Quality And Safety Initiatives Throughout The U.s. Health...

Quality and safety initiatives are driving important changes in the U.S. health care delivery system. Quality in health care is defined as the degree to which health services for individuals and populations increase the likelihood of desired health outcomes are consistent with current professional knowledge (Nash Goldfarb, 2006, p. 6). The Institute of Medicine (IOM) report, To Err is Human, states that most of the medical errors are resulted from system error and processes. Medical Errors account for 98,000 deaths per year in the US. They increase disability, costs, and decrease confidence in the US health care system (Pham, Aswani, Rosen, Lee, Huddle, Weeks, Pronovost, 2012). And because of this, the IOM established six aims for improvement. These are safety (care should be as safe for patients in health care facilities as in their homes); effectiveness (the science and evidence behind health care should be applied and serve as the standard in the delivery of care); efficiency (care and service should be cost effective, and waste should be removed from the system); timeliness (patients should experience no waits or delays in receiving care and service); patient-centeredness (the system of care should revolve around the patient, respect patient preferences, and put the patient in control); and equity (unequal treatment should be a fact of the past; disparities in care should be eradicated). 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