RT Book, Section
A1 Wachter, Robert M.
A1 Gupta, Kiran
SR Print(0)
ID 1146175287
T1 The Nature and Frequency Of Medical Errors and Adverse Events
T2 Understanding Patient Safety, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259860249
LK accessmedicine.mhmedical.com/content.aspx?aid=1146175287
RD 2024/04/23
AB Although  the  four  words  well  known  to  every  physician—“first,  do  no  harm”—date  back  to  Hippocrates  over  2000  years  ago,  and  many  hospitals  continue  the  time-honored  tradition  of  hosting  Morbidity  and  Mortality,  or  “M&M,”  conferences  to  discuss  errors,  medical  errors  have  long  been  considered  an  inevitable  by-product  of  modern  medicine  or  the  unfortunate  detritus  of  bad  providers.  The  dialogue  around  medical  error  only  began  to  change  in  the  past  generation,  most  dramatically  in  late  1999,  with  the  National  Academy  of  Medicine's  (NAM,  formerly  the  Institute  of  Medicine,  IOM)  publication  of  the  landmark  report  To  Err  Is  Human:  Building  a  Safer  Health  System.1  This  report,  which  estimated  that  44,000  to  98,000  Americans  die  each  year  from  medical  mistakes,  generated  tremendous  public  and  media  attention,  and  set  the  stage  for  unprecedented  efforts  to  improve  patient  safety.  Of  course,  these  seminal  works  built  on  a  rich  tapestry  of  inquiry  and  leadership  in  the  field  of  patient  safety  (Appendix  III),  familiar  to  a  small  group  of  devotees  but  generally  unknown  to  mainstream  providers,  administrators,  policymakers,  and  patients.