Your instructor was invited to give an opinion as a patient advocate at a retreat organized by agencies of the federal government, such as the Centers for Medicaid and Medicare Services, the Agency for Healthcare Research and Quality, and the Office of Health and Human Resources. The topic was a Partnership for Patients. The Agency for Healthcare Research and Quality (AHRQ) showed the data on hospital survey measures. The data showed that significant progress was made in the last four years and that more and more hospitals are achieving higher scores. The instructor asked a simple question, “If there is so much progress made in critical hospital measures, then why is the number of patients dying from hospital mistakes significantly going up every year?” The estimated deaths in 2010 were 99,000 deaths. The 2016 estimate is about 440,000 deaths. In this discussion, explain the reasons you think there are more deaths in spite of the significant progress in hospital performance measures. Then, provide one remedy or solution. At Minimum 250 Words APA format. Include two references to support your opinions.

Title: Rising Patient Deaths Despite Progress in Hospital Performance Measures

Efforts aimed at improving hospital performance measures have been underway for several years, yet the number of patients dying from hospital mistakes continues to rise substantially. This alarming trend raises important questions regarding the effectiveness of these performance measures and the underlying factors contributing to the persistently high mortality rates. This paper aims to explore the reasons behind the increase in patient deaths despite significant progress in hospital performance measures and propose potential remedies to address this issue.

Reasons for the Increase in Patient Deaths:
1. Complexity of Healthcare Systems: The healthcare system is intricate, involving numerous stakeholders, procedures, and interdisciplinary coordination. Despite progress in individual performance measures, the complexity and fragmentation of the healthcare delivery system can impede overall patient safety. Miscommunication, inadequate collaboration, and suboptimal care transitions between healthcare providers can lead to medical errors and adverse events, contributing to increased patient mortality.

2. Underreporting and Incomplete Data: In many cases, hospitals and healthcare providers may underreport adverse events or fail to capture critical data for accurate analysis. This underreporting can lead to an incomplete understanding of the scope and nature of patient harm, hindering efforts to implement effective interventions and improvement strategies. The limited visibility into the true extent of patient safety issues may explain the discrepancy between the reported progress in performance measures and the rising mortality rates.

3. Organizational Culture and Accountability: Hospital culture plays a vital role in ensuring patient safety and preventing adverse events. A culture that prioritizes accountability, transparency, and a learning mindset enables organizations to identify and rectify system failures promptly. In contrast, a culture that fosters blame, secrecy, and resistance to change can impede efforts to improve patient safety, resulting in increased mortality rates despite progress in performance measures.

4. Evolving Patient Complexity: The rising number of older adults with multiple comorbidities and complex healthcare needs poses a significant challenge to patient safety. These patients often require intensive therapies and interventions, increasing the likelihood of adverse events. Additionally, the growing prevalence of healthcare-associated infections due to antibiotic resistance and the rise of healthcare-associated conditions further contribute to the increased mortality rates.

Proposed Solutions:

1. Strengthening Data Collection and Reporting: Efforts should be made to enhance data collection and reporting mechanisms to ensure accurate and comprehensive tracking of adverse events and patient harm. This could involve standardizing reporting systems, implementing feedback mechanisms, and fostering a culture of transparency and accountability within healthcare organizations. Utilizing advanced technologies and analytics can improve data accuracy, enabling timely interventions and facilitating a more thorough understanding of patient safety issues.

2. Enhancing Interprofessional Collaboration: Effective communication and collaboration among healthcare providers can significantly impact patient safety. Implementing interdisciplinary training programs, fostering a team-based approach to care, and improving care transitions between different healthcare settings can minimize errors and improve patient outcomes. By promoting an environment that encourages open communication, mutual respect, and shared decision-making, healthcare organizations can enhance patient safety and reduce mortality rates.

While progress has been made in hospital performance measures, the persistent rise in patient deaths necessitates a critical examination of the underlying causes. The complexities of healthcare systems, underreporting of adverse events, organizational culture, and evolving patient complexity all contribute to this alarming trend. Implementing remedies such as strengthening data collection and reporting systems and enhancing interprofessional collaboration can help address these issues and improve patient safety. Nevertheless, continued research, comprehensive assessments, and a concerted effort by all stakeholders are essential to ensuring that progress in performance measures translates into improved patient outcomes and a decrease in mortality rates.


1. Kohn LT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Institute of Medicine (US) Committee on Quality of Health Care in America. National Academies Press (US); 2000.

2. McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient Safety Strategies Targeting Communication and Teamwork in Neonatal Care: A Systematic Review. Pediatrics. 2013;131(5):e1605-e1620. doi:10.1542/peds.2012-2331.