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McCannon J, Berwick DM. JAMA. 2011;305:2221-2.
Highlighting goals and strategies of the Partnership for Patients program, this commentary discusses challenges to improving patient safety.
Transferred to a tertiary hospital, a child with severe swelling of the brain is found to have venous sinus thromboses and little chance of survival. Further review revealed that the referring hospital had missed subtle signs of cerebral edema on the initial CT scan days earlier, raising the question of whether to disclose the errors of other facilities or caregivers.
Washington, DC: US Department of Health and Human Services.
Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals. Its emphasis on partnerships (between government, provider organizations, payers, and patients) echoes certain Institute for Healthcare Improvement (IHI) campaigns, developed by Medicare director Dr. Donald Berwick while he led IHI. The Partnership focuses on skill building, demonstration projects, and collaboratives. Through 2019, the Hospital Improvement and Innovation Networks will work to achieve a 20% decrease in overall patient harm and a 12% reduction in 30-day hospital readmissions as a population-based measure from the 2014 baseline. In September 2015, the program awarded $110 million to 17 national, regional, or state hospital associations and health system organizations. CMS estimates that 2.1 million fewer patients were harmed and nearly $20 in health care costs were saved from 2010 to 2014. Medicare hopes these recent monetary awards will continue to drive this momentum on improving patient safety. This project has now ended. 
Kurtzman ET, O'Leary D, Sheingold BH, et al. Health Aff (Millwood). 2011;30:211-218.
This survey of hospital and nursing unit leaders found a perception that nurses could help achieve high quality care in response to financial incentives. However, nurse leaders expressed several concerns about the impact of such incentives systems on nursing workload, staffing, and satisfaction.
The 1999 Institute of Medicine report highlighted the need for health care providers to address the serious concerns raised about the quality and safety of patient care being provided in our health care organizations. Organizations responded by looking at new ways to fix the system, mostly through the introduction of new technologies and system/process redesign. Advances have been made, but there are still significant opportunities for improvement. Is the barrier poor system or process design, or is it related to addressing basic human behaviors?
Health Serv Res. 2009 Apr;44(2 Pt 2):623-776.
This special series of articles highlights the progress and current state of patient safety since the landmark IOM report. The series was developed by the Agency for Healthcare Research and Quality (AHRQ) as a method to critically evaluate their efforts, and those of their grantees, in funding more than 230 patient safety projects. The compilation showcases AHRQ's efforts to catalyze innovation and advance knowledge in patient safety, reflected in part by the articles in this series. An introductory editorial highlights themes that should drive the next 10 years of patient safety progress, which include changing safety culture, increasing transparency in providing care and examining risk, embracing the power of multidisciplinary teams, realizing the benefits of information technology, and approaching every issue through the patient's eyes.
Thomas H. Gallagher, MD, is Associate Professor in the Department of Medicine and the Department of Medical History and Ethics at the University of Washington in Seattle. Dr. Gallagher's current research covers the disclosure of medical errors, examining patients' and doctors' attitudes about disclosure, how best to train providers to disclose and apologize for errors, and how to create a system that promotes appropriate disclosure. We asked him to speak with us about new developments in the field of patient disclosure and apologies.
Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2007. ISBN: 9780833042170
This report discusses Agency for Healthcare Research and Quality's (AHRQ) involvement in patient safety activities between 2004-2005 and provides suggestions for future actions. This document is the third of four yearly publications funded by AHRQ to assess their work.