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Pascal Blog Highlights
Dr. Don Berwick Responds to NEJM-published Harvard Trigger Study by Renewing Call for Automated Harm Detection
“They may not welcome the duty to push patient safety back to strategic prominence. Nevertheless, ‘first do no harm’ remains a sacred obligation for all in health care, and success requires ‘constancy of purpose for improvement.’ Without renewed board and executive leadership and accountability for safety and without concerted, persistent investment in and monitoring of change, a summary study 34 years from now may again look all too familiar, with millions upon millions of patients, families, and health care staff paying the price for inaction.”
Trigger-based Patient Safety Method Finds High Rate of Preventable Harm in Hospitals – New Harvard Study Reveals
Dr. David Bates, Dr. Elizabeth Mort, and co-authors from Mass Gen Brigham and affiliates sought to evaluate the current state of patient safety using a trigger-based method across 11 Massachusetts hospitals using 2018 data. To summarize the remarkable findings, the study identified one adverse event in every four admissions, and approximately a quarter of those were preventable.