Improving Quality, Minimizing Error: Making It Happen

Authors:
  • MCMark R. Chassin
    Mark R. Chassin
  • DBDonald M. Berwick
    Donald M. Berwick
  • TNThomas W. Nolan
    Thomas W. Nolan
  • JWJohn Whittington
    John Whittington
  • NANancy E. Adler
    Nancy E. Adler
  • KNKatherine Newman
    Katherine Newman
  • ARAnn E. Rogers
    Ann E. Rogers
  • WHWei-Ting Hwang
    Wei-Ting Hwang
  • LSLinda D. Scott
    Linda D. Scott
  • LALinda H. Aiken
    Linda H. Aiken
  • DDDavid F. Dinges
    David F. Dinges

Abstract
Medical errors and the quality problems to which they lead harm millions of Americans each year. If we are to reduce errors and improve quality substantially, we must create systems and care processes that anticipate inevitable human errors and either prevent them or compensate for them before they cause harm. Formidable barriers now stand in the way of progress. Success will require a multifaceted strategy, including public education, government investment and regulation, payment system restructuring, and leadership from within the delivery system.