Category Archives: Work Environment : Part 2

Changing the Work Environment in ICUs to Achieve Patient-Focused Care

Changing the Work Environment in ICUs to Achieve Patient-Focused CareThe landmark Institute of Medicine (IOM) document To Err Is Human: Building a Safer Health System1 transformed the way we think about patients safety. By making public the dangers that patients face when they enter the current health-care system, the IOM used its influence effectively to call for dramatic transformations in the way we evaluate errors and changed the focus of error prevention from individual punishment to one of system redesign. In Crossing the Quality Chasm: A New Health System for the Twenty-First Century,2 the IOM then attacked the dysfunctional processes of our past and current health-care systems (eg, pervasive poor communication and noninterdisciplinary, often isolationist decision-making behavior). By focusing on effective team performance, data-driven analysis of system failures, and continuous process improvements to reduce risk, the IOM called for a revolution in the way we communicate with each other, anticipate and modify patients’ risk, and evaluate our effectiveness.
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