As the 1999 report states, human error is inevitable. But, many other industries (e.g., the aviation/airline industry) but have all but eliminated human error through institutional processes that protect against and catch errors before they are made.
Individual hospitals have successfully instituted processes that have achieved this, but they haven’t spread as quickly as they need to. Said differently, these conditions are preventable in that the industry has proven methods for significantly reducing and even eliminating their occurrence. Yet, we haven’t experienced a major tipping point that has caused these efforts to diffuse throughout the delivery system.
Will CMS create one?
The federal government has refused to reimburse hospitals for treating healthcare-acquired conditions since 2008, and beginning in 2015, it will further cut payments to hospitals with high rates of HAIs under its Hospital-Acquired Condition Reduction Program.
Let’s hope that the additional penalty, along with other value-based payment reforms — from both public and commercial payers — which we are increasingly seeing, will be the catalyst for bringing about serious improvements to reduce preventable medical errors. Every day we delay, approximately 268 people will die because of our slow response.
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