Featured Research

from universities, journals, and other organizations

Little Progress Made In Patient Safety In Spite Of Institute Of Medicine Call To Action

Date:
December 24, 2008
Source:
Johns Hopkins Medical Institutions
Summary:
Despite increased emphasis on patient safety, little progress has been made in making hospitals safer, says a Johns Hopkins critical care specialist.

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."


Story Source:

The above story is based on materials provided by Johns Hopkins Medical Institutions. Note: Materials may be edited for content and length.


Cite This Page:

Johns Hopkins Medical Institutions. "Little Progress Made In Patient Safety In Spite Of Institute Of Medicine Call To Action." ScienceDaily. ScienceDaily, 24 December 2008. <www.sciencedaily.com/releases/2008/12/081224215700.htm>.
Johns Hopkins Medical Institutions. (2008, December 24). Little Progress Made In Patient Safety In Spite Of Institute Of Medicine Call To Action. ScienceDaily. Retrieved July 22, 2014 from www.sciencedaily.com/releases/2008/12/081224215700.htm
Johns Hopkins Medical Institutions. "Little Progress Made In Patient Safety In Spite Of Institute Of Medicine Call To Action." ScienceDaily. www.sciencedaily.com/releases/2008/12/081224215700.htm (accessed July 22, 2014).

Share This




More Health & Medicine News

Tuesday, July 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Courts Conflicted Over Healthcare Law

Courts Conflicted Over Healthcare Law

AP (July 22, 2014) Two federal appeals courts issued conflicting rulings Tuesday on the legality of the federally-run healthcare exchange that operates in 36 states. (July 22) Video provided by AP
Powered by NewsLook.com
Why Do People Believe We Only Use 10 Percent Of Our Brains?

Why Do People Believe We Only Use 10 Percent Of Our Brains?

Newsy (July 22, 2014) The new sci-fi thriller "Lucy" is making people question whether we really use all our brainpower. But, as scientists have insisted for years, we do. Video provided by Newsy
Powered by NewsLook.com
Scientists Find New Way To Make Human Platelets

Scientists Find New Way To Make Human Platelets

Newsy (July 22, 2014) Boston scientists have discovered a new way to create fully functioning human platelets using a bioreactor and human stem cells. Video provided by Newsy
Powered by NewsLook.com
Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

TheStreet (July 21, 2014) New research shows Gilead Science's drug Sovaldi helps in curing hepatitis C in those who suffer from HIV. In a medical study, the combination of Gilead's Hep C drug with anti-viral drug Ribavirin cured 76% of HIV-positive patients suffering from the most common hepatitis C strain. Hepatitis C and related complications have been a top cause of death in HIV-positive patients. Typical medication used to treat the disease, including interferon proteins, tended to react badly with HIV drugs. However, Sovaldi's %1,000-a-pill price tag could limit the number of patients able to access the treatment. TheStreet's Keris Lahiff reports from New York. Video provided by TheStreet
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins