ABSTRACT

Overview .................................................................................................................. 14 Quality of Health Care ............................................................................................. 14 Medical Errors ......................................................................................................... 16 Patient-Reported Errors ........................................................................................... 17 Errors in Outpatient Settings .................................................................................... 17 Errors in Hospital Settings ....................................................................................... 18 Interventions to Prevent AEs Following Surgery .....................................................20 Adverse Drug Events or Drug Errors .......................................................................22 Strategies to Prevent ADEs ......................................................................................23 ADEs Among the Elderly in Hospitals and Nursing Homes: Issues and Strategies for Prevention ..........................................................................................24 Strategy to Prevent Medical Errors: Conduct More Autopsies ................................25 Strategies to Prevent Medical Errors: Improve Communication, Collaboration, and Teamwork ..................................................................................26 Strategy to Improve Patient Care: Focus on Patient Needs, Especially on High-Need Patients .............................................................................................27 Strategy to Improve Patient Care: Improve Staf‚ng and Working Conditions ........27 Strategy to Improve Patient Care: Change the System of Payment .........................29 Strategy to Improve Health-Care Deliver in Not-For-Pro‚t Settings ......................29 Strategy to Improve Health Outcomes: Provide Health Care for All .......................30 Medical Bankruptcies .............................................................................................. 31 The Federal Role in Paying for Health Care ............................................................ 31 Strategy to Improve Health Care: Implement a Single-Payer System ..................... 32 Strategy to Improve Health-Care Outcomes: Reduce Inequality ............................. 32 Conclusions .............................................................................................................. 33 Endnotes ...................................................................................................................34