Medicine has traditionally treated errors as failings on the part of individual providers, reflecting inadequate knowledge or skill. The systems approach, by contrast, takes the view that most errors reflect predictable human failings in the context of poorly designed systems.
Just 22 percent of Georgia hospitals received an “A” grade on patient safety in the latest ratings from the Leapfrog Group. That put Georgia in a tie for 36th place among states ranked on percentages of top-safety hospitals. The ratings from Leapfrog, a patient safety organization founded by employers, are issued semi-annually, in fall and spring. In this year’s spring survey, Georgia came in 35th among states in the overall percentage of top-performing hospitals. The Leapfrog Group’s rankings are part of a growing movement to analyze and report publicly on the quality of medical care. Leapfrog gives “A” through “F” grades to more than 2,600 hospitals based on how they prevent medical errors, injuries, accidents and infections. Not all hospitals are graded: Critical access hospitals and pediatric facilities are excluded because of insufficient data. Hospital safety problems, including patient injuries, accidents and infections, kill more than 200,000 Americans each year, making these errors the third-leading cause of death in the nation, Leapfrog said. “In the fast-changing health care landscape, patients should be aware that hospitals are not all equally competent at protecting them from injuries and infections,’’ Leapfrog President and CEO Leah Binder said in a statement. “We believe everyone has the right to know which hospitals are the safest and encourage community members to call on their local hospitals to change, and on their elected officials to spur them to action. States that put a priority on safety have shown remarkable improvements.” Of the U.S. hospitals evaluated by Leapfrog
Once again, I called it! Some of my previous takes on the fallacies of "Quality": 9/24/09: The biggest mistake made by Medicare, private insurers, and other entities seeking to improve medical care by rewarding “quality” is mistaking it for “performance”. 2/18/13: The real reason doctors have begun “requiring” that patients undergo all manner of screening…
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