In 2000, the Institute of Medicine (IOM) published its report To Err is Human: Building a Safer System,
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which provided data demonstrating the impact of medical errors on adverse clinical
outcomes for patients in the US. The IOM report demonstrated that an estimated 98,000
individuals in the US died from medical errors, which made medical errors the 7th leading cause of death in the US.
1
The report was a pivotal moment in US healthcare, in which quality improvement initiatives
became top priorities across our health systems. These changes were further driven
by the 2001 IOM report, Crossing the Quality Chasm: A New Health System for the 21st Century which defined high quality care as (1) safe, (2) effective, (3) patient-centered,
(4) timely, (5) efficient, and (6) equitable.
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To achieve higher quality care, we developed various systems of checks and balances
to monitor, measure and incentivize the reduction of adverse outcomes across a wide
range of health services and clinical processes that included initiatives to eliminate
medication errors and never events such as wrong site operations.To read this article in full you will need to make a payment
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References
- To Err Is Human: Building a Safer Health System.National Academies Press, 2000: 9728https://doi.org/10.17226/9728
Committee on Quality of Health Care in America. Crossing the Quality Chasm: (317382004-001). doi:10.1037/e317382004-001
Health WC on SD of, Organization WH. Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health : Commission on Social Determinants of Health Final Report. World Health Organization; 2008.
World Health Organization. A Conceptual Framework for Action on the Social Determinants of Health: Debates, Policy & Practice, Case Studies; 2010. Accessed April 10, 2020. http://apps.who.int/iris/bitstream/10665/44489/1/9789241500852_eng.pdf
- Addressing the social determinants of children's health: a cliff analogy.J Health Care Poor Underserved. 2009; : 20
- Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present.2008 (Anchor)
- The Role of Translational Research in Addressing Health Disparities: a Conceptual Framework.Ethn Dis. 2008; 18 (S2-155-160)
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