
The Institute for Healthcare Improvement (IHI), an independent not-for-profit organization based in Boston, Massachusetts, is a leading innovator, convener, partner, and driver of results in health and health care improvement worldwide. At our core, we believe everyone should get the best care and health possible. This passionate belief fuels our mission to improve health and health care.
Episodes

Friday Aug 10, 2018
Author in the Room: Improving Patient Safety by Taking Systems Seriously
Friday Aug 10, 2018
Friday Aug 10, 2018
March 2008 Author in the Room® Teleconference
Author: Stephen M Shortell, PhD
Summary Points:
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To make real progress in patient safety will require redesigning the underlying system of care such that health care professionals and institutions providing a continuum of services from prevention to hospice can address multiple conditions and episodes over time. A "culture of systems" must be established.
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Competing priorities, professional autonomy, solo and small physician practices, disciplinary silos, misaligned financial incentives, and inadequate feedback about performance all undermine efforts to create safe health care systems.
- A number of strategic, cultural, technical, and structural barriers need to be addressed to ensure safer care. This includes the need for patient safety organizations to gather information across the continuum of care and provide both rapid feedback to practitioners and analyze trends over time.
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