Patient Safety in Times of Limited Resources. Don Parsons, MD Exempla Ethics Symposium September 16, 2011. Theme.
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Don Parsons, MD
Exempla Ethics Symposium
September 16, 2011
Improved patient outcomes do not require increased resources, in fact, smarter allocation may result in better outcomes. We promote ethical and rational deployment, not “rationing”.
Dr. Mark Chassin
Current Chair of The Joint Commission
National Quality Goals
Dr. Ignaz Semmelweis
“It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm”
"We believe it is the duty of every hospital to establish a follow-up system, so that as far as possible the result of every case will be available at all times for investigation by members of the staff, the trustees, or administration, or by other authorized investigators or statisticians."
Dr. Joseph Juran- LEAN,
W. Edwards Deming
Founder, Institute for Healthcare Improvement www.ihi.org
Professor of Pediatrics and Health Policy, Harvard Medical School and School of Public Health
*estimated, no reporting requirement in most states, except total knees and hips
“Commitment to support and actively participate in identifying and implementing system changes that will lead to significant and sustainable improvement in your hospital”
Surgeon at Brigham and Women’s, Boston
WHO Surgical Checklist—average reduction in deaths: 46%, could save $25bb/year!!
The Checklist Manifesto: How to Get Things Right, 2009
Patient and Family empowerment