Ten Principles in Reducing Medical Errors

1. Use "continuous healing relationships" whether over the Internet, by telephone, or through some other means in order to supplement face-to-face visits.

2. Customize care on the basis of patients' needs and values. The system should enable clinicians to meet the most common types of needs yet respond to an individual patient's choices and preferences.

3. Give patients control over their care. Patients should receive the information necessary for making decision and have the opportunity to exercise as much control as they want over a decision that affects them.

4. Share clinical knowledge and medical information with patients.

5. Make clinical decisions on the basis of the best scientific evidence.

6. Make the system as safe as possible for patients. This rule reiterates the message of "To Err Is Human."

7. Make information available to patients so that they can make informed decisions when selecting a health plan, hospital, clinical practice, or treatment.

8. Anticipate patients' needs rather than react to them.

9. Do not waste resources or patient time.

10. Cooperate more so that clinicians appropriately exchange information and coordinate care.

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