Improving Health Care Quality

Medical Error Reporting

The Institute of Medicine’s (IOM) 1999 report, To Err Is Human, identified patient safety as one of the country's most pressing health care issues. The IOM attributed 44,000 to 98,000 deaths annually to medical errors, many of which could be prevented by implementing systems to report adverse events. Such systems help health care providers understand why errors occur and improve processes to prevent them from recurring. IHP’s work in this area has focused on the study of voluntary error reporting systems to improve patient safety.

For more information please contact Brian Raymond.

Publications October 2003 In Pursuit of Safety: Challenges, Progress and Policy Implications for the United States Patient Safety Movement Robert M. Crane, Brian Raymond and Jennifer Neisner, Kaiser Permanente Institute for Health Policy, Oakland, CA September 2000 Testimony before The National Summit on Medical Errors and Patient Safety Research , Robert M. Crane, Kaiser Permanente Institute for Health Policy, Oakland, CA August 2000 Summary of Existing Patient Safety Reporting Systems August 2000 Design Considerations for a Patient Safety Improvement Reporting System Brian Raymond and Robert M. Crane, Kaiser Permanente Institute for Health Policy, Oakland, CA March 2000 Reporting as a Means to Improve Patient Safety Brian Raymond, Kaiser Permanente Institute for Health Policy, Oakland, CA

Events and Panels/Presentations