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Development of an Online Morbidity, Mortality, and Near-Miss Reporting System to Identify Patterns of Adverse Events in Surgical Patients—Invited Critique
Martin A. Makary, MD, MPH
Arch Surg. 2009;144(4):311.
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Every day we apply years of rigorous training to work in an extremely high-risk and litigious environment. Yet, in no other industry are consequential errors dealt with in such a haphazard, reactionary, and secluded manner.
Regrettably, research in patient safety has lagged behind surgeons' demand for it. That is, the area of safety has been plagued by a paucity of scholarship and data. In light of this deficit, Bilimoria et al have advanced the field by describing a standardized method to capture events and classify them in a systematic way. Commendably, they promote the science of safety by testing a defined intervention. In short, Bilimoria et al show how we can learn from mistakes in a more organized and comprehensive way. Most importantly, they uphold the key pillars of patient safety: evaluate systems, standardize processes, and learn from mistakes.
Missing in this study, however, and . . . [Full Text of this Article]
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Development of an Online Morbidity, Mortality, and Near-Miss Reporting System to Identify Patterns of Adverse Events in Surgical Patients
Karl Y. Bilimoria, Thomas E. Kmiecik, Debra A. DaRosa, Amy Halverson, Mark K. Eskandari, Richard H. Bell, Jr, Nathaniel J. Soper, and Jeffrey D. Wayne
Arch Surg. 2009;144(4):305-311.
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