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Journal Article > Commentary
Fulop NJ, Ramsay AIG. BMJ. 2019;365:l1773.
Quality and safety improvement in health care is complex and requires insights and buy-in from various perspectives to achieve lasting progress. This commentary discusses the role of leadership, systemwide staff engagement, external influences, and processes that support prioritization and implementation of sustainable quality improvement strategies.
Oakbrook Terrace, IL: The Joint Commission; November 2008.
The quality of care delivered at US hospitals continues to improve, according to data gathered by the Joint Commission from nearly 1,500 institutions. Hospitals improved their provision of evidence-based care for patients with heart attacks, congestive heart failure, and pneumonia, and also improved at prevention of health care–associated infections in surgical patients. As in the 2007 report, adherence to the National Patient Safety Goals was more mixed. Although performance improved in some areas (including medication reconciliation and eliminating "do not use" abbreviations), many hospitals do not systematically perform time outs prior to procedures, or have reliable mechanisms for communicating critical test results.