Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report I (original) (raw)

Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System

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Framework for Patient Safety Research and Improvement

Circulation, 2009

... Key Issues in Outcomes Research. Framework for Patient Safety Research and Improvement. Peter J. Pronovost, MD, PhD; Christine A. Goeschel, RN, MPA, MPS; Jill A. Marsteller, PhD, MPP; J. Bryan Sexton, PhD; Julius C. Pham, MD; Sean M. Berenholtz, MD, MHS ...

Assessment of Contributions to Patient Safety Knowledge by the Agency for Healthcare Research and Quality‐Funded Patient Safety Projects

2008

Address correspondence to Melony ES Sorbero, Ph.D., MS, MPH, RAND Corporation, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA 15213; e-mail: msorbero@rand.org. Karen A. Ricci, RN, MPH and Liisa Hiatt, MS, are with the RAND Corporation, Santa Monica, CA. Susan Lovejoy, MS, Amelia M. Haviland, Ph.D., and Donna O. Farley, Ph.D., MS, MPH, are with the RAND Corporation, Pittsburgh, PA. Linda Smith, BA, is with the Planet Care/Global Health Access Program, Berkeley, CA. Lily A.

Patient Safety—Ten Years Later

Journal of PeriAnesthesia Nursing, 2010

December 1, 2009 was the tenth anniversary of To Err is Human, 1 the Institute of Medicine (IOM) report on medical errors in the health care system. Dr. Wachter notes that this report "arguably launched the modern patient-safety movement." 2 In an updated analysis, Wachter looks at the progress that has been made since that initial report and also gives an in-depth description of the gaps that are still present. How would you grade patient safety progress over the past ten years? In this article, Wachter looks at ten domains of patient safety and assigns a grade representing progress, or lack of progress in the area. See Box 1. Wachter's overall grade for progress is a Be, better than the C1 he gave it in 2004. 2 You can read Dr. Wachter's article for details, but there were a few important points I want to discuss.

2010 Annual National Patient Safety Foundation Congress

Journal of Patient Safety, 2010

On May 17Y19, 2010, the National Patient Safety Foundation (NPSF) held its Annual Patient Safety Congress in Orlando, Florida. Entitled Getting Results: Solutions That Work, the meeting reinforced the need to focus on critical work in patient safety as health care reform begins to unfold. Without this focus, the industry will not be able to realize the Institute of Medicine's aims for safer, more efficient, equitable, timely, and truly patient-centered health care. The NPSF Congress provided meaningful content through plenary and breakout sessions that discussed a variety of real-world tools, resources, and evidence-based solutions to safety issues. The Congress was cochaired by 2 distinguished leaders in patient safety: & Doug Bonacum, MBA, BS, vice president for Safety Management at Kaiser Permanente and a member of the board of directors of NPSF

A National Profile Of Patient Safety In U.S. Hospitals

Health Affairs, 2003

Measures based on routinely collected data would be useful to examine the epidemiology of patient safety. Extending previous work, we established the face and consensual validity of twenty Patient Safety Indicators (PSIs). We generated a national profile of patient safety by applying these PSIs to the HCUP Nationwide Inpatient Sample. The incidence of most nonobstetric PSIs increased with age and was higher among African Americans than among whites. The adjusted incidence of most PSIs was highest at urban teaching hospitals. The PSIs may be used in AHRQ's National Quality Report, while providers may use them to screen for preventable complications, target opportunities for improvement, and benchmark performance.