The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.
Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year--and aim to do even better. Health Aff (Millwood). 2011;30(4):604-611. doi:10.1377/hlthaff.2010.1276.
This commentary reveals how one large health care system successfully reduced preventable deaths and suggests that adopting principles from high reliability organizations can improve safety.