To err is human. Creating a 'just culture' to alter behavior & reduce medical errors.

摘要

Unthinkable errors occur in hospitals all the time-from patients who have the wrong extremity amputated to medication mix-ups that end in death. In 1999, Lucian Leape, MD, a professor at the Harvard School of Public Health, told a U.S. Congressional subcommittee that one million people are injured by medical errors in hospitals each year and that 120,000 deaths result from those errors.1 This is three times the number of people who die in motor vehicle crashes (MVCs). The estimated cost? Dollars 33 billion annually.