10) Preventable harm due to omitted care or treatment
Some issues on the safety concerns list are related to specific clinical practices and device malfunctions, but many are exacerbated by ongoing staffing shortages—including the pediatric mental health crisis, violence against healthcare staff, mismatches between assignments and competencies, poor care coordination, and missed care opportunities.
“Addressing the healthcare worker shortage will not solve all problems, but it would have a measurably positive effect for providers and patients,” said Schabacker.
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According to the report, the solutions to these challenges are usually complex and require a systems-based approach that considers the impact that strong leadership, patient and family engagement, focus on workforce safety, and a robust learning system can have on safety.
ECRI and its affiliate, the Institute for Safe Medication Practices (ISMP), analyzed a wide scope of data to identify the most pressing threats to patient safety including scientific literature, patient safety events, concerns reported to or investigated by ECRI and ISMP, client research requests and queries, and other internal and external data sources. The recommendations in this report are intended to help healthcare organizations create organizational resilience to navigate these threats and strive for total systems safety.
ECRI’s Top 10 Patient Safety Concerns for 2023 report provides detailed steps that organizations can take to prevent adverse incidents and is available by request.
About ECRI
ECRI is an independent, nonprofit organization improving the safety, quality, and cost-effectiveness of care across all healthcare settings. ECRI is the only organization worldwide to conduct independent medical device evaluations, with labs located in North America and Asia Pacific. ECRI is designated an Evidence-based Practice Center by the U.S. Agency for Healthcare Research and Quality. ECRI and the Institute for Safe Medication Practices PSO is a federally certified Patient Safety Organization as designated by the U.S. Department of Health and Human Services.
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