Navigation Links
Little progress made in patient safety in spite of Institute of Medicine call to action
Date:12/24/2008

Despite increased emphasis on patient safety, little progress has been made in making hospitals safer, says Johns Hopkins critical care specialist Peter Pronovost, M.D., Ph.D., in an article in the Dec. 24 issue of the Journal of the American Medical Association.

He identifies physician autonomy and a lack of standardization of safety protocols as the culprits.

"It's been almost 10 years since the Institute of Medicine published To Err Is Human, its treatise on the need for increased patient safety initiatives at hospitals," says Pronovost. "Yet we really haven't made much progress." According to Pronovost, an average hospitalized adult will receive recommended therapy only 53 percent of the time. This accounts, in part, for the nearly 100,000 patients who die each year in the United States because of hospital error.

"Imagine," says Pronovost, "America has some of the best doctors and medicine in the world, yet we are only getting it right half of the time."

He says improvements in patient safety must incorporate three principles: First, physicians must balance their autonomy with team-based standardized care protocols. Informed decisions based on using standardized protocols will give physicians more time to spend on difficult cases, in which standardization is less effective.

Second, medical students and residents need to be trained in this new approach so they are fully socialized in their roles as patient agents rather than autonomous decision makers. They should understand that outcomes of patient care are a product of the systems and tools designed to deliver that care. To enhance trust and foster effective teamwork, students from different clinical disciplines should train together.

Third, the process by which evidence-based standards and protocols are developed should itself be standardized and made clear. If physicians are to surrender autonomy, evidence biases and uncertainties regarding the risks, benefits and costs for patients, clinicians and payers should be made explicit. Groups developing such standards should represent a diverse group of stakeholders consisting of patients, physicians, methodologists, regulators and payers to ensure that all points of views are reflected in the final products.

"Gone are the days when a doctor was on his own carrying all the tools of modern medicine in a black leather bag," Pronovost says. "Today, much of care is team based, and the wealth of techniques and wisdom is too much for one doctor to keep in his or her head. Standardization and a move away from physician autonomy will help guarantee that each patient receives the best treatment available."


'/>"/>

Contact: Eric Vohr
evohr1@jhmi.edu
410-955-8665
Johns Hopkins Medical Institutions
Source:Eurekalert

Related medicine news :

1. Even a Little Overweight, Inactivity Hurts the Heart
2. UK kidney cancer patients face toxic, out-dated treatments with little hope of change
3. State policies have little effect on reducing minors indoor tanning use
4. Prostate cancer drug reduces testosterone levels in as little as 3 days
5. Drug to Prevent Preterm Labor Shows Little Benefit
6. Home Helpers and Veterans Express Helping Spread the Word About Little-Known Veteran's Aid and Attendance Benefit
7. The Little Gym of Fort Worth SW Introduces Kids Cheerleading Program
8. Country Super Star Taylor Swift Stays Fearless With a Little Help From Milk
9. Little-Known Fat Can Be a Heartbreaker
10. A little exercise goes a long way for severely obese
11. Hard Decisions for the Littlest Lives
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/22/2017)... ... August 22, 2017 , ... The Women’s Choice Award, a ... Migraine Relief with the 2017 Women’s Choice Award. The identification by women of an ... out of 4 migraine sufferers are women. In a survey taken by the Women’s ...
(Date:8/22/2017)... ... August 22, 2017 , ... ... good health is as simple as eating healthy foods. But this well-known piece ... fat, making insulin, or breaking apart carbohydrates—depends not only on properties of the ...
(Date:8/22/2017)... ... 22, 2017 , ... Western North Carolina’s only certified fellow ... aesthetics conference for medical professionals about the positive impact Juliet™ feminine rejuvenation ... practice. , Dr. George K. Ibrahim shared the results of his ...
(Date:8/22/2017)... ... August 22, 2017 , ... Pivot ... addition of Zack Tisch as the firm’s new Consulting Services Executive. Mr. Tisch ... firm’s national accounts, from assisting clients with initial vendor selection and pre-implementation planning ...
(Date:8/22/2017)... ... August 22, 2017 , ... Each of the past six years, Lightning Labels has sent ... these labels and stickers, demonstrating the variety and creativity of their designs. Submissions this year ... came in. Now, it's time to announce the winners of the sixth annual Photo Contest, ...
Breaking Medicine News(10 mins):
(Date:8/1/2017)...   CerSci Therapeutics , a non-opioid drug development ... has received notice from the National Institute on Drug ... that it has been awarded a Direct-to-Phase II Small ... 2017 with an additional $1,000,000 to follow in 2018. ... of their lead non-opioid drug candidate CT-044 to the ...
(Date:7/31/2017)... , July 31, 2017 7D Surgical, developer of ... has purchased the 7D Surgical System to support its strategic ... Washington D.C. and Virginia.  7D Surgical has entered ... many of the premier medical facilities within those markets. ... ...
(Date:7/27/2017)... 27, 2017  Zimmer Biomet Holdings, Inc. (NYSE and ... June 30, 2017.  The Company reported second quarter net ... the prior year period, and an increase of 2.1% ... points of contribution from the LDR Holding Corporation acquisition, ... quarter of 2016, or 0.3% on a constant currency ...
Breaking Medicine Technology: