Safety Dashboard for PCI

Just like consumer report for healthcare, a paper published from BMJ using plot to help public aware of hospital and surgeron’s performance based on the historical adverse events. This kind of tool along with other info on the web will educate patients and encourage them more involvements of the process of care. The trend of transparency is across the whole health care industry now. It has been talked a lot by business people.

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Public awareness of patient safety

Patient safety issue appeared on recent 60-Minutes story of Dennis Quaid family. Also see the WSJ.

Airplane disaster every other day?

Lots of people are talking about Americans die each year as a result of medical errors as high as 98,000 (1999 data) from To Err is Human. More people die in a given year as a result of medical errors than from motor vehicle accidents (43,458), breast cancer (42,297), or AIDS (16,516).

Look this number in other way, assume each commercial airplane has 500+ passengers, 98,000 per year / 500 per airplane crash = 196 airplane crash/year. That is airplane disaster every other day. Do you accept this reality? Do general public accept this reality?

 

When Good Doctors Make Mistakes

Two interesting articles from New Yorker “When Doctors Make Mistakes” and “Good Doctors Go Bed

Does Health Care is a High Reliability industry?

The high reliability industry like nuclear station and aviation have some common habits. http://www.fastcompany.com/magazine/58/chalktalk.html

How we can do better? Please see Dr. Pronovost’s comments from recent JAMA paper.

Ponovost PJ, Berenholtz SM, Needham DM. A framework for health care organizations to develop and evaluate a safety scorecard. JAMA. 2007 Nov 7;298(17):2063-5

Are you learning enough from mistakes?

This is not just a task for resident and medical students.

EVERY HEALTH CARE PROVIDERS SHOULD DO THIS.

Learning from mistakes. Factors that influence how students and residents learn from medical errors.

Taking the Pulse of Health Care Systems: Experiences of Patients with Health Problems in Six Countries

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