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Quality of Healthcare Experts Continue To Try To Put A Square Peg Into A Round Hole
Date:12/4/2013

a collaboration between the South Carolina Hospital Association and the Joint Commission Center for Transforming Healthcare.”

Dr. Peter Pronovost, director of the Armstrong Institute for Patient Safety and Quality at Johns Hopkins Medicine held the Forum on Emerging Topics in Patient Safety (http://is.gd/eEavRF). Pronovost said about that Sept. 2013 conference, “Despite tremendous efforts and enthusiasm to reduce preventable harm, the science of improving patient safety remains in its infancy, with few examples of widespread success. To significantly accelerate the pace of progress, the Armstrong Institute, in conjunction with the World Health Organization, will be convening patient safety experts and thought leaders from all sectors that influence health care. The event aims to discover new ways of thinking about how to meet key patient safety challenges of the next five to 10 years, as well as to identify untapped opportunities for collaboration that can speed improvement. We also hope to learn from the experiences of other high-risk fields, such as space travel and nuclear power, about how to hard wire safety into an organization.”

Thirteen years after Leape’s assurance to a Senate committee other quality of healthcare experts are continuing to use phrases such as, “the science of improving patient safety remains in its infancy, with few examples of widespread success”, and “We also hope to learn from the experiences of other high-risk fields.” Also, thirteen years later needless hospital deaths are now estimated to be somewhere between 200,000 and 400,000 annually, and with 10-20X that number of non-fatal medical errors.

Williams, in Find The Black Box, describes why there is still no evidence of an increase in patient safety in healthcare stemming from safety measures taken from other high-risk industries and why no such patient safety improvements will be f
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