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LT Kohn, JM Corrigan, MS Donaldson
To Err Is Human: Building a Safer Health System.
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EDITORIAL HE MAINTENANCE OF CERTIFICATION man, documenting the incidence of medical errors and (MOC) program, to be introduced by the estimating a yearly death rate of 44000 to 98000 as a re- American Board of Ophthalmology (ABO) sult. These numbers quickly caught the public’s atten- in 2004, represents a new level of think- tion. In response to the perception that organized medi- T ing about physician skills and methods of cine was failing to protect the public, a growing list of assessing them. It is fair, therefore, to ask how this came organizations outside medicine, often defined by their about and what it will accomplish. obscure names or acronyms—Leapfrog Group (Wash- When the concept of a specialty board was first de- ington, DC), JCAHO (Joint Commission on Accredita- veloped with the formation of the ABO nearly 90 years tion of Healthcare Organizations, Oakbrook Terrace, Ill), ago, the emphasis was on a demonstration of qualifica- NCQA (National Committee for Quality Assurance, tions to practice as a specialist. This emphasis reflected Washington, DC), NQF (National Quality Forum, Wash- the need at a time when so many claiming to be special- ington, DC), and CMS (Centers for Medicare & Medic- ists had
JAMA Ophthalmology – American Medical Association
Published: May 1, 2004
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