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Journal Article > Study
Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.
Benn J, Burnett S, Parand A, Pinto A, Iskander S, Vincent C. J Eval Clin Pract. 2009;15:524-540.
The United Kingdom Safer Patients Initiative is a large-scale effort to reduce preventable harm in hospitals, including medication errors, health care–associated infections, and cardiopulmonary arrests. Implementation of this program is being conducted according to the principles of continuous quality improvement in collaboration with the Institute for Healthcare Improvement. This mixed methods study evaluates the first phase of the project by soliciting the perceptions of project leaders at four hospitals with the goal of analyzing the local impact of the initiative. Respondents discussed the role of safety culture in facilitating success of the project and identified other local factors that enabled safety improvements.
Journal Article > Study
Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.
Benning A, Dixon-Woods M, Nwulu U, et al. BMJ. 2011;342:d199.
This study is the second phase of the United Kingdom's Safer Patients Initiative (SPI), a large-scale effort to improve patient safety through multifaceted interventions and an independent evaluation. Similar to the first phase study, this one demonstrated little added benefit of SPI on key safety outcomes in 20 hospitals, though overall safety did improve. An accompanying editorial [see link below] discusses the study findings and emphasizes the continued need to run toward science rather than away from it in evaluating quality improvement efforts.
Journal Article > Commentary
Pronovost PJ, Cleeman JI, Wright D, Srinivasan A. BMJ Qual Saf. 2016;25:396-399.
When To Err Is Human was published, central line–associated bloodstream infections were considered an unavoidable patient safety problem. This commentary discusses how this mindset has changed over the past decade, citing the Keystone ICU project and other efforts that substantially decreased rates of this preventable hospital-acquired condition. The authors outline five elements that contributed to the reduction, including reliable and valid measurement processes, evidence-based care practices, and alignment around common goals and measures.