Five years ago, the Institute of Medicine (IOM) called for a national
effort to make health care safe. Although progress since then has been slow,
the IOM report truly “changed the conversation” to a focus on
changing systems, stimulated a broad array of stakeholders to engage in patient
safety, and motivated hospitals to adopt new safe practices. The pace of change
is likely to accelerate, particularly in implementation of electronic health
records, diffusion of safe practices, team training, and full disclosure to
patients following injury. If directed toward hospitals that actually achieve
high levels of safety, pay for performance could provide additional incentives.
But improvement of the magnitude envisioned by the IOM requires a national
commitment to strict, ambitious, quantitative, and well-tracked national goals.
The Agency for Healthcare Research and Quality should bring together all stakeholders,
including payers, to agree on a set of explicit and ambitious goals for patient
safety to be reached by 2010.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 448
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.