This year marks the 10th anniversary of the Institute of Medicine'sreport To Err Is Human,1 the document that launched the modernpatient-safety movement. Although the movement has spawned myriadinitiatives, its main theme, drawn from studies of other high-riskindustries that have impressive safety records, boils down tothis: Most errors are committed by good, hardworking peopletrying to do the right thing. Therefore, the traditional focuson identifying who is at fault is a distraction. It is far moreproductive to identify error-prone situations and settings andto implement systems that prevent caregivers from committingerrors, catch . . . [Full Text of this Article]
"No Blame" versus Accountability
Why is Enforcement of Safety Standards So Weak?
A Prescription for Individual Accountability in Patient Safety
Finding a Workable Balance
Source Information
From the Department of Medicine, University of California at San Francisco, San Francisco (R.M.W.); and the Departments of Anesthesiology and Critical Care, Surgery, and Health Policy and Management, Johns Hopkins Schools of Medicine and Public Health, Baltimore (P.J.P.).
This article has been cited by other articles:
Wachter, R. M.
(2009). Entering the Second Decade of the Patient Safety Movement: The Field Matures: Comment on "Disclosure of Hospital Adverse Events and Its Association With Patients' Ratings of the Quality of Care". Arch Intern Med
169: 1894-1896
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