Kaiser Permanente, Oakland, California 94612, USA.
J Patient Saf. 2011 Mar;7(1):5-10. doi: 10.1097/pts.0b013e31820c98cd.
On April 15, 2010, patient safety experts were assembled to discuss the adequacy of the public policy response to the Institute of Medicine report "To Err is Human" 10 years after its publication. The experts concluded that additional government actions should be considered. Actions that deserve consideration include the development of an educational campaign to improve public and provider understanding of the issue as a means to support change similar to successful public health campaigns, support the evolution of payment reform away from fee for service, create a clearer aim or goal for patient safety activities, support the development and use of better safety measures to judge status and improvement, and support for additional learning of what works particularly on implementation issues. Participants included: Moderator Robert Crane, senior advisor, Kaiser Permanente Participants Doug Bonacum, vice president, Safety Management, Kaiser Permanente Janet Corrigan, PhD, president and CEO, National Quality Forum Helen Darling, MA, president and CEO, National Business Group on Health Susan Edgman-Levitan, PA, executive director, John D. Stoeckle Center for Primary Care Innovation, Massachusetts General Hospital David M. Lawrence, MD, MPH, chairman and CEO (Retired), Kaiser Foundation Health Plan and Hospitals, Inc Lucian Leape, MD, adjunct professor of Health Policy, Harvard School of Public Health Diane C. Pinakiewicz, president, National Patient Safety Foundation Robert M. Wachter, MD, professor and associate chairman, Department of Medicine, University of California, San Francisco.
2010 年 4 月 15 日，召集了患者安全专家讨论公共政策对医学研究所报告“犯错是人而非机器”出版 10 年后的回应是否充分。专家们得出结论，应考虑采取更多的政府行动。值得考虑的行动包括开展教育活动，以提高公众和提供者对该问题的理解，以此支持类似成功的公共卫生运动的变革；支持支付方式改革从按服务收费转变；为患者安全活动设定更明确的目标或目的；支持开发和使用更好的安全措施来评估状况和改进；支持进一步学习实施问题上特别有效的措施。与会者包括：主持人罗伯特·克莱恩（Robert Crane），Kaiser Permanente 高级顾问；道格·博纳库姆（Doug Bonacum），Kaiser Permanente 安全管理副总裁；珍妮特·科里根（Janet Corrigan），博士，国家质量论坛主席兼首席执行官；海伦·达林（Helen Darling），马萨诸塞州商业集团主席兼首席执行官；苏珊·埃德加曼-莱万坦（Susan Edgman-Levitan），PA，约翰·D·斯多克中心初级保健创新主任，马萨诸塞州综合医院；大卫·劳伦斯（David M. Lawrence），医学博士，公共卫生硕士，Kaiser 基金会健康计划和医院董事长兼首席执行官（退休）；卢西安·利普（Lucian Leape），医学博士，哈佛公共卫生学院卫生政策兼职教授；黛安·皮纳基维茨（Diane C. Pinakiewicz），国家患者安全基金会主席；罗伯特·M·瓦赫特（Robert M. Wachter），医学博士，加州大学旧金山分校医学教授兼副主席。
