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[Accept mistakes to beat them on time.]

Rebecca De Fiore1

  • 1Il Pensiero Scientifico Editore, Roma.

Recenti Progressi in Medicina
|September 29, 2022
PubMed
Summary

The "To err is human" report shifted focus from individual blame to systemic healthcare issues, prioritizing strategies to reduce adverse events and foster a culture of safety. Continued dialogue and citizen engagement are crucial for enhancing patient safety awareness.

Area of Science:

  • Healthcare quality and safety
  • Health systems research
  • Patient safety

Background:

  • The landmark "To err is human" report by the American Institute of Medicine redefined adverse events in healthcare.
  • Shifted perspective from individual error to systemic healthcare failures.
  • Established patient safety as a national priority.

Purpose of the Study:

  • To review the evolution of understanding adverse events in healthcare.
  • To highlight progress in developing strategies for reducing medical errors.
  • To emphasize the ongoing need for awareness and citizen involvement.

Main Methods:

  • Literature review and synthesis of key reports and initiatives in patient safety.
  • Analysis of the development of a risk culture and regulatory advancements.

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  • Examination of the role of technology in error prevention.

    • Main Results:

    • Significant progress in viewing adverse events as system-related, not individual failings.
    • Development of a proactive risk culture and regulatory frameworks.
    • Emerging discussion on technology's role in supporting healthcare professionals.

    Conclusions:

    • Sustained efforts are needed to reduce adverse events in healthcare.
    • Continued dialogue and public engagement are essential for improving patient safety.
    • Technological advancements offer potential for error prevention and system improvement.