May 2009 marked the fifth anniversary of the publication of the Canadian Adverse Events Study.
G. Ross Baker, co-author of The (2004) Canadian Adverse Events Study. (Can. Med. Assoc. J., May 2004) calls for "deeper capacity" to deal with ongoing changes in healthcare. He now writes:
• Evidence of risks and their impact on patients continues to emerge, both in hospitals (where the evidence is considerable) and community settings (where it is not).
• New technologies that improve diagnostic capabilities or offer therapeutic benefits often carry risks.
• Even if these risks are carefully calibrated, this knowledge is not always widely shared.
• Methods and tools alone may be insufficient to create an environment supporting safer care.
• Hand hygiene is "widely recognized as a critical practice for reducing healthcare-associated infections, many audits find only modest levels of acceptable practice."
Many experts, he writes, believe that healthcare has lagged in creating the types of effective safety learning systems seen in other high-risk industries.
The editorial can be found in a special release of the journal Healthcare Quarterly dedicated to patient safety issues.
Full issue available here:
http://www.longwoods.com/home.php?cat=604
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