Zero Harm in Health Care | NEJM Catalyst

How a comprehensive systems-focused approach can help to prevent all types of harm in health care

Despite some real success in improving patient safety in recent years, achieving the goal of zero harm to patients, families, and the health care workforce is a massive undertaking that requires a comprehensive effort. A robust systems-focused approach to improving safety requires four interdependent elements: 

Effectively managing change by tending to the psychology of change; creating and sustaining a culture of safety; 
Developing and leveraging an optimal learning system,  
Engaging patients in the codesign of care and improvement.





Zero Harm in Health Care | NEJM Catalyst

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