Patient Safety in 2023 Developing A New Science I

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Perioperative Safety Culture

Foreword
Patient Safety in 2023: Developing
a New Science in a Postpandemic
Wo r ld

Lee A. Fleisher, MD, FACC, FAHA


Consulting Editor

During the COVID-19 pandemic, we observed a marked increase in markers of patient


harm in hospital settings as demonstrated in many of the quality measures. In addition,
several recent studies continue to demonstrate that approximately one in four hospi-
talized patients experience harm, similar to the findings from 20 years ago in the To
Err Is Human report.1 Patient safety advocates have been sounding the alarm based
upon these observations, but there is cause for optimism. First, the deterioration during
the public health emergency (PHE) seems to be reversing as we come out of the PHE.
However, our approach to safety through the development of strong teams has been
distrupted by the health care worker shortage. So, we need to recommit to known stra-
tegies and develop new science and adapt strategies from other disciplines.
In order to commission an issue on safety science, I was able to engage two amazing
colleagues. Jake H. Abernathy III is Associate Professor and Executive Vice Chair of
Anesthesiology & Critical Care Medicine at the Johns Hopkins University. He is also a
Core Faculty of the Armstrong Institute of Patient Safety. Collaborating with human
factors engineers and health care architects, Dr Abernathy is investigating the impact
that OR space, equipment, and design have on patient safety. Matthew D. McEvoy is
Professor of Anesthesiology and Surgery and Vice-Chair of Perioperative Medicine at
Vanderbilt University Medical Center (VUMC). He is also Medical Director of the VUMC
Enhanced Recovery Programs and Program Director of the Perioperative Medicine
Fellowship. Dr McEvoy has partnered with a multidisciplinary team of clinicians to imple-
ment evidence-based systems of care, including the Enhanced Recovery Program and

Anesthesiology Clin 41 (2023) xv–xvi


https://doi.org/10.1016/j.anclin.2023.07.001 anesthesiology.theclinics.com
1932-2275/23/ª 2023 Published by Elsevier Inc.
xvi Foreword

Hi-RISE (High-Risk Surgical Encounter) Service at VUMC. Together they have invited a
stellar group of authors on this topic.

Lee A. Fleisher, MD, FACC, FAHA


Robert D. Dripps Professor and Chair of
Anesthesiology and Critical Care
Professor of Medicine
Perelman School of Medicine at
the University of Pennsylvania
Philadelphia, Pennsylvania
E-mail address:
[email protected]

REFERENCE

1. Institute of Medicine (US) Committee on. In: Kohn LT, Corrigan JM, Donaldson MS,
editors. Quality of Health Care in America. To Err is Human: Building a Safer Health
System. Washington, DC: National Academies Press US; 2000.

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