Institute: ONC | Component: 1 | Unit: 6 | Lecture: d | Slide: 19
Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Regulating Health Care
Lecture:Health Insurance Portability and Accountability Act
Slide content:Patient Safety - 2 The 1999 To Err is Human Report: Individual errors are not the main problem Faulty systems, processes, and other conditions lead to preventable errors 19
Slide notes:The report noted that errors by individuals are not the predominant problem. Instead, it argued that faulty systems and procedures are most often to blame for preventable errors. An example of a faulty system is a hospital that stocks patient-care areas with full-strength drugs that are toxic until they are diluted, which may lead to use without proper drug preparation. While safety advancements have occurred since this landmark report, patient safety remains a concern, and is a focus of health care improvement efforts today. 19