Jefferson Health’s safety secret: Resilience engineering
Becker's Healthcare November 18, 2024
The patient safety movement has come to “a little bit of a standstill,” said Jefferson Health leader Oren Guttman, MD.
Dr. Guttman, Jefferson’s enterprise leader in safety and high reliability, joined the AHA’s Advancing Health podcast to discuss patient safety efforts since the groundbreaking report, “To Err Is Human: Building a Safer Health System,” was published in 1999.
Healthcare is an irreducibly complex system, Dr. Guttman said on the podcast, because “the same events that interact today and produce success can interact tomorrow and produce failure.”
When the report was published, about 10% of health systems used an EHR. Now, EHRs and other technology are everywhere in the industry. This is the disconnect, Dr. Guttman said: Patient safety...