Report of an Expert Panel Convened by the National Patient Safety Foundation

to-err-is-human-update

In order to continue the growth of healthcare simulation utilization, our community must further connect with resources from Patient Safety organizations, like the NPSF. This powerful organization just released a report by an expert panel discussion assessing the state of healthcare on the 15th anniversary of “To err is human” — a critical report that outlined the number of patient deaths attributed to medical error. The number has since grown to as many as 440,000 patients a year in the US alone! How can we better connect healthcare simulation learning opportunities to better patient outcomes?

About the report:

Fifteen years after the Institute of Medicine brought public attention to the issue of medical errors and adverse events, patient safety concerns remain a serious public health issue that must be tackled with a more pervasive response.


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With a grant from AIG, the National Patient Safety Foundation (NPSF) convened an expert panel in February 2015 to assess the state of the patient safety field and set the stage for the next 15 years of work.

The resulting report calls for the establishment of a total systems approach and a culture of safety, and calls for action by government, regulators, health professionals, and others to place higher priority on patient safety science and implementation.

The report makes eight recommendations:

  1. Ensure that leaders establish and sustain a safety culture
  2. Create centralized and coordinated oversight of patient safety
  3. Create a common set of safety metrics that reflect meaningful outcomes
  4. Increase funding for research in patient safety and implementation science
  5. Address safety across the entire care continuum
  6. Support the health care workforce
  7. Partner with patients and families for the safest care
  8. Ensure that technology is safe and optimized to improve patient safety

Download the full report for free at NPSF.org!


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