What practices will most improve safety? Evidence-based medicine meets patient safety.

By Lucian Leape, Donald M. Berwick, David W. Bates. Journal of the American Medical Association (JAMA), 2002

644 citations recorded by the source corpus.

convertedanissueofgrowingprofessionalaware-ness to one of substantial public concern in a mannerandpaceunprecedentedinmodernexperiencewithmattersof health care quality. The epidemiologic finding that morethan 1 million injuries and nearly 100000 deaths occur inthe United States annually as a result of mistakes in medicalcare came from studies nearly a decade old, but it was newinformationforthepublic,anditresonatedstrongly.Inshortorder, the US Congress initiated hearings and the presidentordered a government-wide feasibility study, which led to asubsequent directive to governmental agencies to imple-menttherecommendationsoftheIOMreport.TheIOMcalledonallpartiestomakeimprovingpatientsafetyanationalpri-ority. In response, physicians, hospitals, and health care or-ganizations have been searching for safe practices and ask-ing what they should do to make health care safer.Anticipating this need, the IOM report also recom-mendedthattheAgencyforHealthcareResearchandQual-ity (AHRQ) determine which safety practices are effectiveand disseminate a list of “best practices” to all clinicians.Responding to this appeal, AHRQ requested the NationalQuality Forum to use a consensus process of experts to de-fine a list of best practices. To inform this process, it alsocommissioned the Evidence-Based Practice Center (EPC),University of California, San Francisco–Stanford Univer-sity, to evaluate the evidence supporting a long list of pro-posedsafetypractices.Givena6-monthtimeframe,theEPCenlistednumerousexpertsnationwidetoconducttheanaly-ses. The resulting report by Shojania and colleagues

Subfields: Emergency Medical Services, Health Information Management, Pharmacy

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Citations in the corpus

Human factors systems approach to healthcare quality and patient safety (2013, background): “…a scientific discipline that can produce knowledge to redesign healthcare systems and processes and improve patient safety and quality of care (Carayon et al., 2013; Gurses et al., 2012b; Institute of Medicine, 2012; Leape et al., 2002; Pronovost and Goeschel, 2011; Pronovost and Weisfeldt, 2012).”
Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. (2003, background): “The lack of standard taxonomy, in addition to definitional issues, in large part explains why so little is known about the prevalence, adverse outcomes, and effective prevention of medical injuries.(7,9-12) The limited research on medical injuries has primarily relied on medical record abstraction c”
The Logic of Medical Diagnosis (2013, background): “Additionally, in a recent survey of more than 6,000 physicians, 96% felt that diagnostic errors were preventable (Graber,Wachter, and Cassel 2012; see also results in Anderson, Hill, and Gorstein 1990; Gordon et al. 2009; Leape, Berwick, and Bates 2002b; and Sonderegger-Iseli et al. 2000).”
Safety culture assessment: a tool for improving patient safety in healthcare organizations (2003, neutral): “34 In patient safety, as in aviation, there is no one ‘‘silver bullet’’.”
Incidence and preventability of adverse drug events among older persons in the ambulatory setting. (2003, background): “While there is evidence to support the benefits of this approach in the inpatient setting,(26) less than 5% of US hospitals have computerized physician order entry.(27,28) Use of such systems in the ambulatory setting is even more limited; while this approach may be equally useful in the ambulatory ”