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Patient Safety Efforts Should Focus on Medical Injuries
Peter M. Layde, MD,MSc;
Leslie A. Maas, MHS;
Stephen P. Teret, JD,MPH;
Karen J. Brasel, MD,MPH;
Evelyn M. Kuhn, PhD;
James A. Mercy, PhD;
Stephen W. Hargarten, MD,MPH
JAMA. 2002;287:1993-1997.
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TThe Institute of Medicine (IOM) report To Err Is Human: Building a Safer Health System1 called for voluntary and mandatory reporting systems to identify and learn from errors in health care. That report and other recent efforts to improve patient safety have focused their attention on medical errors.2 However, patient safety also may be approached by concentrating on the injury itself.3-4 Both approaches consider the subset of patient injuries that are the result of errors (Figure 1). The error-oriented approach includes mistakes that do not harm patients such as near-misses. The injury-oriented approach includes patient harm arising from a diagnostic or therapeutic intervention, including those that are not associated with any identifiable error. The difficulty in reliably identifying medical errors, . . . [Full Text of this Article]Patient Outcomes
Public Health Approach Phase-Factor Matrix Outcomes Complexity of Causal Webs Active-Passive Distinction
Author Affiliations: Injury Research Center at the Medical College of Wisconsin (Drs Layde, Brasel, Kuhn, Mercy, and Hargarten, and Ms Maas), Departments of Family and Community Medicine (Dr Layde), Emergency Medicine (Drs Kuhn and Hargarten, and Ms Maas), and Surgery (Dr Brasel), Medical College of Wisconsin, Milwaukee; and School of Public Health, Johns Hopkins University, Baltimore, Md (Mr Teret).
RELATED LETTER
How Best to Improve Patient Safety?
Eric J. Thomas, Robert McNutt, Peter M. Layde, Leslie M. Cortes, Stephen P. Teret, Karen J. Brasel, Evelyn M. Kuhn, James A. Mercy, and Stephen W. Hargarten
JAMA. 2002;288(6):697-698.
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RELATED ARTICLE
Patient Safety Efforts Should Focus on Medical Errors
Robert A. McNutt, Richard Abrams, David C. Aron, and for the Patient Safety Committee
JAMA. 2002;287(15):1997-2001.
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