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Learning Accountability for Patient Outcomes

Learning Accountability for Patient Outcomes COMMENTARY CLABSI is a bellwether for holding health care profes- Peter J. Pronovost, MD, PhD sionals accountable for patient outcomes. Accountability for patient outcomes traditionally rests with professional self- ACH YEAR, AN ESTIMATED 100 000 PATIENTS DIE OF regulation. When evaluating a hospital’s infection rate com- health care–associated infections, another 44 000 to prising the practices of many clinicians, hospital leaders also 98 000 die of other preventable errors, and tens of must be accountable. Too often, neither physicians nor hos- Ethousands more die of diagnostic errors or failure to pital leaders hold themselves accountable for patient out- 1-3 receive recommended therapies. Physicians are overcon- comes. Many hospital infection rates are substantially higher fident about the quality of care they provide, believing things than the national average, and public reporting seems es- will go right rather than wrong, assuming they provide sential to garner the attention these infection rates deserve. higher-quality care than the evidence suggests, and think- The CLABSI intervention is being spread to other states. ing they alone have sufficient knowledge and skills to pro- The secretary of the Department of Health and Human Ser- vide care. vices called for a 50% national reduction in CLABSI over http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Learning Accountability for Patient Outcomes

JAMA , Volume 304 (2) – Jul 14, 2010

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2010.979
pmid
20628135
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY CLABSI is a bellwether for holding health care profes- Peter J. Pronovost, MD, PhD sionals accountable for patient outcomes. Accountability for patient outcomes traditionally rests with professional self- ACH YEAR, AN ESTIMATED 100 000 PATIENTS DIE OF regulation. When evaluating a hospital’s infection rate com- health care–associated infections, another 44 000 to prising the practices of many clinicians, hospital leaders also 98 000 die of other preventable errors, and tens of must be accountable. Too often, neither physicians nor hos- Ethousands more die of diagnostic errors or failure to pital leaders hold themselves accountable for patient out- 1-3 receive recommended therapies. Physicians are overcon- comes. Many hospital infection rates are substantially higher fident about the quality of care they provide, believing things than the national average, and public reporting seems es- will go right rather than wrong, assuming they provide sential to garner the attention these infection rates deserve. higher-quality care than the evidence suggests, and think- The CLABSI intervention is being spread to other states. ing they alone have sufficient knowledge and skills to pro- The secretary of the Department of Health and Human Ser- vide care. vices called for a 50% national reduction in CLABSI over

Journal

JAMAAmerican Medical Association

Published: Jul 14, 2010

References