607 Module IX Discussion.edited
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Nov 24, 2024
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Summarize your thoughts on this section of the IOM (1999) report and describe how the DNP as a healthcare leader can facilitate achieving a safer environment.
IOM released a report named To Error is Human in 1999 on November 29
th
. This report was released before the intended date because it leaked. A search was done in an attempt to find the individual who was to blame and how to fix the problem. Hearings were held subsequently. Responses were done to define events and come up with reporting systems (Pierre et al., 2022). Healthcare institutions were put on the defensive. This was aimed at recognizing that individual accountability is vital for a small proportion of health professionals whose behavior is criminal, unacceptable, and reckless. The public held the organizational leadership, staff, and boards responsible for unsafe conditions. The original intent of the IOM committee on Quality Health Care in America was lost in the media attention to hospital deaths from medical errors cited by Err is Human. The committee had a belief that it was a challenge to address the overall quality of care without initially addressing a key, but a nearly unrecognized component of quality, which was safety. The approach of the committee was emphasizing that errors that caused patient harm were not the property of healthcare professionals' good intentions, competence, or hard work. Rather, the safety of care is a property of system attention that is offered to ensure that a properly designed process of care recognizes, prevents, and quickly recovers from errors so that patients don't get harmed. After the release of Err is Human, extensive efforts made have been reported in technical reports, journals, and safety-oriented conferences. It has described the extent of problems in several care settings, efforts being made to make changes, and the obtained results of those efforts in improving the safety of patients (Schiff & Shojania, 2022). DNP leaders should ensure
a safe environment for their patients. This can be achieved by being aware and complying with health and safety regulations. They should also ensure the equipment they use has been maintained properly. They should also follow regulations on substances that are hazardous to health.
References Pierre, M. S., Grawe, P., Bergstrom, J., & Neuhaus, C. (2022). 20 years after To Err Is Human: A bibliometric analysis of 'the IOM report's impact on research on patient safety. Safety Science
,
147
, 105593. https://doi.org/10.1016/j.ssci.2021.105593
Schiff, G., & Shojania, K. G. (2022). Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges.
BMJ Quality & Safety
,
31
(2), 148-
152. http://dx.doi.org/10.1136/bmjqs-2021-014163
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