Why 400,000 Patients Die Each Year from Poor Practices in Hospitals: Proven Reliability Strategies for Increasing the Survival Rate.

Dev Raheja
Dev Raheja, MS,CSP, author of the books Design for Reliability and Safer Hospital Care, is an international risk management, reliability, and patient safety consultant for medical device, healthcare and aerospace industry for over 25 years. Prior to becoming a consultant in 1982 he worked at GE Healthcare as Supervisor of Quality Assurance/Manager of Manufacturing Engineering, at Cooper Industrie...read more


The number of patients dying from hospital mistakes has been steadily going up since 1999. The government has not succeeded in reversing the trend because patient harm can happen from the very complex system of caregiver interactions, technology malfunctions, communication failures, multiple care givers, complex medical records, information technology faults, and human errors such as wrong surgeries, wrong diagnosis, and wrong medications. It is a system failure. To improve survival rates, we must address the entire system through the science of system reliability which includes designing out failures, fault tolerance, failing in a safe mode, human centered design, and prognostics monitoring. Hospitals need to be proficient at using reliability tools such as FMECA, and Fault Tree Analysis.

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