An Analytic Review of Patient Harm Events

December 3, 2025

An Analytic Review of Patient Harm Events

Bryan P. Zimmerman | 2020

Abstract

Patient safety strategy and the inherent culture is both a moral and ethical obligation to regulatory compliance, the patient, and the healthcare system overall. Events of patient harm in medicine are a known risk; however, that does not preclude the industry from detection, analysis, and mitigation as an imperative to improve care and develop evidence-based best practice initiatives advancing medical science. This study utilized the failure modes and effects analysis (FMEA) method to strategically ascertain the contributing factors, frequency of occurrence, and current prevention methods related to the patient harm events. Additionally, a critical evaluation through the direct insight of organizational culture revealed siloed hierarchal system divisions that are not transparent, creating barriers to speak up for safety and report events accurately. This extensive study combined the data analytics of statistical significance upon researching three hundred and thirty-nine events of harm and the cultural viability of adopting a transformational culture organizationally driven from the Executive leadership to the front-line caregivers regarding patient safety practices. Error prevention strategy from a healthcare standpoint requires the foundational principles of trust, report, and improvement essential to building a better tomorrow through actions taken today.

Keywords: Culture, patient, harm, events, safety

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