Diagnostic error includes error or delay in diagnosis, failure to employ indicated tests, use of outmoded tests or therapy, and failure to act on results of monitoring or testing. Treatment error includes error in the performance of an operation, procedure or test, error in administering the treatment, error in the dose or method of using a drug, avoidable delay in treatment or in responding to an abnormal test, and inappropriate care. Preventive error includes failure to provide prophylactic treatment, and inadequate monitoring or follow-up of treatment. Other errors include failure of communication, equipment failure, and other system failure. …show more content…
The strategy for improvement includes first, to establish a national focus to create leadership, research, tools, and protocols to enhance the knowledge base about safety.
Second, identify and learn from errors by developing a nationwide public mandatory reporting system and by encouraging health care organizations and practitioners to develop and participate in voluntary reporting systems. Third, raise performance standards and expectations for improvements in safety through the actions of oversight organizations, professional groups, and group purchasers of health care. Last, implement safety systems in health care organizations to ensure safe practices at the delivery
level.