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NEUROLOGY 2006;67:2119-2123
© 2006 American Academy of Neurology
Special Article

Neurologists for patient safety

Where we stand, time to deliver

Thomas H. Glick, MD, Matthew Rizzo, MD, Barney J. Stern, MD and Daniel M. Feinberg, MD

From Harvard Medical School and the Cambridge Health Alliance (T.H.G.), Cambridge, MA; University of Iowa Hospitals and Clinics (M.R.), Iowa City; Department of Neurology, University of Maryland (B.J.S.), Baltimore; and University of Pennsylvania (D.M.F.), Philadelphia.

Address correspondence and reprint requests to Dr. Thomas H. Glick, 1493 Cambridge Street, Cambridge, MA 02139; e-mail: thomas_glick{at}hms.harvard.edu

Neurologists have a professional opportunity, an ethical responsibility, and sound clinical and economic reasons for engaging in efforts to improve patient safety. Better communication with patients and other providers, closer follow-up of consultation cases, and more focused supervision of trainees will help to reduce current patterns of error and misunderstanding. Patient education with attention to health literacy should improve adherence to management plans and help to bridge transitions of care across providers and sites. Through teaching and by example, neurologists can profoundly influence successive generations of clinicians to adopt safer practices, a culture of openness, and enhanced professionalism. The federal Safety and Quality Improvement Act of 2005, once implemented, should increase the evidence basis for safer care through voluntary, legally protected reporting of errors and adverse events within the framework of patient safety organizations.

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the December 26 issue to find the title link for this article.

Disclosure: The authors report no conflicts of interest.

Received January 12, 2006. Accepted in final form September 18, 2006.




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