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BMJ 2005;331:302-304 (6 August), doi:10.1136/bmj.38562.690104.43 (published 1 August 2005)
Has been told; now it is time to make practice safer
| The first 150 words of the full text of this article appear below. |
Investigating and improving patient safety in health care is now an international phenomenon. The establishment of the National Patient Safety Agency in the United Kingdom1 and of the Center for Quality Improvement and Patient Safety in the United States2 are prime examples of the prominence given to safety within the wider concept of healthcare quality. No longer can there be any doubt that the most fundamental ethical principle in medicinefirst, do no harmis being taken seriously by a wide constituency. The next step is to embed safe practice into everyday clinical behaviour.
Why is there so much interest in patient safety? Why now? Data have been available on error rates in medicine for at least a decade. Although there had been earlier work in the 1970s, the landmark Harvard Medical Practice study of hospital inpatients was published in 1991.3 Additional studies followed from Australia and other contexts.4 This research
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Glyn Elwyn, clinician editor of saferhealthcare
Centre for Health Sciences Research, School of Medicine, Cardiff University, Cardiff CF10 3AT
elwyng@cardiff.ac.uk
Janet M Corrigan, president and chief executive officer
National Committee for Quality Health Care, 1701 K St NW, Washington DC 20006, USA
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