Value and Patient Safety
This piece discusses efforts to promote the business case for safety and quality in health care.
While the costs of medical error to patients are well appreciated, the direct costs to institutions, especially if error does not result in litigation, are less so. Even when errors increase length of stay or require additional interventions, these events... Read More
The relationship between nurse staffing and the quality and safety of care has been reported. This study compares three strategies of nurse staffing to determine their impact on costs, associated hospital days, adverse outcomes, and... Read More
Failures in patient care are a global concern. Examining the literature on costs of unsafe care delivery, this report describes the financial impacts of medical error and reviews methods... Read More
Although patient safety is considered a noble goal in health care, garnering the resources for improvement efforts can be hindered by other demands. This toolkit provides strategies for health care leaders... Read More
Health care is working to provide high-value care and prevent overuse while ensuring patient safety. This commentary highlights the importance of educational initiatives, mentors, and use of clinical decision support to... Read More
This commentary proposes that the integration of three aspects of value-based care (personal, technical, and allocative) may result in a broader understanding of patient safety culture.
Value-based healthcare is emerging as a safety construct. This article discusses the primary definition of value in health care and how established quality measures can be used to demonstrate its effectiveness in system improvement.
Implementation of smart infusion pumps resulted in both improved patient safety and cost savings, making a strong business case for investing in this patient safety intervention.
One of the seminal achievements in the patient safety field, the Keystone ICU project accomplished impressive short-term and long-term reductions in health care–associated infections in... Read More
This quality improvement project sought to prevent harmful or unnecessary care through a combination of electronic health record alerts and provider... Read More
Improving safety in health care organizations requires commitment from senior leadership and governance. It also requires an organizational structure that... Read More
This piece describes a collaborative, interdisciplinary team approach with a flat hierarchy used at Intermountain Healthcare's Dixie Regional Medical Center that led to substantial reduction of key neonatal morbidities... Read More
Nudges are a change in the way choices are presented or information is framed that can have a large, but predictable, impact on medical decision-making, for both patients... Read More
Progress has been achieved in several areas of patient safety, but the cost-effectiveness of successful interventions remains an important question for policymakers and organizational... Read More
This study used actuarial methods to conclude that each preventable adverse event costs hospitals approximately $900, in contrast to another recent study that demonstrated that hospitals may actually profit when patients... Read More
The uptake of computerized provider order entry (CPOE) in community hospitals has been slow due to difficulties associated with implementation and uncertainty about... Read More
Most research on computerized provider order entry (CPOE) has focused on its role in preventing medication errors. This modeling study sought to determine the cost-effectiveness of CPOE in... Read More
Health care–associated infections are a longstanding patient safety priority, and intensive multifaceted interventions have been shown to prevent them. This systematic review examined economic... Read More
Washington, DC: Veterans Affairs Office of Inspector General; 2022. Report No. 22-00818-03.
Organizational evaluations often reveal opportunities to address persistent quality and safety issues. This extensive inspection report shares findings from examinations at 45 Veterans Health... Read More
Adverse drug events (ADE) in the outpatient setting can result in hospital admission and are largely preventable. This study used data from the earlier Hospital Admissions Related to Medication (HARM) study... Read More
Reducing low-value tests and treatments has been a focus of patient safety efforts, but less attention has been focused on low-value patient safety practices (PSP). This... Read More
This publication reports on a workshop that explored methods to engage patients and families in safety improvement efforts, including shared decision making and providing information to... Read More