Do HSMRs really measure patient safety?

Special or Theme Issue

Do HSMRs really measure patient safety?

August 13, 2008

Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Ghali WA; Sheps SB; Penfold RB; Dean S; Flemons W; Moffatt M.

View more articles from the same authors.

This special issue discusses the pros and cons of the hospital standardized mortality ratio (HSMR) measurement tool for improving patient safety and quality in the Canadian health care system.

Table of contents

Introduction

Related Resources From the Same Author(s)

Safe healthcare.

March 6, 2005

Can we use incident reports to detect hospital adverse events?

March 12, 2008

Chemotherapy dose limits set by users of a computer order entry system.

March 8, 2006

Patient safety, systems design and ergonomics.

June 21, 2006

No excuses: the reality that demands action.

September 1, 2005

Near-miss event analysis enhances the barcode medication administration process.

January 17, 2018

Teamwork and communication in surgical teams: implications for patient safety.

January 9, 2008

Medication administration in anesthesia: time for a paradigm shift.

October 31, 2007

Harm to Healing - Partnering with Patients Who Have Been Harmed.

August 1, 2012

Errors test openness at Beth Israel Deaconess. Disclosures will benefit hospital, president insists.

November 5, 2008

Implementing and validating a comprehensive unit-based safety program.

May 11, 2005

Reconciling medications at admission: safe practice recommendations and implementation strategies.

January 11, 2006

Use of dimensional analysis to reduce medication errors.

March 15, 2006

Report on the Burden of Endemic Health Care–Associated Infection Worldwide.

July 20, 2011

Hospital Medication Errors Commonplace.

August 23, 2006

Understanding care transitions as a patient safety issue.

June 29, 2011

For some troops, powerful drug cocktails have deadly results.

February 23, 2011

Nurses' role in detecting deterioration in ward patients: systematic literature review.

September 30, 2009

Hospitals, medical groups start to worry about skills of older doctors.

September 2, 2015

Structured override reasons for drug–drug interaction alerts in electronic health records.

May 15, 2019

Considering human factors and developing systems-thinking behaviours to ensure patient safety.

February 21, 2018

The safety journal: lessons learned with an error reporting tool to stimulate systems thinking.

September 12, 2007

A lost voice.

March 1, 2017

Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists.

July 25, 2018

Assessment of a simulated case-based measurement of physician diagnostic performance.

January 23, 2019

Human costs of training doctors.

August 11, 2010

Patient Safety Papers.

November 30, 2005

Systems Approach in Healthcare.

October 31, 2018

The role of teamwork in the professional education of physicians: current status and assessment recommendations.

March 6, 2005

Errors in drug computations during newborn intensive care.

March 27, 2005

Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.

March 6, 2005

California hospitals make hundreds of errors every year, public is unaware.

December 3, 2014

More than a feeling: the role of empathetic care in promoting safety in health care.

July 11, 2018

When Doctors Don't Listen.

January 23, 2013

Patient Safety Papers 6.

May 2, 2012

Disease management: a mid-decade evolution toward patient safety.

March 22, 2006

Use of administrative data to find substandard care: validation of the complications screening program.

October 26, 2005

Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].

June 21, 2006

Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of employee satisfaction.

January 23, 2019

Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.

February 20, 2013

Surgeon Scorecard.

July 22, 2015

Identifying medical errors: developing consensus on classifications and consequences.

December 7, 2005

Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans.

March 6, 2005

Patient Safety Papers 3.

April 23, 2008

Patient Safety Papers 5.

November 10, 2010

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.

June 11, 2008

Patient Safety Papers 4.

September 2, 2009

'No one is coming': hospice patients abandoned at death's door.

November 8, 2017

After the Error: Speaking Out About Patient Safety to Save Lives.

May 1, 2013

Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.

February 28, 2007

Hospital internet site content on patient safety and medical errors.

September 27, 2006

Man falls off surgical table; St. Joseph's Hospital sued.

August 4, 2010

Patient- and family-centered care: error disclosure and investigation.

October 29, 2014

The application of system dynamics modelling to system safety improvement: present use and future potential.

September 19, 2018

Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications.

November 28, 2018

Infants at risk: when nurse fatigue jeopardizes quality care.

