Narrow Results Clear All
- Perspectives on Safety 1
- Review 2
- Study 22
- Audiovisual 1
- Book/Report 20
- Legislation/Regulation 1
- Newspaper/Magazine Article 7
- Special or Theme Issue 1
- Tools/Toolkit 1
- Web Resource 7
- Communication Improvement 7
- Culture of Safety 16
- Education and Training 6
- Error Reporting and Analysis 25
- Human Factors Engineering 1
- Legal and Policy Approaches 14
- Logistical Approaches 1
Quality Improvement Strategies
- Specialization of Care 5
- Teamwork 1
- Technologic Approaches 5
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 4
- Fatigue and Sleep Deprivation 1
- Identification Errors 3
- Medical Complications 15
- Medication Safety 9
- Overtreatment 1
- Surgical Complications 10
- Transfusion Complications 1
- Family Members and Caregivers 1
- Health Care Executives and Administrators 50
Health Care Providers
- Nurses 1
Non-Health Care Professionals
- Media 1
- Patients 11
- Australia and New Zealand 1
- Europe 2
- Canada 7
Search results for "Benchmarking"
- Hospital Medicine
Journal Article > Commentary
Smith PK, Amster A. Jt Comm J Qual Patient Saf. 2019;45:304-314.
This commentary describes how one health system developed and utilized an inpatient safety composite measure to track hospital-level performance on a select set of adverse events. The authors found that the tool successfully quantified improvement over time and suggest it can be used by other hospitals and health systems.
Journal Article > Study
A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions.
Mathew R, Gundy S, Ulic D, Haider S, Wasi P. Acad Med. 2016;91:1284-1292.
Although duty hour restrictions were enacted to improve patient safety, evidence regarding their impact has been mixed. This focus group study examined resident perceptions of quality of life and patient safety before and after implementation of a reduced duty hours model. Participants reported less fatigue but also expressed concern about the greater number of handoffs, echoing the ongoing duty-hours debate discussed in a recent PSNet perspective.
Journal Article > Study
Bump GM, Coots N, Liberi CA, et al. Acad Med. 2017;92:116-122.
Using the AHRQ Hospital Survey on Patient Safety Culture, this study compared how trainees and staff in 10 hospitals in an integrated health system perceived safety. Trainee and staff perceptions of safety culture differed, highlighting the challenges of coming to a common understanding of safety culture.
National Quality Partners. Washington, DC: National Quality Forum; 2016.
Antimicrobial stewardship has been promoted as a strategy to improve patient safety by reducing overuse of antibiotics to prevent hospital-acquired infections. This report draws from the experience of existing programs to summarize practical strategies for implementing initiatives. Core elements include engaging leadership, monitoring effectiveness, and reporting benchmarks.
Sorra J, Famolaro T, Yount ND, Smith SA, Wilson S, Liu H. Rockville, MD: Agency for Healthcare Research and Quality; March 2014. AHRQ Publication No. 14-0019-EF.
This annually released report of the AHRQ Hospital Survey on Patient Safety Culture comparative database presents benchmarking data for safety culture from 653 hospitals nationwide, including trending data on changes in safety culture perception over time for more than 300 hospitals. The full report contains detailed comparative data for various hospital characteristics (type and size) and respondent characteristics (work areas, staff positions, and direct patient contact). Areas of strength included teamwork, leadership, and continuous improvement, all of which have been emphasized in patient safety efforts. However, as in prior reports, concerns were voiced about the safety of handoffs. Most respondents reported that staffing was suboptimal for supporting patient safety, and a non-punitive approach to errors remains elusive for most hospitals.
Rau J. Kaiser Health News. October 17, 2011.
The Centers for Medicare & Medicaid Services (CMS) published data on hospital-acquired conditions in a 2011 report. This news article discusses new data available on the Hospital Compare Web site, including preventable complications and certain types of medical errors.
Oakbrook Terrace, IL: The Joint Commission; September 2011.
This report emphasizes performance on Hospitals in the United States have made significant improvements in quality of care over the past several years, according to the sixth annual Joint Commission report. This report emphasizes performance on accountability measures—quality metrics that are closely tied to patient outcomes—and cites exemplar hospitals across the country that have demonstrated outstanding performance on these metrics for patients undergoing surgery, and for patients hospitalized with myocardial infarctions, pneumonia, and asthma (in children). Beginning in 2012, The Joint Commission began to integrate performance expectations on accountability measures into their annual accreditation surveys, meaning that for the first time, hospitals must demonstrate high-quality performance in order to retain accreditation.
Harrisburg, PA: Patient Safety Authority; May 2019.
