Narrow Results Clear All
- Communication Improvement 1
- Culture of Safety 3
- Error Reporting and Analysis
- Legal and Policy Approaches 4
Quality Improvement Strategies
- Technologic Approaches 3
Search results for "Benchmarking"
- Root Cause Analysis
Web Resource > Multi-use Website
Burgemeester van Leeuwenlaan 93-3, 1064KP, Amsterdam, The Netherlands.
This Web site provides patient safety information for developing countries.
Perspectives on Safety > Interview
State Error Reporting Systems, June 2007
Diane Rydrych, MA, is Assistant Director of the Division of Health Policy at the Minnesota Department of Health, where she oversees their successful and influential adverse health events reporting system. We asked her to speak with us about the Minnesota initiative and some of the broader lessons for state error reporting systems.
Perspectives on Safety > Perspective
with commentary by Ashish K. Jha, MD, MPH, The Transformation of Patient Safety at the VA, September 2006
Five years after the landmark Crossing the Quality Chasm report by the Institute of Medicine (IOM), the quality and safety of health care in the United States remains far from ideal.(1) It is easy to feel pessimistic. Can health care organizations really...
Journal Article > Study
Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.
To grade progress since release of the landmark Institute of Medicine (IOM) report, this AHRQ-funded study examined the status and evolution of patient safety systems through a survey of acute care hospitals in Missouri and Utah. Investigators characterized their assessment based on variables that included presence of computerized physician order entry systems, computerized test results, evaluation of adverse drug events, specific patient safety policies, use of data in patient safety programs, drug administration and safety procedures, error reporting processes, prevention policies, and root cause analyses. More than 100 hospitals completed the survey in 2002 and again in 2004. Findings demonstrated only modest improvements in certain areas with variability noted in others. For instance, surgical areas and medication processes seemed to embrace the greatest level of patient safety systems. However, the authors point out that the overall findings fall short of the IOM recommendations and necessitate a more intensive agenda for accelerated improvements. An accompanying editorial (link below) provides an overview of the factors and challenges involved in promoting change to improve patient safety.
Journal Article > Study
Savage SW, Schneider PJ, Pedersen CA. Am J Health Syst Pharm. 2005;62:2265-2270.
The investigators surveyed hospitals using the Medmarx voluntary reporting program and found an average twofold increase in internal error reporting after implementation of the program.
Journal Article > Commentary
FitzGerald R. Eur Radiol. 2005;15:1760-1767.
The author argues for radiological standard setting and a systems approach to mitigating missed diagnosis in radiology.
Cases & Commentaries
- Web M&M
Darren R. Linkin, MD; Ebbing Lautenbach, MD, MPH, MSCE; February 2004
Infection Control notices an uptick in post-operative wound infections for patients from one OR team. Environmental rounds reveal "sloppy" practices.