First, the committee recognizes that a major force for improving patient safety is intrinsic motivation, that is, it is driven by the values and attitudes of health professionals and health care organizations. This report, however, focuses primarily on the external environment and the policy and market strategies that can be employed to encourage actions by health professionals and health care organizations.
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From page 24... ...
When someone needs medical care, the worst quality is no care at all. Access continues to be threatened in today's health care marketplace.
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From page 25... ...
280~111:10001005, 1998. See also: Advisory Commission on Consumer Protection and Quality in the Health Care Industry.
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