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Tracking Progress in Patient Safety
An Elusive Target
Peter J. Pronovost, MD, PhD;
Marlene R. Miller, MD, MSc;
Robert M. Wachter, MD
JAMA. 2006;296:696-699.
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The fifth anniversary of the Institute of Medicine's report on medical errors prompted widespread reflection on the progress with patient safety.1 Much of this reflection focused on a single question: Are patients safer now? Data from neither the entire US health care system nor individual hospitals can yield a credible answer.2-4
The inability to answer this question is doubly surprising given the increase in publicly available quality measures over the same period. Patients or clinicians can use the Internet to find how often many hospitals in the United States prescribe  -blockers for Medicare patients with acute myocardial infarction or administer appropriate antibiotics to patients with pneumonia (eg, http://www.hospitalcompare.hhs.gov). However, most of these measures reflect processes of care and quality measures, not safety; apply to relatively small subsets of patients; and, by and large, do not . . . [Full Text of this Article] Current Methods of Measuring Safety
Author Affiliations: Departments of Anesthesiology and Critical Care (Dr Pronovost) and Pediatrics (Dr Miller), Johns Hopkins University, Baltimore, Md; and Department of Medicine, University of California, San Francisco (Dr Wachter).
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