Consider the role of health information technology in helping address concerns presented in the report “To Err Is Human” by Plawecki and Amrhein Article.

To prepare:

· Consider the following statement:

“The most significant barrier to improving patient safety identified in “To Err Is Human” is a “lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).”

· Review “The Quality Chasm Series: Implications for Nursing” focusing on Table below: “Simple Rules for the 21st Century Health Care System.” Reflect on one of the rules where the “current rule” is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.

Simple Rules for the 21st Century Health Care System

Current Approach New Rule
Care is based primarily on visits Care based on continuous healing relationships
Professional autonomy drives variability Customization based on patient needs and values
Professionals control care The patient as the source of control
Information is a record Shared knowledge and free flow of information
Decision making is based on training and experience Evidence-based decision making
Do no harm is an individual responsibility Safety as a system property
Secrecy is necessary The need for transparency
The system reacts to needs Anticipation of needs
Cost reduction is sought Continuous decrease in waste
Preference is given to professional roles over the system Cooperation among clinicians

For this discussion please use: Old Approach-Do no harm is an individual responsibility, New Rule-Safety as a system property and Old Approach-Secrecy is necessary, New Rule-The need for transparency.

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