HCQM-PATIENT SAFETY ACTUAL 2026
QUESTIONS AND VERIFIED ANSWERS
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Terms in this set (80)
First organization developed Anesthesia Patient Safety Foundation - founded
expressly to improve safety for 1985.
patients.
Ellison Pierce Established the Committee on Patient Safety and
Risk Management in 1982; coined the term
"patient safety", founded the Anesthesia Patient
Safety Foundation in 1985; delivered the
Rovenstine Lecture in 1996.
1996's Rovenstine Lecture (40 Years Ellison Pierce described the beginning of
behind the Mask: Safety Revisited) anesthesiology's patient safety movement
1982 20/20's The Deep Sleep: 6000 Inspired Pierce's Rovenstine Lecture about
will Die or Suffer Brain Damage patient safety
After attending a workshop by An inspector rather than a promoter of quality.
Deming, Berwick realized he was
misguided because he had been
, 1988 Institute for Healthcare Don Berwick, Paul Batalden, and Gene Nelson.
Improvement was founded by The institute focuses on all aspects of quality, but
their discovery of a modern approach to quality
helped transform the patient safety movement.
Harvard Medical Practice Study I Published in 1991 by the New England Journal of
and II Medicine it had the results from two large studies
of adverse medical events and provided the
evidence that significant numbers of patients are
harmed by medical treatment and a framework
for understanding the types of harm they
experience.
Harvard Medical Practice Study I 30,000 Medical records from 1984 non psych
hospitals in NYS were screened for adverse
events (injury caused by medical management
rather than underlying disease and prolonged
the hospitalization or produced a disability at the
time of discharge) and negligence (care falling
below the standard expected of physicians in
their community).
Harvard Medical Practice Study II Classified the injuries described in Study I and
the management errors that were responsible.
Results of Harvard Medical Study II Adverse events occurred in 3.7% of
hospitalizations and 27.6% of the events were due
to negligence. 70.5% gave rise to disability lasting
less than six months, 2.6% caused permanently
disabling injuries and 13.6% led to death.
Unfortunately it did not lead to immediate
change.
QUESTIONS AND VERIFIED ANSWERS
Save
Terms in this set (80)
First organization developed Anesthesia Patient Safety Foundation - founded
expressly to improve safety for 1985.
patients.
Ellison Pierce Established the Committee on Patient Safety and
Risk Management in 1982; coined the term
"patient safety", founded the Anesthesia Patient
Safety Foundation in 1985; delivered the
Rovenstine Lecture in 1996.
1996's Rovenstine Lecture (40 Years Ellison Pierce described the beginning of
behind the Mask: Safety Revisited) anesthesiology's patient safety movement
1982 20/20's The Deep Sleep: 6000 Inspired Pierce's Rovenstine Lecture about
will Die or Suffer Brain Damage patient safety
After attending a workshop by An inspector rather than a promoter of quality.
Deming, Berwick realized he was
misguided because he had been
, 1988 Institute for Healthcare Don Berwick, Paul Batalden, and Gene Nelson.
Improvement was founded by The institute focuses on all aspects of quality, but
their discovery of a modern approach to quality
helped transform the patient safety movement.
Harvard Medical Practice Study I Published in 1991 by the New England Journal of
and II Medicine it had the results from two large studies
of adverse medical events and provided the
evidence that significant numbers of patients are
harmed by medical treatment and a framework
for understanding the types of harm they
experience.
Harvard Medical Practice Study I 30,000 Medical records from 1984 non psych
hospitals in NYS were screened for adverse
events (injury caused by medical management
rather than underlying disease and prolonged
the hospitalization or produced a disability at the
time of discharge) and negligence (care falling
below the standard expected of physicians in
their community).
Harvard Medical Practice Study II Classified the injuries described in Study I and
the management errors that were responsible.
Results of Harvard Medical Study II Adverse events occurred in 3.7% of
hospitalizations and 27.6% of the events were due
to negligence. 70.5% gave rise to disability lasting
less than six months, 2.6% caused permanently
disabling injuries and 13.6% led to death.
Unfortunately it did not lead to immediate
change.
