Improving quality, minimizing error: making it happen.
Medical errors and the quality problems to which they lead harm millions of Americans each year. If we are to reduce errors and improve quality substantially, we must create systems and care processes that anticipate inevitable human errors and either prevent them or compensate for them before they cause harm. Formidable barriers now stand in the way of progress. Success will require a multifaceted strategy, including public education, government investment and regulation, payment system restructuring, and leadership from within the delivery system.
Becher
E C
EC
Mount Sinai School of Medicine, New York City, USA.
Chassin
M R
MR
D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000592:standards; D004501:Education, Medical; D006291:Health Policy; D006302:Health Services Research; D006801:Humans; D007857:Leadership; D019300:Medical Errors / Q000517:prevention & control* / Q000639:trends; D009936:Organizational Innovation; D011785:Quality Assurance, Health Care / Q000379:methods*; D017751:Safety Management; D014481:United States