COVID-19 Impact

You may see some delays in posting new content due to COVID-19. If you have any questions, please submit a message to PSNet Support.

PSNet: Patient Safety Network
Journal Article

What is driving hospitals' patient-safety efforts?

Devers KJ, Pham HH, Liu G. Health affairs (Project Hope). 2004;23:103-15.

This study evaluated the role professionalism, regulation, and market forces played in shaping an organization's patient safety efforts. Investigators used 85 semistructured interviews with hospital leaders (part of a larger hospital tracking study) to determine current safety initiatives, factors facilitating or impeding safety progress, and the impact of these efforts on the hospital, providers, and patients. The authors discovered that major patient safety initiatives focus on complying with Joint Commission and Accreditation of Healthcare Organizations (JCAHO) requirements. As a result, Medicare served as an important facilitator of safety efforts due to the fact that hospitals must receive JCAHO accreditation to receive reimbursement for this patient population. On the other hand, barriers identified included the lack of local market incentives and an information technology infrastructure. The authors propose a series of policy-level recommendations to strengthen the business case for necessary efforts. Two past studies similarly discussed the business case for quality and safety.