About Publications

Publications from the National Academies of Sciences, Engineering, and Medicine provide objective and straightforward advice to decision makers and the public. This site includes Health and Medicine Division (HMD) publications released after 1998. A complete list of HMD’s publications from its establishment in 1970 to the present is available as a PDF.


  • Protecting Data Privacy in Health Services Research : Health ... Released: January 01, 2000
    This report is for all types of professionals and organizations that use or disclose data on health services. Although the Department of Health and Human Services is highlighted, the report should apply as well to other federal departments and agencies that are involved in human subjects research.
  • Interpreting the Volume-Outcome Relationship in the Context ... Released: January 01, 2000
    Interpreting the Volume-Outcome Relationship in the Context of Health Care Quality is a summary of a workshop and two background papers: a cross-disciplinary systematic review of the published research literature and a synthesis of the policy relevant literature
  • To Err is Human: Building A Safer Health System : Health and ... Released: November 29, 1999
    This report lays out a comprehensive strategy by which government, health care providers, industry, and consumers can reduce preventable medical errors. Concluding that the know-how already exists to prevent many of these mistakes, the report sets as a minimum goal a 50 percent reduction in errors over the next five years.
  • Exposure of the American People to Iodine-131 from Nevada ... Released: September 01, 1999
    In 1997, after more than a decade of research, the National Cancer Institute (NCI) released a report which provided their assessment of radiation exposures that Americans may have received from radioactive iodine released from the atomic bomb tests conducted in Nevada during the 1950s and early 1960s. This book provides an evaluation of the soundness of the methodology used by the NCI study to estimate: Past radiation doses; Possible health consequences of exposure to iodine-131; Implications for clinical practice; Possible public health strategies--such as systematic screening for thyroid cancer--to respond to the exposures.
  • Collaboration Among Competing Managed Care ... Released: February 01, 1999
    In November, 1997, The Institute of Medicine convened a one-day conference to explore areas for potential collaboration to improve quality among competing health plans consistent with antitrust and other legal requirements. The conference was convened to clarify the limits of such potential activities and to explore ways to stimulate collaboration; in short, to explore permissible and promising areas for collaboration for competing health plans.
  • Definitions of Serious and Complex Medical Conditions ... Released: January 01, 1999
    In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues.
  • Measuring the Quality of Health Care : Health and Medicine ... Released: February 01, 1998
    The statement that follows first describes quality of care based on the IOM's 1990 definition and then outlines the burden of harm from poor quality. It then describes major approaches to and recent advances in quality measurement. Finally, it describes some of the challenges facing this field.
  • The Social Security Administration's Disability Decision ... Released: January 01, 1998
    In July 2005, the Social Security Administration (SSA) proposed a new approach to assessing claims for disability benefits, which includes establishment of a national network of medical and psychological experts to evaluate cases. SSA asked the Institute of Medicine of the National Academies to offer guidance on the medical expertise required to evaluate medical records quickly and accurately. In Improving the Social Security Disability Decision Process: Interim Report, an IOM committee offers recommendations on the credentials that medical and psychological personnel who review case records should have, the training they need, and the compensation necessary to attract them.