Tag Archives: errors

More About Measuring Errors and Adverse Events

The Measurement of Active Errors in quality improvement, we often need to measure things for comparative purposes: to compare organizations/clinicians with each other to draw cause and effect conclusions about how something (e.g., a policy, a process) affected safety/quality to … Continue reading

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To Err is Human

To Err is Human: Building a Safer Health System is a classic report in the field of patient safety that was published in 2000 by the Committee on Quality of Health Care in America (Institute of Medicine). My notes from the … Continue reading

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What is the “Global Trigger Tool”?

If we want to be able to  make our healthcare system safer, it’s important to be able to identify and measure adverse events – we need to know how much “harm from care” is occurring in our healthcare system and to … Continue reading

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