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Hospital Compare
U.S. Department of Health & Human Services
This tool provides information on how well the hospitals care for all their adult patients with certain medical
conditions. This information helps compare the quality of care hospitals provide. Hospital Compare was created
through the efforts of the Centers for Medicare and Medicaid Services (CMS) and organizations that represent
hospitals, doctors, employers, accrediting organizations, other Federal agencies and the public.
Patient
Safety in America Hospitals
HealthGrades Quality Study, July 2004
In-hospital medical errors, on average, cost 195,000 lives and
$6 billion a year, according to research by HealthGrades. The human
resources consulting firm reviewed 37 million Medicare records from
2000 to 2002from all 50 states and Washington, D.C. The number of
deaths attributed to medical mistakes is nearly double that reported
by the Institute of Medicine report, To Err is Human: Building
a Safer Health System.
Patient
Safety: Achieving a New Standard for Care
Institute of Medicine, November 20, 2003
To reduce deaths and injuries caused by medical errors, health care organizations must adopt information
technology systems capable of collecting and sharing health information on patients and their care, says a
new Institute of Medicine report. These systems should be part of a national network accessible to all health
care organizations and include electronic health records and use data standards to make health information
understandable to all.
Press release
Opening statement
USP Releases Fourth Annual Report on Medication Errors in U.S. Hospitals: More than One-Third of Hospital Medication Errors That Reach the Patient Involve Seniors
U.S. Pharmacopeia
November 18, 2003
The United States Pharmacopeia (USP) released its fourth annual national report summarizing the most
recent data collected by MEDMARXSM, the anonymous national medication
error reporting database operated by USP. Among the highlights: more than one-third of hospital medication
errors that reach the patient involve seniors-showing they continue to be a vulnerable population in U.S.
health care facilities.
Keeping Patients Safe:
Transforming the Work Environment of Nurses
Institute of Medicine, November 4, 2003
Keeping Patients Safe: Transforming the Work Environment of Nurses identifies solutions
to problems in hospital, nursing home, and other health care organization work environments that
threaten patient safety through their effect on nursing care. A companion to the Institute of
Medicine's earlier patient safety report, To Err is Human, the report puts forth a
blueprint of actions that all health care organizations which rely on nurses should take.
The report's findings and recommendations address the related issues of management practices,
workforce capability, work design, and organizational safety culture. Actions needed from the
federal and state governments, as well as from coalitions of parties involved in shaping the
work environments of nurses also are specified. The report presents evidence from health services,
behavioral and organizational research, and human factors and engineering to address pressing
public policy questions, including nurse staffing levels, nurse work hours, and mandatory overtime.
Crossing the Quality
Chasm: A New Health System for the 21st Century
Institute of Medicine, March 1, 2001
This report from the committee on the Quality of Health Care in America makes an urgent call
for fundamental change to close the quality gap, recommends a redesign of the American health care
system, and provides overarching principles for specific direction for policymakers, health care
leaders, clinicians, regulators, purchasers, and others.
It offers a set of performance expectations for the 21st century health care system, a set of
10 new rules to guide patient-clinician relationships, a suggested organizing framework to better
align incentives inherent in payment and accountability with improvement in quality, and key steps
to promote evidence-based practice and strengthen clinical information systems.
Analyzing health care organizations as complex systems, this report also documents the causes
of the quality gap, identifies current practices that impede quality care, and explores how systems
approaches can be used to implement change.
To Err is Human: Building
A Safer Health System
Institute of Medicine, September 1, 1999
This report lays out a comprehensive strategy by which government, health care providers,
industry, and consumers can reduce preventable medical errors. Concluding that the know-how already
exists to prevent many of these mistakes, the report sets as a minimum goal a 50 percent reduction
in errors over the next five years. In its recommendations for reaching this goal, the committee
strikes a balance between regulatory and market-based initiatives, and between the roles of
professionals and organizations.
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