Disseminating such effective strategies throughout the health care industry. In carrying out these responsibilities, the Agency has developed a coordinated plan for achieving these three goals that includes projects funded through both grant and contract mechanisms. Through morbidity and mortality conferences, hospitals and medical schools have a rich tradition of clinicians critically appraising their performance in an attempt to learn from their mistakes. This limitation severely constrains opportunities for learning within the overall medical community and subjects patients and practitioners alike to unnecessary and repetitive risk. Health care is in need of a mechanism to promote widespread practitioner learning and to minimize patient exposure to risk.
Some systems exist to share information regarding pharmaceutical use.
This project expands upon the Agency's activities to reduce error and improve the delivery of safe health care. It complements a series of solicitations that form an integrated set of activities to design and test best practices for reducing errors in multiple settings of care, develop the science base to inform these efforts, improve provider education to reduce errors, capitalize on the advances in information technology to translate proven effective strategies into widespread practice, and build the capacity to further reduce errors. This project is an initial, focused effort that builds upon traditional, physician-operated morbidity and mortality conferences. The project's end products are intended to be used by physician trainees as well as practicing physicians. Request for Proposals.