The 1999 landmark study titled To Err Is Human: Building a Safer Health System highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication, the recommendations in To Err Is Human have guided significant changes in nursing practice in the United States.
In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.
Review the summary of To Err Is Human presented in the Plawecki and Amrhein article found in this weeks Learning Resources.
Consider the following statement:
The most significant barrier to improving patient safety identified in To Err Is Humanis a lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).
Review The Quality Chasm Series: Implications for Nursing focusing on Table 3: Simple Rules for the 21st Century Health Care System. Consider your current organization or one with which you are familiar. Reflect on one of the rules where the current rule is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.
Week 1: Nursing Informatics and Patient Safety
In 2011, Mason General Hospital was named by Hospitals & Health Networks magazine as one of the Most Wired hospitals in the United States. What makes this particularly significant is that Mason General is a small, 25-bed, rural hospital in the state of Washington. It credits its success to nurse Eileen Branscome, director of clinical informatics. Under her leadership, the hospital adopted such innovations as visual smart boards where real-time patient information is always available. According to the magazine, those hospitals designated as Most Wired show better outcomes in patient satisfaction, risk-adjusted mortality rates, and other key quality measures through the use of information technology (IT) (Mason General Hospital and Family of Clinics, 2012).
Developments in information technology have enabled patients and health care providers to collaborate for quality improvement at an unprecedented level, and nurses have consistently been at the forefront of these efforts. This week you focus on the IOM report To Err Is Human and consider how health information technology has helped to address the issues of patient safety and quality health care.
Weinstock, M., & Hoppszallern, S. (2011). Health cares most wired 2011. Hospitals & Health Network Magazine, 85(7), 2637.
Mason General Hospital and Family of Clinics. (2012). MGH&FC named most wired – Again! Retrieved from https://www.masongeneral.com/most_wired.html
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