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Healthcare Epidemiology is the Paradigm for Patient Safety

Published online by Cambridge University Press:  02 January 2015

William E. Scheckler*
Affiliation:
University of Wisconsin, Department of Family Medicine, and St. Mary's Hospital Medical Center, Madison, Wisconsin
*
University of Wisconsin, Department of Family Medicine, 777 South Mills Street, Madison, WI 53715

Extract

I was honored to receive the 2001 Lectureship Award from the Society for Healthcare Epidemiology of America (SHEA). It was my intent during the talk to review our field and implications that some of the new initiatives called “patient safety” have for our expertise. This article is based on the SHEA Lectureship that was given April 1, 2001, at the SHEA Annual Meeting in Toronto, Ontario, Canada.

This article consists of four sections. First, I review lessons learned from colleagues during the 33 years that I have been associated with the field of hospital epidemiology and infection control, since my first days at the Centers for Disease Control and Prevention (CDC). Second, I explore issues raised by the Institute of Medicine (IOM) report on patient safety, adverse events, and medical errors, evaluating research that went into the extrapolation of the numbers of preventable deaths that this report highlighted. Those deaths gained everyone's attention. Third, I review the field of healthcare epidemiology, highlighting the three decades of success in our field in enhancing the safety of patients, improving their outcomes, and making a difference in the quality of medical care received in the United States. Finally, I discuss the challenges that hospital epidemiology currently faces and the opportunities that come with the expertise we have developed during more than 30 years.

Type
Special Report
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

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References

1.Kohn, LT, Corrigan, JM, Donaldson, M, eds. To Err Is Human: Building a Safer Health System. Washington, DC: Institute of Medicine; 1999.Google Scholar
2.Eickhoff, T. Comments on the IOM Report. ICAN News and Commentary April 21, 2000.Google Scholar
3.Medical errors reporting and prevention: weathering the storm. Health Data Management 2001;9:6076.Google Scholar
4.Brennan, TA, Leape, LL, Laird, NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. N Engl J Med 1991;324:370376.Google Scholar
5.Gawande, AA, Thomas, EJ, Zinner, MJ, Brennan, TA. Surgical outcomes research: the incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 1999;126:6675.Google Scholar
6.Thomas, EJ, Studdert, DM, Newhouse, JP, et al. Costs of medical injuries in Utah and Colorado. Inquiry 1999;36:255264.Google Scholar
7.Brennan, TA. The Institute of Medicine report on medical errors: could it do harm? N Engl J Med 2000;342:11231125.CrossRefGoogle ScholarPubMed
8.Haley, RW, Culver, DH, White, J, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985;121:182205.Google Scholar
9.Centers for Disease Control and Prevention. Monitoring hospital-acquired infections to promote patient safety: United States, 1990-1999. MMWR 2000;49:149153.Google Scholar
10.Scheckler, WE, Bobula, JA, Beamsley, MB, Hadden, ST. Septicemia in a Wisconsin community teaching hospital 1998: a 25-year follow-up. Infect Control Hosp Epidemiol 2000;21:86. Abstract.Google Scholar
11.Scheckler, WE, Brimhall, D, Buck, AS, et al. Requirements for infrastructure and essential activities of infection control and epidemiology in hospitals: a consensus panel report. Infect Control Hosp Epidemiol 1998;19:114124 and Am J Infect Control 1998;26:47–60.CrossRefGoogle ScholarPubMed
12.Friedman, C, Barnette, M, Buck, AS, et al. Requirements for infrastructure and essential activities of infection control and epidemiology in out-of-hospital settings: a consensus panel report. Infect Control Hosp Epidemiol 1999;20:695705.Google Scholar
13.Haywood, RA, Hofer, TP. Estimating hospital deaths due to medical errors. JAMA 2001;286:415420.Google Scholar
14.McDonald, CJ, Weiner, M, Hui, SL. Deaths due to medical errors are exaggerated in Institute of Medicine report. JAMA 2000;284:9395.Google Scholar
15.Leape, LL. Institute of Medicine medical error figures are not exaggerated. JAMA 2000;284:9597.Google Scholar