Health Affairs

Health Affairs, 28, no. 3 (2009): w479-w489 (Published online 7 April 2009) doi: 10.1377/hlthaff.28.3.w479 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Reducing Health Care Hazards: Lessons From The Commercial Aviation Safety Team

Peter J. Pronovost, Christine A. Goeschel, Kyle L. Olsen, Julius C. Pham, Marlene R. Miller, Sean M. Berenholtz, J. Bryan Sexton, Jill A. Marsteller, Laura L. Morlock, Albert W. Wu, Jerod M. Loeb and Carolyn M. Clancy

The movement to improve quality of care and patient safety has grown, but examples of measurable and sustained progress are rare. The slow progress made in health care contrasts with the success of aviation safety. After a tragic 1995 plane crash, the aviation industry and government created the Commercial Aviation Safety Team to reduce fatal accidents. This public-private partnership of safety officials and technical experts is responsible for the decreased average rate of fatal aviation accidents. We propose a similar partnership in the health care community to coordinate national efforts and move patient safety and quality forward.

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