Development of a taxonomy for characterising medical oncology-related patient safety and quality incidents: a novel approach

BMJ Open Quality

article

Joseph O Jacobson¹  Jessica Ann Zerillo²  Therese Mulvey⁴  Sherri O Stuver¹  Anna C Revette⁶ 

[1] Quality and Patient Safety , Dana-Farber Cancer Institute;Department of Medicine , Harvard Medical School;Hematology-Oncology , Beth Israel Deaconess Medical Center;Massachusetts General Hospital;Boston University School of Public Health;Population Science , Dana-Farber Cancer Institute;Harvard University T H Chan School of Public Health

关键词: incident reporting;    patient safety;    qualitative research;    quality improvement methodologies;   

DOI  :  10.1136/bmjoq-2022-001828

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

The publication of To Err is Human by theInstitute of Medicine (IOM, now the NationalAcademy of Medicine) in 2000 proved tobe a watershed moment in healthcare.1 Forthe first time, national attention focused onflaws in the healthcare system that regularlyled to patient harm. The report drew widespread attention from the press and began animportant national discussion that continuestoday. A follow-up report from the IOM in2004, Patient Safety Achieving a New Standard,recommended a series of sweeping changes.2Principal among them, the IOM argued that‘all healthcare organisations should establishcomprehensive patient safety programmesoperated by trained personnel…’ The mainaim of the proposed programme was tocreate systems for collecting and analysingpatient safety data and using the knowledgeto reduce risk and prevent future incidents.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND