Further, TJC also reports approximately 80% of medical errors result from failed communication (TJC, 2012). These data only reflect about 10% of events actually reported to the TJC. This included data from approximately 10,000 patients, with 53% of these incidents resulting in patient death, and communication between staff as the highest contributing factor (TJC, 2019). Despite reflecting a very small percentage of the total, The Joint Commission (TJC) (2019) reported 824 sentinel events between 20. In 2001, this same organization reported that inadequate hand-offs were the point where safety often fails (IOM, 2001). In 2000, the National Academy of Medicine, then known as the Institute of Medicine (IOM), published information indicating that as many as 98,000 people die due to medical errors in hospitals (IOM Committee on Quality of Health Care in America, 2000). The emphasis on quality in health care is related to improving outcomes for patients. Quality and safety are terms used frequently in health care and are currently linked to institutional financial support or consequences.
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