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 October 21, 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 October 21, 2014).

Share This



More Health & Medicine News

Tuesday, October 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

How Nigeria Beat Its Ebola Outbreak

How Nigeria Beat Its Ebola Outbreak

Newsy (Oct. 20, 2014) The World Health Organization has declared Nigeria free of Ebola. Health experts credit a bit of luck and the government's initial response. Video provided by Newsy
Powered by NewsLook.com
Another Study Suggests Viagra Is Good For The Heart

Another Study Suggests Viagra Is Good For The Heart

Newsy (Oct. 20, 2014) An ingredient in erectile-dysfunction medications such as Viagra could improve heart function. Perhaps not surprising, given Viagra's history. Video provided by Newsy
Powered by NewsLook.com
Ebola Worries End for Dozens on U.S. Watch Lists

Ebola Worries End for Dozens on U.S. Watch Lists

Reuters - US Online Video (Oct. 20, 2014) Forty-three people who had contact with Thomas Eric Duncan, the first person diagnosed with Ebola in the U.S., were cleared overnight of twice-daily monitoring after 21 days of showing no symptoms. Rough Cut (no reporter narration). Video provided by Reuters
Powered by NewsLook.com
CDC Calls for New Ebola Safety Guidelines

CDC Calls for New Ebola Safety Guidelines

AP (Oct. 20, 2014) Centers for Disease Control and Prevention Director Dr. Tom Frieden laid out new guidelines for health care workers when dealing with the deadly Ebola virus including new precautions when taking off personal protective equipment. (Oct. 20) Video provided by AP
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:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

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