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.
Patient safety generally relies on software portals to report events. The idea is that, if a “culture of safety” is positive, clinicians and staff will report patient safety events. For its part, risk management generally relies on claims management software. The idea is that, once a lawsuit is on the books, a risk management team will manage that case until its conclusion. These two workflows are not only occurring at different time frames along the journey of a patient and her family but they also are addressing very different needs and, as a result, reflect very different requirements for “success.”