C-QuIPS Director, Dr. Kaveh Shojania, co-chaired an expert panel with Dr. Don Berwick to produce a report for the National Patient Safety Foundation looking at what we have learned in the 15 years since the IOM report “To Err is Human” and developing recommendations for accelerating progress moving forward.
The resulting report calls for the establishment of a total systems approach and a culture of safety, and calls for action by government, regulators, health professionals, and others to place higher priority on patient safety science and implementation.
The report makes eight recommendations:
- Ensure that leaders establish and sustain a safety culture
- Create centralized and coordinated oversight of patient safety
- Create a common set of safety metrics that reflect meaningful outcomes
- Increase funding for research in patient safety and implementation science
- Address safety across the entire care continuum
- Support the health care workforce
- Partner with patients and families for the safest care
- Ensure that technology is safe and optimized to improve patient safety