IOM Report

An Institute of Medicine (IOM, 1999)
report was a wake-up call for both the general public and healthcare providers
regarding the problem and tragic consequences of medical errors. According to
the report brief, “At least 44,000 people, and perhaps as many as 98,000
people, die in hospitals each year as a result of medical errors that could
have been prevented” (IOM, 1999, p. 1). The report recommends a
four-tiered approach as a strategy for addressing this problem.

In this assignment, you will read
the report and then evaluate how the healthcare system has responded to each of
the four recommendations made in the report.

Use sources other than the textbook
to find information about how the US healthcare system is acting on the four
recommendations in the IOM report. You may use journal articles, government
reports, reports or findings of public organizations, and other authoritative
sources. The following are sources of information on two of the

  • The first recommendation (about creating leadership)
    refers to the Agency for Healthcare Research and Quality (AHRQ). Use the
    AHRQ website
  • The third recommendation (about actions of oversight
    organizations, professional groups, and group purchasers of healthcare)
    identifies the Leapfrog Group (

Respond to the following:

  • Which of the IOM recommendations do you feel provides
    the greatest impact on patient safety? Why?
  • Assess the US healthcare system’s actions regarding the
    four recommendations in the IOM report. Which recommendation provides the
    most impact on patient safety? Which provides the least? Justify your
  • What is your overall assessment of how the US
    healthcare system is performing with regard to patient safety in response
    to the IOM recommendations?

Give examples of actions by the healthcare
industry and cite sources.

Be sure to cite any relevant
resources used in framing your responses. Apply APA standards to cite sources.


Institute of Medicine. (1999). To
err is human: Building a safer health system

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