Project Categories

Medicalizing Patient Safety

Award Year: 2009 Investigator: Kathleen Sutcliffe, Robert Wears
Since publication of the Institute of Medicine's landmark 1999 report To Err is Human, patient safety has become the shibboleth for health care providers nationwide. Yet, patient safety today means something much different, and much less radical, than it did 20 years ago, when the movement's pioneers focused on cross-disciplinary efforts to reduce health care hazards and harms. Robert L.

Handoffs in Hospitals: Research for the Design of Better Practices

Award Year: 2006 Investigator: Michael Cohen
Despite significant attention and activity by U.S. hospitals, medical errors continue to pose serious challenges to patient safety. Among the many aspects of patient care where problems can arise, from lethal medication errors to wrong-site surgery, a routine process that occurs several times a day in hospitals can also endanger patients.

Restarting a Stalled Policy Revolution: Patient Safety, System Error and Professional Responsibility

Award Year: 2005 Investigator: Charles Bosk
The numbers were shocking: As many as 98,000 people die each year in America from medical errors. That was the attention-grabbing statistic from a groundbreaking 1999 Institute of Medicine report, To Err is Human: Building a Safer Health Care System. In the aftermath of the study, most assumed change would be swift and sure. But more than six years later, progress in reducing medical errors remains elusive, which has inspired Charles L. Bosk, Ph.D.

Toward Error-Free Medicine: New Policies for Health Care

Award Year: 1998 Investigator: Lucian Leape
Accidental injury due to errors in medical treatment is the most serious quality problem in health care delivery in the U.S. Errors cause 1 million injuries and 120,000 deaths annually, and the health care system's reliance on punishing individuals to ensure safety rather than designing safer systems has played a central role. This project develops a series of conceptual essays to alter how hospitals, doctors, regulators and society think about health care delivery. Dr.

Organizational Structures, Cultures, and System Aspects of Safety in Tertiary Health Care: A Comparison with Other High Risk-Industries

Award Year: 1996 Investigator: David Gaba
Preventable accidents occur frequently in health care, especially in comparison with the rate of serious mishaps in commercial and military aviation, space flight, and nuclear power production. Dr. Gaba's systematic comparison of health care to these industries is guided by a synthesis of recent theoretical models of safety and error in complex organizations.