Our goal: Work with countries, regions, organizations, and individuals to build safety into every system of care, ensuring that patients receive the safest, most reliable care across the continuum. More >>
In the Spotlight
Doing Right by Our Patients When Things Go Wrong in the Ambulatory Setting
This new article published in the Joint Commission Journal is a new statement released by the PROMISES (Proactive Reduction of Outpatient Malpractice: Improving Safety, Efficiency, and Satisfaction) malpractice and safety project. Focused on the ambulatory setting, the authors suggest that disclosure and apology are essential first steps to learning from things that go wrong and making them right for patients who may be harmed.
Patient Safety: Moving from Defect Reduction to Proactive Prevention
In this interview, IHI Vice President and patient safety expert Carol Haraden talks about changes in patient safety in the last decade and what organizations of every size need to do to improve patient safety – in particular, transition from a focus on defect reduction to a more proactive prevention approach. To do so, she says, every organization should pay attention to four key things.
Adverse Events in Skilled Nursing Facilities
This new study released by the US Office of Inspector General estimates a national incidence rate, preventability, and cost of adverse events in skilled nursing facilities (SNFs). Using a two-stage medical record review, based on the IHI Global Trigger Tool, adverse events in a sample of Medicare beneficiaries discharged from hospitals to SNFs were identified and reviewed.
Upcoming Educational Programs
The Role of the Board in Quality and Safety
April 3-4 | Cambridge, MA
19th Annual IHI/BMJ International Forum on Quality and Safety in Healthcare
April 8-11 | Paris, France
Patient Safety Executive Development Program
September 4-10 | Cambridge, MA
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