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In its landmark 1999 report, entitled "To Err is Human: Building a
Safer Health Care System" the National Academy of Sciences Institute
of Medicine (IOM) said that a “culture of blame” pervades America’s
health care system, creating a fundamental barrier to improving patient
safety. The IOM emphasized that errors and injuries occur for a variety of
reasons, and that incompetence of the physician rarely is the sole or even
primary reason. The IOM said that the causes of medical errors, in
reality, are much more complex, usually involving system errors like
communication methods and work processes, and involving multiple
participants in health care delivery.
MedChi is working with other Maryland health leaders to address the
challenges to building a safer health care system. One of these is to
identify systematically events in which patient injury occurs, or, equally
importantly, in which there was potential for injury, even if no injury
occurred. The following resources describe Maryland's patient safety
movement and MedChi's active role in it.
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