Component 5; Unit 14: History of Quality Improvement and Patient Safety

Component 5; Unit 14: History of Quality Improvement and Patient Safety

Description:

This unit describes the history of the use of information technology as a part of quality improvement and patient safety.

Objectives:

  1. Describe conditions and notable publications concerning patient safety and quality improvement from 1959 to the present.
  2. Describe the background to the Institute of Medicine reports on Patient Safety
  3. Summarize the main findings from several Institute of Medicine reports on quality, patient safety, and health information technology (HIT).
  4. Describe various ways in which HIT has evolved to improve quality or enhance patient safety.

Component 5; Unit 14; Lecture 14 comp5_unit14_lecture_slides

Quality Improvement and Patient Safety (20:51): 1) The Institute of Medicine Reports; 2) History of patient safety and role of HIT; 3) History of patient safety and quality; 4) HITECH and patient safety and quality

Suggested Readings

Amalberti R, Auroy Y, Berwick D, Barach P.  Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005 May 3;142(9):756-64. Available from: http://www.annals.org/content/142/9/756.long

Kohn LT, Corrigan JM and Donaldson MS, (eds). To Err Is Human: Building a Safer Health System. Committee on Quality of Health Care in America, Institute of Medicine, Washington DC: National Academies Press, 1999. Free Executive Summary and Free Brief.  Available from:  http://www.nap.edu/catalog/9728.html

Leape LL, Berwick DM. Five years after To Err is Human: What have we learned?  JAMA. 2005;293(19):2384-90.  Available from: http://www.commonwealthfund.org/~/media/Files/Publications/In%20the%20Literature/2005/May/Five%20Years%20After%20%20To%20Err%20Is%20Human%20%20%20What%20Have%20We%20Learned/Leape_five_years_after_to_err_is_human_JAMA%20pdf.pdf.

Committee on Patient Safety and Health Information Technology. Board on Health Care Services. Health IT and Patient Safety: Building Safer Systems for Better Care, Washington, DC: National Academies Press, 2011.  Free Executive Summary.  Available from:  http://books.nap.edu/openbook.php?record_id=13269

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