Transforming concepts in patient safety: a progress report. Issue 12 (17th July 2018)

• Record Type: Journal Article
• Authors: Gandhi, Tejal K; Kaplan, Gary S; Leape, Lucian; Berwick, Donald M; Edgman-Levitan, Susan; Edmondson, Amy; Meyer, Gregg S; Michaels, David; Morath, Julianne M; Vincent, Charles; Wachter, Robert
• Is Part Of: BMJ quality & safety. Volume 27:Issue 12(2018)
• Page Start: 1019
• Page End: 1026
• Publication Date: 2018-07-17
• Subjects: patient safety -- medical education -- safety culture -- leadership; Medical care -- Quality control -- Periodicals; Health facilities -- Risk management -- Periodicals; Medical errors -- Prevention -- Periodicals; 362.106805
• DOI: 10.1136/bmjqs-2017-007756
• Languages: English
• ISSNs: 2044-5415

Abstract

Abstract : In 2009, the National Patient Safety Foundation's Lucian Leape Institute (LLI) published a paper identifying five areas of healthcare that require system-level attention and action to advance patient safety.The authors argued that to truly transform the safety of healthcare, there was a need to address medical education reform; care integration; restoring joy and meaning in work and ensuring the safety of the healthcare workforce; consumer engagement in healthcare and transparency across the continuum of care. In the ensuing years, the LLI convened a series of expert roundtables to address each concept, look at obstacles to implementation, assess potential for improvement, identify potential implementation partners and issue recommendations for action. Reports of these activities were published between 2010 and 2015. While all five areas have seen encouraging developments, multiple challenges remain. In this paper, the current members of the LLI (now based at the Institute for Healthcare Improvement) assess progress made in the USA since 2009 and identify ongoing challenges.