| Popis: |
“IOM and Public Disclosure of the Error Problem—To Err Is Human,” considers the steps that led the Institute of Medicine (renamed the National Academy of Medicine) in 1999 to publicly declare that upwards of 100,000 Americans were dying annually as a result of medical error. Their public declaration came after more than two decades of research had documented to the profession the toll of medical error, first in California (under the leadership of Don Harper Mills) and later in a number of other states (notably by the Harvard Medical Practice Study team). In the face of these findings, the healthcare industry had not acted on safety so the researchers chose to go public with their findings. |
