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Patient safety: a call to action: a consensus statement from the National Quality Forum
1The National Quality Forum, Washington, DC, USA. kenneth.kizer@qualityforum.org.
Medgenmed : Medscape General Medicine
|September 11, 2001
Summary
Reducing healthcare errors requires addressing barriers like misunderstanding and blame. The National Quality Forum (NQF) identified 10 strategic areas for action to improve patient safety.
Area of Science:
- Healthcare quality improvement
- Patient safety research
- Public health policy
Background:
- Healthcare errors are recognized as a significant public health issue by organizations like the Institute of Medicine (IOM).
- The National Quality Forum (NQF) conducted an in-depth review to prepare for federal government initiatives on healthcare quality.
Purpose of the Study:
- To review the issue of healthcare errors.
- To identify high-priority strategic areas for action.
- To develop recommendations for reducing healthcare errors.
Main Methods:
- Comprehensive literature review of over 350 journal articles and 30 books/monographs.
- Solicitation of input from experts and key organizations, including the Harvard University Executive Session on Medical Error and the VA National Patient Safety Center.
- Collating findings, identifying 10 strategic areas, and crafting specific recommendations.
Main Results:
- Identified 10 high-priority strategic areas requiring action to reduce healthcare errors.
- Developed specific recommendations for each of the identified strategic areas.
Conclusions:
- Urgent need to reduce healthcare errors is confirmed.
- Significant barriers exist, including misunderstanding of error causes, a "name and blame" culture, inadequate reporting systems, and fear of litigation.
- Concerted action in the 10 identified strategic areas is recommended to overcome barriers and reduce healthcare errors.
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