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Patient Safety Analysis Training: A DoD/AHRQ Partnership
  •  | 1. Event Management|
  • 2. Systematic Analysis|
  • 3. Sensemaking|
  • 4. Implementing Change|

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Background

To Err is Human

To Err is Human

Institute of Medicine Report 1999

 

Notes

The Institute of Medicine (IOM) serves as an independent scientific adviser to the nation to improve health. The institute provides advice that is unbiased, based on evidence, and grounded in science. In 1999, the IOM published a report entitled “To Err is Human: Building a Safer Health System,” which brought the issue of medical error into focus, and into the news. The report focuses on the prevalence and dangers of error in the public health system and makes recommendations for creating a safer system.

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