TY - CHAP M1 - Book, Section TI - Preventing and Managing Adverse Patient Events: Patient Safety and the Hospitalist A1 - McDonald, Timothy B. A2 - McKean, Sylvia C. A2 - Ross, John J. A2 - Dressler, Daniel D. A2 - Scheurer, Danielle B. PY - 2017 T2 - Principles and Practice of Hospital Medicine, 2e AB - In November 1999, the Institute of Medicine (IOM) issued the report To Err is Human, detailing a problem of preventable medical errors that were killing as many as 98,000 inpatients per year. Subsequent publications have estimated it may be as high as 400,000 per year. Specific types of medical errors highlighted in the IOM report include error in the administration of treatment, failure to order and follow-up on indicated diagnostic exams, and avoidable delays in care and treatment. Many years later problems still exist: nearly 2 million patients a year develop infections during their hospitalizations, and 90,000 to 100,000 of those infected die, while hand-hygiene rates range from 30% to 70% at most acute care facilities. The IOM report also estimated that medical errors cost the US $17 billion to $29 billion a year, and called for sweeping changes to the health care system to improve patient safety. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accessmedicine.mhmedical.com/content.aspx?aid=1137606128 ER -