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You are here > Home > Reading Lists > Risk Management > To Err Is Human: Building a Safer Health System

To Err Is Human: Building a Safer Health System
Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, Editors; Committee on Quality of Health Care in America, Institute of Medicine

Hardcover: 287 pages
ISBN 0309068371
978-0309068376
National Academy Press
April 2000
(click button below to view the very best currently available price for this important resource)

 

To Err Is Human breaks the silence that has surrounded medical errors and their consequence--but not by pointing fingers at caring health care professionals who make honest mistakes. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. 

To Err Is Human asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer

This book makes a careful examination of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errors--which begs the question, "How can we learn from our mistakes?"

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDS--three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems.

Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book is vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocates--as well as patients themselves. 

"...there is a wealth of content presented that provides a point of departure for people in health care to discuss and ultimately craft a more detailed blueprint for their own organizations to follow if they are committed to crossing the chasm that they and their patients face every day." -- Journal of Interprofessional Care

This book is the first in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine. With support from the National Science Foundation, National Institutes of Health (NIH), and Robert Wood Johnson Foundation, the National Academy of Engineering (NAE) and Institute of Medicine (IOM) of the National Academies convened a committee of 14 engineers and health care professionals to identify engineering tools and technologies that could help the health system overcome these crises and deliver care that is safe, effective, timely, patient-centered, efficient, and equitable - the six quality aims envisioned in the landmark IOM report, Crossing the Quality Chasm.

The National Academies Press (NAP) was created by the National Academies to publish the reports issued by the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine, and the National Research Council, all operating under a charter granted by the Congress of the United States. The NAP publishes more than 200 books a year on a wide range of topics in science, engineering, and health, capturing the most authoritative views on important issues in science and health policy. The institutions represented by the NAP are unique in that they attract the nation's leading experts in every field to serve on their award-winning panels and committees.

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