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|  |  Joint Commission Hails Enactment of Patient Safety and Quality Improvement Act of 2005PR Newswire July 29, 2005 OAKBROOK TERRACE, Ill., July 29 /U.S. Newswire/ -- The Joint Commission on Accreditation of Healthcare Organizations today hailed the enactment of federal patient safety legislation that will encourage the voluntary reporting of medical errors, serious adverse events, and their underlying causes. Preventing these occurrences represents one of the greatest challenges to health care. The Patient Safety and Quality Improvement Act of 2005, signed by President George W. Bush, will promote cultures of safety across health care settings by establishing federal protections that encourage thorough, candid examinations of the causes of health care errors and the development of effective solutions to prevent their recurrence. Previously, evaluative information about the underlying causes of adverse events was not always considered confidential or protected from lawsuits, a fact that the Institute of Medicine blamed for driving errors underground and slowing progress in improving patient safety. "This bill is a breakthrough in the blame and punishment culture that has literally held a death grip on health care," says Dennis S. O'Leary, M.D., president, Joint Commission. "When caregivers feel safe to report errors, patients will be safer because we can learn from these events and put proven solutions into place." Since first encouraging similar legislation in 1997, the Joint Commission and other health care and patient safety advocates have testified on numerous occasions before Congressional Committees to urge passage of a comprehensive patient safety bill. Major opportunities to improve patient safety can be created by providing caregivers the same types of legal protections long available to airline pilots and air traffic controllers, the Joint Commission and other stakeholders have testified. The Patient Safety and Quality Improvement Act of 2005 provides full federal privilege to patient safety information that is transmitted to a Patient Safety Organization. The Joint Commission expects to create or become part of a Patient Safety Organization under the auspices of its new International Center for Patient Safety and seek federal approval under a new process to be created by the Department of Health and Human Services. As the nation's leading evaluator of health care quality and safety, the Joint Commission maintains one of the nation's most comprehensive voluntary reporting systems for serious adverse health care events and their underlying causes. Continuing analyses of the underlying causes of adverse events that have been reported to the Joint Commission's Sentinel Event Database permits the Joint Commission to regularly alert the health care community to potential patient safety dangers and provide recommendations regarding preventive solutions. However, the number of adverse event reports submitted to the Joint Commission each year represents a small fraction of the actual number of adverse events that experts estimate occur each year. "Medical errors and the unfortunate events that ensue are devastating for patients and their families, the caregivers involved and health care organizations," says Dr. O'Leary. "But punishment for these mistakes does not lead to the behavioral and systems changes that are necessary to prevent similar errors from occurring in the future." In return for federal action on this issue, the Joint Commission believes that the American public should expect significant increases in the surfacing of errors and their causes and the sharing of patient safety solutions. The Joint Commission, which accredits more than 15,000 health care organizations, will be in a unique position to gauge the actual impacts of the new legislation by virtue of its continuing on- site reviews of these organizations. In particular, it will become readily apparent as to whether health care organizations have truly adopted cultures of safety that constructively encourage medical error and adverse event identification and reporting and the development of appropriate internal solutions. Founded in 1951, the Joint Commission on Accreditation of Healthcare Organizations seeks to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations. The Joint Commission evaluates and accredits more than 15,000 health care organizations and programs in the United States, including more than 8,200 hospitals and home care organizations, and more than 6,800 other health care organizations that provide long term care, assisted living, behavioral health care, laboratory and ambulatory care services. The Joint Commission also accredits health plans, integrated delivery networks, and other managed care entities. In addition, the Joint Commission provides certification of disease-specific care programs, primary stroke centers, and health care staffing services. An independent, not- for-profit organization, the Joint Commission is the nation's oldest and largest standards-setting and accrediting body in health care. Learn more about the Joint Commission at http://www.jcaho.org. http://www.usnewswire.com/ Contact: Charlene D. Hill of Joint Commission on Accreditation of Healthcare Organizations, 630-792-5175 or chill@jcaho.org; Web: http://www.jcaho.org
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