| A | B |
|---|
| To build organization's pt. safety culture | cutlure of safety, id organizational champtions, safety strategies, id key drivers, sustaining gains, adoption current technologies |
| Medical errors have | economic & emotional effects |
| Organizations that set pt. safety standards | JCAH, NCQA, CARF International, NQF, AHRQ Safety network |
| national imperative for pt. safety & call for action | 1999 |
| 1999 | Healh Care Research & Quality Act |
| Institute of Medicine | To Err is Human: building a safer health system |
| 2000 | first summit on medical errors |
| 2001 | evidence published on healthcare safety |
| 2007 | patient safety indicators developed |
| 2008 | CMS proposed rule PPS |
| NQF | National Quality Forum |
| 2009 | 29 serious reportable events |
| 2011 | updated serious reportable events |
| 2011: 7 categories of serious reportable events | surgical/invasive procedure, product/device events, pt. protection events, care management events, environmental events, radiologic events, potential criminal events |
| 2010 | Affordable Care Act |
| Affordable Care Act | directed US DHHS national quality strategy to better meet promise of American having access to care that was safe, effective and affordable |
| National Priorities Partnership 2010 | 48 partners together advice on NQF goals |
