Patient safety at ten: unmistakable progress, troubling gaps.

Robert M . Wachter Patient Safety At Ten : Unmistakable Progress ,

December 1, 2009, marks the tenth anniversary of the Institute of Medicine report on medical errors, To Err Is Human, which arguably launched the modern patient-safety movement. Over the past decade, a variety of pressures (such as more robust accreditation standards and increasing error-reporting requirements) have created a stronger business case for hospitals to focus on patient safety. Rela...

Gaps in the continuity of care and progress on patient safety.

EDUCATION AND TRAINING Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety

Problem: Although morbidity and mortality conferences (MMCs) are meant to promote quality care through careful analysis of adverse events, focus on individual actions or the fear of incrimination may interfere with identification of system issues contributing to the adverse outcomes. Design: Participant attitudes before and after the intervention towards patient safety and conference redesign w...

Employment and Education among Aboriginal Peoples

The troubling economic outcomes faced by many of Canada’s Aboriginal peoples are well documented. The most recent release of the 2011 National Household Survey (NHS) revealed that the gaps in labour market outcomes between Aboriginal and non-Aboriginal communities continue to persist. Worse still, the progress made since 1996 in closing those gaps has stagnated from the 2006 Census (Table 1). T...

Closing the Gaps in Our Federal Food-Safety Net Center for Science in the Public Interest

in preparing this report. We also thank the scientists in government public health agencies who provided information and inspiration for this report. Center for Science in the Public Interest (CSPI) is a non-profit organization based in Washington, DC. Since 1971, CSPI has been working to improve the public's health, largely through its work on nutrition and food-safety issues. CSPI is supporte...