Consider the role of health information technology in helping address concerns presented in the report "To Err Is Human" by Plawecki and Amrhein Article.
To prepare:
• Consider the following statement:
"The most significant barrier to improving patient safety identified in "To Err Is Human" is a "lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008)."
• Review "The Quality Chasm Series: Implications for Nursing" focusing on Table below: "Simple Rules for the 21st Century Health Care System."
Reflect on one of the rules where the "current rule" is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.
Simple Rules for the 21st Century Health Care System
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Current Approach
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New Rule
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Care is based primarily on visits
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Care based on continuous healing relationships
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Professional autonomy drives variability
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Customization based on patient needs and values
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Professionals control care
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The patient as the source of control
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Information is a record
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Shared knowledge and free flow of information
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Decision making is based on training and experience
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Evidence-based decision making
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Do no harm is an individual responsibility
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Safety as a system property
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Secrecy is necessary
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The need for transparency
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The system reacts to needs
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Anticipation of needs
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Cost reduction is sought
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Continuous decrease in waste
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Preference is given to professional roles over the system
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Cooperation among clinicians
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For this discussion please use: Old Approach-Do no harm is an individual responsibility, New Rule-Safety as a system property and Old Approach-Secrecy is necessary, New Rule-The need for transparency.