Sálvese quien deba:
La seguridad del paciente

Último  informe emitido por el Instituto de Medicina, perteneciente a las Academias Nacionales de Ciencias, Ingeniería y Medicina de Estados Unidos. El informe, titulado Mejorando en diagnóstico en la asistencia sanitaria, es el cuarto de una serie que comenzó en el año 2000 con Errar es humano: construyendo un sistema sanitario más seguro y continuó con Cruzando el abismo de la calidad: un nuevo sistema sanitario para el siglo XXI y La prevención de errores de medicación.

Libro:  Improving Diagnosis in Health Care.  National Academies of Sciences, Engineering, and Medicine Washington, DC: The National Academies Press; 2015. 346 p. 
Recent years have seen some attention paid to the issue of diagnosis as a safety and quality topic. The [US] Institute of Medicine established a Committee on Diagnostic Error in Health Care. The Committee has produced this document arguing that “improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers.” A British Medical Journal item (http://www.bmj.com/content/351/bmj.h5064) on this report started by noting that the report suggests “Diagnostic errors contribute to approximately 10% of patient deaths and to as many as 17% of hospital adverse events, yet have remained largely ignored in recent quality improvement and patient safety initiatives”. 
The New England Journal of Medicine also has an item, titled Reducing Diagnostic Errors — Why Now? summarising the significance of the issue and identifying some of the same opportunities (http://dx.doi.org/10.1056/NEJMp1508044). The report describes a number of goals (and associated recommendations) for improving diagnosis. 
The goals include: 
1. Facilitate more effective teamwork in the diagnostic process among health care professionals, patients, and their families 
2. Enhance health care professional education and training in the diagnostic process 
3. Ensure that health information technologies support patients and health care professionals in the diagnostic process 
4. Develop and deploy approaches to identify, learn from, and reduce diagnostic errors and near misses in clinical practice 
5. Establish a work system and culture that supports the diagnostic process and improvements in diagnostic performance 
6. Develop a reporting environment and medical liability system that facilitates improved diagnosis by learning from diagnostic errors and near misses 
7. Design a payment and care delivery environment that supports the diagnostic process 
8. Provide dedicated funding for research on the diagnostic process and diagnostic errors. Along with the report various other resources have been made available, including a Diagnostic Error Toolkit resource for patients, families, and health care professionals.
Fuente: On the Radar Issue 242

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