RT Book, Section
A1 Frush, Karen S.
A1 Krug, Steven E.
SR Print(0)
ID 1105561077
T1 Medical Errors, Adverse Events, and Human Factors
T2 Pediatric Patient Safety and Quality Improvement
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071827362
LK accesspediatrics.mhmedical.com/content.aspx?aid=1105561077
RD 2024/04/25
AB Approximately  3.7%  of  patients  hospitalized  in  New  York  State  in  1984  suffered  a  disabling  adverse  event,  two-thirds  of  which  were  preventable.1  This  data,  published  by  Lucian  Leape  and  colleagues  in  1991,  was  startling  to  many  and  initiated  widespread  discussions  about  unintended  patient  harm.  Indeed,  many  experts  agree  that  the  modern  patient  safety  movement  was  conceived  with  the  publication  of  this  research  in  what  became  known  as  the  Harvard  Medical  Practice  Study.  Leape  would  later  say,  “I  recognized  that  my  colleagues  and  I  had  uncovered  a  huge  problem,  but  we  had  no  idea  what  to  do  about  it.”