TY - CHAP M1 - Book, Section TI - Principles of Patient Safety: Intentional Design and Culture A1 - Lucier, David A1 - Carbo, Alexander R. A1 - Weingart, Saul N. A2 - McKean, Sylvia C. A2 - Ross, John J. A2 - Dressler, Daniel D. A2 - Scheurer, Danielle B. Y1 - 2017 N1 - T2 - Principles and Practice of Hospital Medicine, 2e AB - In the last 15 years, Quality Improvement and Patient Safety have emerged as major focus areas for health care systems around the world. The landmark 1999 report, To Err is Human, defined Patient Safety as freedom from accidental medical injury, which is often the result of error. Errors are defined as failures of execution or planning. Unplanned events that arise from medical care, whether due to human or systems-based errors, are further classified into near-misses or adverse medical events; a near-miss (or “close call”) is an event that causes no harm but had the potential to do so, while an adverse medical event causes patient harm. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accessmedicine.mhmedical.com/content.aspx?aid=1137605828 ER -