Resources

Patient Safety at the Crossroads

Gandhi TK, Berwick DM, Shojania KG. Patient safety at the crossroads. Journal of the American Medical Association. 2016;315(17):1829-1830.

This article reevaluates the status of patient safety improvements 15 years after "To Err Is Human" was published, noting there have been varying levels of improvement and effectiveness, and proposes a course for future patient safety work.

View article abstract

Average Content Rating

(3 users)

Please login to rate or comment on this content.

User Comments

Loading Pages....

Actions to Renew Focus on Safety Culture

Delivering the health care that our patients expect — in every setting and under all conditions — demands that we urgently revisit safety culture as the fundamental driver of both patient and workforce safety.
Turn on the Lights Podcast

Turn on the Lights podcast is IHI's thought-provoking series of candid conversations about how the US health care system is working and not working, hosted by Drs. Don Berwick and Kedar Mate.
Organizational Trustworthiness in Health Care

The Institute for Healthcare Improvement partnered with the American Board of Internal Medicine Foundation to identify key organizational-level drivers and change ideas that repair, build, and strengthen trust between health care organizations and clinicians, and between health care organizations and the communities they serve. This report describes a theory of how to repair, build, and strengthen trust, presented as a three-step approach with specific change ideas and associated measures for improvement.
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults

The primary aim of the IHI innovation project described in this report was to assess the use of predictive analytics, specifically machine learning, to improve patient safety through emerging and existing approaches to predict risk, such as technologies and decision support tools. Specific attention was given to how predictive analytics and machine learning can assist in monitoring patient deterioration in the home setting for adults ages 18 and older.
Avoiding "Drift" into Harm

This article presents specific steps leaders can take to reinforce effective patient safety practices and address workarounds that may unintentionally result in harm.

View All

Publications

Patient Safety at the Crossroads