June 21, 2006

Impact of a statewide reporting system on medication error reduction.

November 1, 2006

Is surgery safer at a teaching hospital?

November 12, 2014

Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications.

May 11, 2005

Ability of practitioners to identify solid oral dosage tablets.

May 24, 2006

Scariest hospital risks.

September 10, 2008

Fair and Reliable Medical Justice Act.

July 13, 2005

Perinatal patient safety from the perspective of nurse executives: a round table discussion.

July 5, 2006

Teamwork and Communication.

July 7, 2010

Critical Incident Technique Bibliography—2001.

March 27, 2005

Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance.

October 2, 2013

Doctors perform thousands of unnecessary surgeries.

July 10, 2013

A pinpoint beam strays invisibly, harming instead of healing.

January 12, 2011

Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system.

February 15, 2006

Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study.

October 24, 2007

Errors originating in hospital and health-system outpatient pharmacies.

July 19, 2017

Physician, say you're sorry.

December 10, 2008

Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary.

July 27, 2011

Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety.

February 27, 2019

A proposal to use common ground that exists between the medical and legal professions to promote a culture of safety.

July 4, 2007

Gap assessment of hospitals' adoption of the just culture principles.

December 14, 2011

Mental mayhem: the peril of multitasking in medicine.

July 17, 2019

Cognitive Factors in Health Care.

October 12, 2011

Measuring shared mental models in healthcare.

November 7, 2018

Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review.

June 14, 2017

Patient-safety and quality initiatives in the intensive-care unit.

April 5, 2006

Putting Patients First: Best Practices in Patient-Centered Care. Second Edition.

February 4, 2009

Hospitals leery of reporting serious errors.

March 16, 2011

Disruptive clinician behavior: a persistent threat to patient safety.

August 9, 2006

Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs.

November 30, 2005

Disclosing unanticipated outcomes to patients: the art and practice.

September 12, 2007

Development and implementation of a pediatric patient safety program.

June 21, 2006

Rapid response systems in the Netherlands.

March 9, 2011

The Francis Report: One Year On.

February 26, 2014

Towards an International Classification for Patient Safety.

February 4, 2009

Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.

October 31, 2018

Risks are high at low-volume hospitals.

June 17, 2015

Pediatric Patient Safety in the Emergency Department.

April 28, 2010

Why doctors should own up to their medical mistakes.

February 13, 2013

Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.

January 30, 2005

Patient Safety: An Old and New Issue.

August 22, 2007

The opioid crisis: origins, trends, policies, and the roles of pharmacists.

April 10, 2019

Beyond the Quick Fix: Strategies for Improving Patient Safety.

November 25, 2015

Re-Engineered Discharge (RED) Toolkit.

March 27, 2013

PEXiS.

March 6, 2005

Related Resources

Patient Safety Authority Annual Reports.

May 1, 2023

Interview

In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety

December 14, 2022

Perspective

Measuring Patient Safety

December 14, 2022

The impact of meaningful use and electronic health records on hospital patient safety.

November 2, 2022

Hospital Performance Report.

October 28, 2021

Hospital Compare.

May 13, 2021

Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries.

July 15, 2020

Q3 Health Innovation Partners.

January 8, 2020

HANYS' Report on Report Cards.

November 20, 2019

Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators.

July 24, 2019

Patient safety climate strength: a concept that requires more attention.

August 31, 2016

A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions.

August 24, 2016

A systematic review of patient safety measures in adult primary care.

May 18, 2016

Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections.

February 5, 2014

Exploring Alternatives To Malpractice Litigation.

January 15, 2014

The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach.

December 18, 2013

Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital.

December 4, 2013

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013.

November 13, 2013

Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study).

November 6, 2013

Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals.

October 16, 2013

Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration.

September 18, 2013

Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center.

August 21, 2013

National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA.

July 17, 2013

Resident Projects for Improvement.

June 19, 2013

Using inpatient hospital discharge data to monitor patient safety events.

May 8, 2013

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

May 8, 2013

Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study in five countries.

March 27, 2013

Handoff Communication Tools.

January 16, 2013

What is the NHS Safety Thermometer?

November 28, 2012

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

November 28, 2012

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Do HSMRs really measure patient safety?

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