Two decades ago, the Institute of Medicine published To Err Is Human, a landmark report that brought attention to medical error and became a catalyst for the patient safety movement. Around the 10-year anniversary of the report, a number of articles and studies were published that examined the impact of this movement. Nearly all concluded that it was too early to assess whether significant change had taken place. Now, new data indicates efforts after the 20-year anniversary mark have not progressed as expected. It raises vital questions and renewed areas of focus for the healthcare industry.
In this article, Coverys, a provider of medical professional liability insurance, looks at the date and the key claim trends.
Questions healthcare leaders should consider as they work to innovate, design, and implement action toward improvement:
- How are you resourcing your organization to learn from failure?
- How do you ensure learning happens and is applied widely from the board room to the frontline?
- How are you partnering within your organisation and the broader healthcare community to empower in-house leaders to achieve improvements?
- How are you engaging decision-makers to commit to sustained improvement?
- How do you demonstrate your responsibility and accountability to engage with front-line staff and patients if the momentum for improvement initiatives is lagging?
- How are you tracking constant, emerging, and future operational, cultural, and clinical risks to prepare for them?
- How are you ensuring the transparency needed to drive learning and improvement?