NCH Healthcare System Patient Information

AHRQ Consumers & Patients
AHRQ Home Page
Department of Health and Human Services 

Patient Fact Sheet - Five Steps to Safer Health Care  

Patient safety is one of the Nation's most pressing health care challenges. A 1999 report by the Institute of Medicine estimates that as many as 44,000 to 98,000 people die in U.S. hospitals each year as the result of lapses in patient safety.

This fact sheet tells what you can do to get safer health care. It was developed by the U.S. Department of Health and Human Services in partnership with the American Hospital Association and the American Medical Association.

 5 Steps to Safer Healthcare

1. Ask questions if you have doubts or concerns. Ask questions and make sure you understand the answers. Choose a doctor you feel comfortable talking to. Take a relative or friend with you to help you ask questions and understand the answers.

2. Keep and bring a list of ALL the medicines you take. Give your doctor and pharmacist a list of all the medicines that you take, including non-prescription medicines. Tell them about any drug allergies you have. Ask about side effects and what to avoid while taking the medicine. Read the label when you get your medicine, including all warnings. Make sure your medicine is what the doctor ordered and know how to use it. Ask the pharmacist about your medicine if it looks different than you expected.

3. Get the results of any test of procedure. Ask when and how you will get the results of tests or procedures. Don't assume the results are fine if you do not get them when expected, be it in person, by phone, or by mail. Call your doctor and ask for your results. Ask what the results mean for your care.

4. Talk to your doctor about which hospital is best for your health needs. Ask your doctor about which hospital has the best care and results for your condition if you have more than one hospital to choose from. Be sure you understand the instructions you get about follow-up care when you leave the hospital.

5. Make sure you understand what will happen if you need surgery. Make sure you, your doctor, and your surgeon all agree on exactly what will be done during the operation. Ask your doctor, "Who will manage my care when I am in the hospital?" Ask your surgeon:

  • Exactly what will you be doing?
  • About how long will it take?
  • What will happen after the surgery?
  • How can I expect to feel during recovery?

Tell the surgeon, anesthesiologist, and nurses about any allergies, bad reaction to anesthesia, and any medications you are taking.

More Information

Select for more information about medical errors. A Federal report on medical errors can be accessed online, and print copies (Publication No. OM 00-0004) are available from the AHRQ Publications Clearinghouse: phone, 1-800-358-9295 (outside the United States, please call 410-381-3150) or Email at

U.S. Department of Health and Human Services
American Hospital Association
American Medical Association

AHRQ Publication No. 03-M007
Current as of July 2003

Internet Citation:

Five Steps to Safer Health Care. Patient Fact Sheet. July 2003. AHRQ Publication No 03-M007. Agency for Healthcare Research and Quality, Rockville, MD.

Call Access Healthline - (239) 624-1999 if you need a Physician.

Send a Photo Greeting Card


The Brookdale Center for Healt...

Wellness & Nutrition


Helpful Links

Our Vision, Mission & Values

News & Events

Helpful Links

MyNCH Health Portal

Admitting Information

Women's Health


Patient Information

Donating Blood

Interactive Health Tools

The Future Continues (1990's )

Privacy Notice

Patient Rights and & Responsib...


General Surgery


Our Procedures

da Vinci Surgical System

Access Healthline

Greeting Cards

Family Style

Maternity Services


Public Safety


Health E-Newsletters

Prepaid OB Delivery Package Pr...

Our Surgeons

Fact Sheet

Spirit of Women

Recipient Stories


Physician of the Year 2011 Hon...

NCH Orthopaedic Medical Team

Email A Patient

Open Heart Surgery

General Surgery

Cardiac Rehab Phase II


Naples Day Surgery

Department of Pastoral Care

Other Surgery Options


Jesse Haven MD

Specialty Care

The Brookdale Center

Derechos y Responsabilidades d...

Nurse to Patient Ratios

Joint Replacement Procedures

Diagnostic Tests

NCH Breast Health Navigator Pr...

Breast Health Navigator

Radiation Therapy

Video Content

Contact Surgery

Uterine Conditions

Code Save-A-Heart

About da Vinci

Patient Navigator

Dr. Herman Spilker Mayo Summar...

More About Heart Disease

Notes from the Mayo Clinic

Hormonal Therapy


Programs and Services

Heart Disease

da Vinci Prostatectomy

Patient Experiences

Robert Hanson MD

Observation - "Watchful Waitin...

Website Privacy

Rechte und Pflichten des Patie...

Contact Us




Varicose Veins

In the News

da Vinci Prostatectomy Video

Droits et Responsibilities du ...


Wellness & Nutrition Package

Our Locations

Piper Building

Contact General Surgery

Concierge Medicine

Day of Dance

Cerner Smart Room Implementati...


General Surgery

Julie Southmayd MD

Girls Night Out

Girls Night Out



Mission, Vision & Promise

IHI Posters and Presenters

Shared Decision Making

IHI Posters and Presenters Gal...

NCH Orthopedic Center of Excel...

NCH Awarded an A for Patient S...

Professional Development

Annual Reports

Search Nursing Jobs

Meet Michele

Meet Jon

General Surgery

Meet Laurie

Jeffrey Craig MD

Our Program



Contact Us


Orthopedic Treatment at Its Be...


Education & Outreach

News & Events


Dr Howard Kapp The Man Who Fix...

Lifestyle Changes Improve Join...


Wellness Centers

Adult Health Library

CNO Welcome

Concierge Medicine

Family Medicine

Gastroenterology and Hepatolog...

Geriatric Medicine


Infectious Disease

Internal Medicine

Pay Your Bill

Pediatric Health Library

Pediatric Medicine

Physical Medicine

Physician Group Locations

Primary Care




Women's Health

Related Videos