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Chapter 17 – Evidence-Based Practice Questions
This activity contains 5 questions.
Evidence for Effective Leadership and Management
Citation: More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to
Improve Patient Safety. Hearing before the Subcommittee on Primary Health and Aging,
113th Cong (2014) (testimony of John James, PhD; Ashish Jha, MD, MPH; Tejal Gan-
dhi, MD, MPH; Peter Pronovost, MD, PhD; Joanne Disch, PhD, RN; Lisa McGiffert).
Retrieved from http://www.psnet.ahrq.gov/resource.aspx?resourceID=27773
Overview: “A group of patient safety experts, including Drs. Peter Pronovost, Ashish
Jha, and Tejal Gandhi, testified to Congress that more must be done to track and prevent
widespread patient harms. The title of the hearing was based on the seminal study
estimating that as many as 200,000 to 400,000 patients experience harms that contribute
to their death each year. The medical experts recounted the lack of significant progress
since the landmark Institute of Medicine report in 1999, and they called on Congress to
task the Centers for Disease Control and Prevention with tracking medical errors and
patient harm. Dr. John James, a scientist who became engaged in patient safety efforts
following the death of his son due to medical errors, recommended that lawmakers
establish a National Patient Safety Board, similar to the current National Transportation
Safety Board. A prior Agency for Healthcare Research and Quality (AHRQ) WebM&M
perspective discussed the many challenges of measuring patient safety. The congressional
testimony can be found through the Agency for Healthcare Research and Quality, Patient
Safety Network (PSNet). The testimony reflected on current studies.
Application: This provides an example of how health policy is part of congressional
work, and how key stakeholders may participate while emphasizing that evidence based
on sound research can make a difference.
1.
Why is it important that this topic was presented to a congressional committee?
2.
What might happen as a result of this examination of a healthcare policy problem?
3.
What is your response to the status of errors mentioned in the overview?
4.
Go to the AHRQ, PSNet website to review some of the congressional testimony
representing eight perspectives. Select one, examine what was said, and identify some of
the possible implications.
5.
Did any nurses provide testimony? Why would it be important for nurses to participate?
Chapter 17 – ANSWER KEY Evidence-Based Practice Questions
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Chapter number: 17
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Chapter number: 17
