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News Release

Diagnostic Errors, Maternal Health Top ECRI's 2020 Patient Safety Concerns

Annual report highlights patient safety concerns across the continuum of care

PLYMOUTH MEETING, PA—ECRI, an independent nonprofit organization improving the safety, quality, and cost-effectiveness of care across all healthcare settings worldwide, today released its Top 10 Patient Safety Concerns 2020, naming diagnostic errors and maternal health in the top two spots. The annual report helps organizations identify looming patient safety challenges across the continuum of care, and includes suggestions and resources for addressing them. The launch is in conjunction with Patient Safety Awareness Week, March 8-14.

“Unsafe healthcare delivery harms millions of patients,” said Marcus Schabacker, MD, PhD, president and CEO, ECRI. “Our annual patient safety report provides a roadmap to help healthcare leaders know what goes wrong and how to prevent harm.”

ECRI’s Top 10 Patient Safety Concerns relies on the analysis of more than 3.2 million patient safety events in its Patient Safety Organization reporting program, as well as the judgment and experience of its interdisciplinary patient safety and medication safety experts. This list identifies areas that are high priorities for a variety of reasons, such as new risks, existing concerns that are changing because of new technology or care delivery models, and persistent issues that need focused attention or pose new opportunities for intervention.

ECRI’s list of patient safety concerns for 2020:
1. Missed and Delayed Diagnoses—Diagnostic errors are very common. Missed and delayed diagnoses can result in patient suffering, adverse outcomes, and death.
2. Maternal Health across the Continuum—Approximately 700 women die from childbirth-related complications each year in the U.S. More than half of these deaths are preventable.
3. Early Recognition of Behavioral Health Needs—Stigmatization, fear, and inadequate resources can lead to negative outcomes when working with behavioral health patients.
4. Responding to and Learning from Device Problems—Incidents involving medical devices or equipment can occur in any setting where they might be found, including aging services, physician and dental practices, and ambulatory surgery.
5. Device Cleaning, Disinfection, and Sterilization—Sterile processing failures can lead to surgical site infections, which have a 3% mortality rate and an associated annual cost of $3.3 billion.
6. Standardizing Safety across the System—Policies and education must align across care settings to ensure patient safety.
7. Patient Matching in the EHR—Organizations should consistently use standard patient identifier conventions, attributes, and formats in all patient encounters.
8. Antimicrobial Stewardship—Overprescribing of antibiotics throughout all care settings contributes to antimicrobial resistance.
9. Overrides of Automated Dispensing Cabinets (ADC)—Overrides to remove medications before pharmacist review and approval lead to dangerous and deadly consequences for patients.
10. Fragmentation across Care Settings—Communication breakdowns result in readmissions, missed diagnoses, medication errors, delayed treatment, duplicative testing and procedures, and dissatisfaction.

The full Top 10 Patient Safety Concerns report provides detailed steps that organizations can take proactively to prevent adverse incidents. The executive brief version is available for public download at

In keeping with its mission of effective, evidence-based healthcare globally, ECRI launched a publicly available COVID-19 (Coronavirus) Outbreak Preparedness Center to help hospitals protect healthcare workers and patients as the threat of coronavirus rapidly spreads across the globe.

To learn more about ECRI, visit, call (610) 825-6000, ext. 5891, or e-mail

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About ECRI
ECRI is an independent, nonprofit organization improving the safety, quality, and cost-effectiveness of care across all healthcare settings. With a focus on patient safety, evidence-based medicine, and health technology decision solutions, ECRI is respected and trusted by healthcare leaders and agencies worldwide. Over the past fifty years, ECRI has built its reputation on integrity and disciplined rigor, with an unwavering commitment to independence and strict conflict-of-interest rules.

ECRI is the only organization worldwide to conduct independent medical device evaluations, with labs located in North America and Asia Pacific. ECRI is designated an Evidence-based Practice Center by the U.S. Agency for Healthcare Research and Quality and a federally certified Patient Safety Organization by the U.S. Department of Health and Human Services. In 2020, The Institute for Safe Medication Practices (ISMP) formally became an ECRI Affiliate.

Visit and follow @ECRI_Org to learn more.

For more information, contact:
Laurie Menyo, Director of Strategic Communications
(610) 825-6000, ext. 5310