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Chapter 8 |
Post test |
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Time-Line of Industry Emphasis on Medical Errors Awareness
1991: Harvard Medical Practice Report (1984 data in the state of New York)
1996: JCAHO proposes sentinel event reporting
1997: UTAH/COLORADO study by Thomas, et al, on 1992 data
1997: American Medical Association (AMA) created the National Patient Safety Foundation (NPSF) for research and education purposes to improve patient safety during the delivery of health care
1998: Institute of Medicine formed Quality of Health Care in America Committee
1999: IOM report brought concern to forefront of potential 44,000 to 98,000 deaths annually from preventable medical errors based on extrapolations from both the Utah/Colorado and New York studies
1999: JCAHO requires organizations to perform a root cause analysis on all sentinel event occurrences
1999: IOM asks Congress to create Center for Patient Safety within AHRQ
* Congress appropriates 50 million dollars for the Center for Patient Safety
2002: Florida law in effect requiring licensed healthcare professionals to complete a 2-hr. medical error prevention course
2003: JCAHO established six (6) patient safety goals. Failure to demonstrate compliance with each of these goals could lead to loss of accreditation.
2003: July - Legible Prescription Law