To Err Is Human

In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report. Review the summary of “To Err Is Human” presented in the Plawecki and Amrhein article found in this week’s Learning Resources.

Consider the following statement:
“The most significant barrier to improving patient safety identified in “To Err Is Human” is a “lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).”

Review “The Quality Chasm Series: Implications for Nursing” focusing on Table 3: “Simple Rules for the 21st Century Health Care System.” Consider your current organization or one with which you are familiar. Reflect on one of the rules where the “current rule” is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.

Sample Essay on To Err Is Human

To Err is Human

            [blur] The high frequency of medical errors with consequent harm to the patients can be prevented using systems of information technology. The publications To Err Is Human, and Crossing the Quality Chasm, put forward recommendations on how to improve the quality of medical care through information technology. It has been established in theory and practice that health information assisted care can reduce improve the quality of care through reducing the number of possible errors (Bardhan & Thouin, 2013). [/blur]  

[blur] In “To Err Is Human”, lack of proper knowledge of the number of errors that occur on a daily basis in health organizations was identified as a key source of error. This hence call for the need to implement electronic health record system in order maintain and integrate data in real time to control errors (Wakefield, 2008). Systems that utilize information technology (IT) such as automated dispensing, barcode medical management, computerized medication management, electronic order entry and electronic health records among others control the possibility of medical errors. Additionally, through IT records it is easy to identify medical errors and correct them in time (Agrawal, 2009). [/blur]

            [blur] One current approach that is used in my organization is that cost reduction is sought rather than continuous reduction in waste. The organization is committed to lower the cost of health care while at the same time improving the quality of care. As the care expenditures continue to rise, the organization is committed to implementing nursing models that help to control the high costs. One instance in which the organization has transitioned to the new rule is evidence based decision making. Our organization currently uses the best available evidence alongside the skills if the clinicians as well as the values and preferences of patients to make medical decisions. This enables the clinicians to provide the best care and improve the patient outcome (Chung & Tang, 2014). [/blur]


Agrawal, A. (2009). Medication errors: prevention using information technology systems. British journal of clinical pharmacology, 67(6), 681-686.

Bardhan, I. R., & Thouin, M. F. (2013). Health information technology and its impact on the quality and cost of healthcare delivery. Decision Support Systems, 55(2), 438-449.

Chung, V. C., & Tang, J. L. (2014). Evidence-based decision making in health care. Routledge Handbook of Global Public Health in Asia, 133.

Wakefield, M. K. (2008). The quality chasm series: Implications for nursing. Retrieved on 26 February 2017 from < https://www.ncbi.nlm.nih.gov/books/NBK2677/>

To Err Is Human

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