Author Affiliations: Institute for Healthcare Improvement, Cambridge, Mass. Dr Berwick is the president and chief executive officer.
A half decade has elapsed since the Institute of Medicine released 2 landmark reports on health care safety and quality, To Err Is Human1 and Crossing the Quality Chasm.2 Those studies helped articulate a broad agenda for quality improvement in health care, and examples of success on a small scale are numerous. However, the collective impact of improvement work has been far below the potential envisioned by the Institute of Medicine. Health care can benefit now from a new sense of urgency, with levels of discipline and pace akin to those of a political campaign.
Berwick DM, Calkins DR, McCannon CJ, Hackbarth AD. The 100 000 Lives CampaignSetting a Goal and a Deadline for Improving Health Care Quality. JAMA. 2006;295(3):324–327. doi:10.1001/jama.295.3.324