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Patient Safety Meets Evidence-Based Medicine

Kaveh G. Shojania, MD; Bradford W. Duncan, MD; Kathryn M. McDonald, MM; Robert M. Wachter, MD

JAMA. 2002;288:508-513.

	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's seminal report To Err Is Human¹ highlighted the risks of medical care in the United States and shocked the sensibilities of many Americans. As one element of a multipronged response, the Agency for Healthcare Research and Quality (AHRQ) commissioned the University of California, San Francisco–Stanford University Evidence-Based Practice Center to develop a compendium of evidence-based patient safety practices, a resource summarizing the literature supporting practices relevant to improving patient safety.

Making Health Care Safer: A Critical Analysis of Patient Safety Practices² contains the complete results of this collaborative effort. Production of the report involved a commissioned group of 40 researchers across the country, including experts in patient safety, evidence-based medicine, and various areas of clinical medicine, nursing, and pharmacy. The report, which contains concise summaries of the evidence supporting more . . . [Full Text of this Article]

Defining Patient Safety

Insistence on Controlled Studies

But What About Common Sense?

Prioritizing Clinical Over Surrogate Outcomes

Generalizability (Efficacy vs Effectiveness)

Possible Harm

Current Implementation and the Opportunity for Improvement

Author Affiliations: Departments of Medicine (Drs Shojania and Wachter) and Epidemiology and Biostatistics (Dr Wachter), University of California, San Francisco; and Center for Primary Care and Outcomes Research, Stanford University, Stanford, Calif (Dr Duncan and Ms McDonald).

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