This report summarizes patient safety improvement work in the state of Pennsylvania and reviews the 2018 activities of the Patient Safety Authority, including the launch of the Center of Excellence for Improving Diagnosis, outreach programs, liaison efforts, and the convening of the first patient safety conference for the state.
Web Resource > Government Resource
Centers for Medicare & Medicaid Services.
The Centers for Medicare and Medicaid Services (CMS) provides consumers with publicly available information on the quality of Medicare-certified hospital care through this Web site. The site includes specific information for both patients and hospitals on how to use the data to guide decision-making and improvement initiatives. Most recently, listings from the Hospital-Acquired Condition Reduction Program (HACRP) and data on Department of Veterans Affairs hospitals were added to the reports available.
Journal Article > Study
Goeschel CA, Berenholtz SM, Culbertson RA, Jin LD, Pronovost PJ. Am J Med Qual. 2011;26:254-260.
Ginsburg M, Glasmire K. Oakland, CA: California HealthCare Foundation; April 2011.
Examining consumers' opinions on health care quality and safety, this report offers recommendations for hospitals to prioritize improvement efforts.
Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; April 2011. AHRQ Publication No. 11-0030.
The fifth annual edition of the AHRQ Hospital Survey on Patient Safety Culture comparative database presents benchmarking data for safety culture from more than 1000 hospitals nationwide, including trending data on changes in safety culture perception over time for more than 500 hospitals. The full report contains detailed comparative data for various hospital characteristics (type and size) and respondent characteristics (work areas, staff positions, and direct patient contact). Overall perception of safety culture improved compared with prior reports, and respondents specifically noted improvements in teamwork and management support of safety. However, persistent concerns were voiced about the safety of handoffs, and most respondents did not voluntarily report safety incidents.
Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.
This white paper identifies drivers of patient-centered care, and provides tools to help organizations improve the patient and family experience.
Journal Article > Review
Cohen MD, Hilligoss PB. Qual Saf Health Care. 2010;19:493-497.
Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0026.
The Hospital Survey on Patient Safety Culture, a validated tool for measurement of safety culture developed by the Agency for Healthcare Research and Quality (AHRQ), was initially released in 2004. AHRQ has released database reports yearly since 2007 that present benchmarking data for safety culture across different regions, hospital types, hospital size, respondent work areas, and staff positions. This edition presents data from more than 300,000 respondents and greater than 800 hospitals nationwide, and also includes data on changes in safety culture perception over time for a subset of hospitals. Notable findings include widespread concern about a persistent culture of individual blame when errors occur, and concern about the safety of handoffs.
Journal Article > Study
Kazandjian VA, Ogunbo S, Wicker KG, Vaida AJ, Pipesh F. Qual Saf Health Care. 2009;18:331-335.
Use of the Institute for Safe Medication Practices Self-Assessment for Hospitals initiative resulted in improved medication safety in Maryland hospitals.
Sorra J, Famloaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; 2009. AHRQ Publication No. 09-0030.
Measuring safety culture in health care organizations remains a key step in improving patient safety. Many hospitals use the validated Agency for Healthcare Research and Quality's (AHRQ) Hospital Survey on Patient Safety Culture to assess safety culture at the hospital and unit levels. This report, building on 2007 and 2008 versions, presents baseline survey data from more than 600 hospitals to create benchmarks for comparison of different regions, hospital types, hospital size, respondent work areas, and staff positions. This report is the first to provide results showing change over time for 204 hospitals that submitted data more than once.
Esmail N, Hazel M. Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009. ISSN: 1918-2082.
Designed to help patients choose hospitals, this report utilized AHRQ quality indicators to analyze the performance of acute-care hospitals in Ontario. Using an interactive online tool, consumers can look up a particular condition or procedure and compare rates of procedure volume, adverse events, deaths, and utilization.
Journal Article > Study
Houchens RL, Elixhauser A, Romano PS. Jt Comm J Qual Patient Saf. 2008;34:154-163.
With an increasing focus on measuring and withholding payment for complications of care not present on admission (POA), hospitals have great incentive to know the limitations of data that track potential patient safety problems. This study combined POA data collected from two statewide discharge databases and used them to analyze 13 of 20 AHRQ Patient Safety Indicators (PSIs) for which POA information was relevant. Investigators discovered that suspect coding of POA did exist in some circumstances, but more notably, significant limitations on the validity of 3 PSIs were found after incorporating POA information. Decubitus ulcers, postoperative hip fractures, and postoperative thromboembolic events all appear as invalid measures of in-hospital patient safety events, while the other PSIs studied remain potentially useful.
Ottawa, ON, Canada: Canadian Institute for Health Information; 2007. ISBN: 9781554651849.
This report describes a new metric used to analyze mortality rates in Canadian health care and also includes region-specific data.