Join our guest speakers exclusively online for this CXIO webinar “To err is human” – digital health leading researchers and commentators from the US Dr David Bates and Dr Hardeep Singh who will talk on their paper published in November 2018: Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety.
“This progress could lead us from a Bronze Age of rudimentary tool development to a Golden Era of vast improvement in patient safety.”
The Institute of Medicine’s To Err Is Human, published in 1999, represented a watershed moment for the US health care system. The report dramatically raised the profile of patient safety and stimulated dedicated research funding to this essential aspect of patient care.
Highly effective interventions have since been developed and adopted for hospital-acquired infections and medication safety, although the impact of these interventions varies because of their inconsistent implementation and practice.
Progress in addressing other hospital-acquired adverse events has been variable. In the past two decades additional areas of safety risk have been identified and targeted for intervention, such as outpatient care, diagnostic errors, and the use of health information technology. In sum, the frequency of preventable harm remains high, and new scientific and policy approaches to address both prior and emerging risk areas are imperative.
With the increasing availability of electronic data, investments must now be made in developing and testing methods to routinely and continuously measure the frequency and types of patient harm and even predict risk of harm for specific patients. This progress could lead us from a Bronze Age of rudimentary tool development to a Golden Era of vast improvement in patient safety.
Dr David W Bates
Dr Bates is an internationally renowned expert in patient safety, using information technology to improve clinical decision-making, quality-of-care, cost-effectiveness, and outcomes assessment in medical practice. A practicing general internist, Dr Bates is Chief of the Division of General Internal Medicine and Primary Care at Brigham and Women’s Hospital, Professor of Medicine at Harvard Medical School, and Professor of Health Policy and Management at the Harvard T. H. Chan School of Public Health, where he co-directs the Program in Clinical Effectiveness. He also serves as Medical Director of Clinical Quality and IS Analysis, Information Systems at Partners HealthCare System.
At a time when patient safety has become a key driver for focusing national attention on health-care quality, Dr Bates’ work has not only shown the magnitude of the problem but also provided a blueprint for helping solve it. He led a seminal study on the epidemiology of drug-related injuries, demonstrating that the most effective way to prevent serious medication errors is to focus on improving the systems. He has also performed many studies on how computerised, evidence-based guidelines can improve quality and efficiency. Dr Bates has been recognized for several years by Modern Healthcare magazine as one of the “100 most powerful” individuals in U.S. health care.
Dr Bates’ special research interests include clinical decision-making and affecting physician-decision-making, particularly using computerised interventions; quality of care and cost-effectiveness and medical practice; and outcome assessment. He has published on medication errors and injuries due to drugs, and the use of information systems to improve medication safety and the use of ancillary tests, as well as on predictors of bacteremia and evaluation of patients with suspected sepsis. He has published over 700 peer-reviewed papers and has an h-index of 115, which ranks him among the 400 most cited biomedical researchers of any type.
Dr Hardeep Singh
Dr Hardeep Singh is chief of the Health Policy, Quality and Informatics Program at the Houston VA Center for Innovations in Quality, Effectiveness and Safety and associate professor of medicine at Baylor College of Medicine. His outstanding research awards include: He was the recipient of the 2012 Presidential Early Career Award for Scientists and Engineers from President Barack Obama and the recipient of the Academy Health 2012 Alice S. Hersh New Investigator Award for high-impact work of international significance in the area of patient safety and diagnostic errors.
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