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Evidence-Based Medicine Meets Patient Safety

Lucian L. Leape, MD; Donald M. Berwick, MD; David W. Bates, MD,MSc

JAMA. 2002;288:501-507.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The Institute of Medicine (IOM) report To Err Is Human¹ converted an issue of growing professional awareness to one of substantial public concern in a manner and pace unprecedented in modern experience with matters of health care quality. The epidemiologic finding that more than 1 million injuries and nearly 100 000 deaths occur in the United States annually as a result of mistakes in medical care came from studies nearly a decade old, but it was new information for the public, and it resonated strongly. In short order, the US Congress initiated hearings and the president ordered a government-wide feasibility study, which led to a subsequent directive to governmental agencies to implement the recommendations of the IOM report. The IOM called on all parties to make improving patient safety a national priority. In response, physicians, hospitals, and health care . . . [Full Text of this Article]

Contrasting Reports: Causes of Adverse Events

Practices Based on Human Factors Principles

Practices Based on Inference (Linkage) From Process to AEs

Accepted Practices in Other Industries

Common Sense

Author Affiliations: Department of Health Policy and Management, Harvard School of Public Health (Drs Leape and Berwick); Departments of Pediatrics (Dr Berwick) and Medicine (Dr Bates), Harvard Medical School; Institute for Healthcare Improvement (Dr Berwick), and Department of Medicine, Brigham and Women's Hospital (Dr Bates), Boston, Mass.

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