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The National Academy of Medicine's 2000 report "To Err Is Human" launched the health care quality movement in the US. Victor J. Dzau, MD, President of @NASEM_Health and the @IHIvideo's Donald M. Berwick, MD, MPP discuss progress to date in advancing quality and prospects for improving outcomes and reducing harms, errors, and cost in the next 20 years. Recorded December 22, 2020. Topics discussed in this interview: 0:00 Introduction 2:52 Quality Chasm and To Err is Human as seminal reports 4:46 Was it possible to foresee impact 8:59 Successes and challenges since reports 16:09 Why equity has been a struggle 18:31 Is Dr Dzau optimistic? 19:41 Is Dr Berwick optimistic? 20:40 Moral determinants of health 22:12 Needed improvements beyond health care 24:18 Who owns social determinants of health 24:56 Diagnostic accuracy 28:15 Leading National Academy of Medicine 29:20 Did reports achieve what Dr Berwick hoped --------------------------------------------------------------------------------- For more from JAMA • https://www.jama.com • / jamajournal • / jama_current • / jama. . Follow the JAMA Network • https://www.jamanetwork.com • https://www.jamanetworkaudio.com • / jamanetwork • / jamanetwork • / jamanetwork • / jamanetwork