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Pediatr Radiol. 2006 Apr;36(4):287-90. Epub 2006 Feb 15.

Patient safety: lessons learned.

Author information

1
Department of Veterans Affairs, National Center for Patient Safety, 24 Frank Lloyd Wright Drive, Lobby M, Box 486, Ann Arbor, MI 48106, USA. James.Bagian@va.gov

Abstract

The traditional approach to patient safety in health care has ranged from reticence to outward denial of serious flaws. This undermines the otherwise remarkable advances in technology and information that have characterized the specialty of medical practice. In addition, lessons learned in industries outside health care, such as in aviation, provide opportunities for improvements that successfully reduce mishaps and errors while maintaining a standard of excellence. This is precisely the call in medicine prompted by the 1999 Institute of Medicine report "To Err Is Human: Building a Safer Health System." However, to effect these changes, key components of a successful safety system must include: (1) communication, (2) a shift from a posture of reliance on human infallibility (hence "shame and blame") to checklists that recognize the contribution of the system and account for human limitations, and (3) a cultivation of non-punitive open and/or de-identified/anonymous reporting of safety concerns, including close calls, in addition to adverse events.

PMID:
16479407
DOI:
10.1007/s00247-006-0119-0
[Indexed for MEDLINE]

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