AIMING FOR ZERO PATIENT HARM
AIMING FOR ZERO PATIENT HARM
17 Pages• Science of Safety • Culture of Safety • Solving Safety Concerns When Learning Matters AIMING FOR ZERO PATIENT HARM Case Study in Clinical LearningPROBLEMS Risk: The goal is zero patient harm, but that’s been difficult to attain for reasons that are systemic, cultural, and based in the current learning paradigm. These factors have left many clinicians with gaps, uncertainty, and misinformation in their knowledge of the best practices that keep patients safe. The unfortunate result is that about 400,000 annual patient deaths in the US are attributable to a clinical error. Time: There has never been less time to treat patients, so most hospitals rebel at the thought of four-hour trainings for their providers. Variation: Safety knowledge often varies from provider to provider in a
