The publication of two Institute of Medicine (IOM) reports-To Err is Human: Building A Safer Health System in 1999 and Crossing the Quality Chasm: A New Health System for the 21st Century in 2001-served as a catalyst to increase awareness among health care professionals that the American health care system is beset by serious problems related to patient safety and medical errors.
Explore this issue:October 2007
Since then, knowledge and opinion leaders in the health care industry, such as Kenneth I. Shine, MD, who was President of the IOM when these studies were done, have strived to improve this situation so that America’s health care system is safe, effective, patient-centered, timely, efficient, and equitable.
They envision a system that uses the best knowledge, is focused intensely on patients, and works across health care providers and settings. Achieving this ideal will require crossing a large chasm between today’s system and the possibilities of tomorrow.