Recent Research
Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report
Agency for Healthcare Research and Quality, February 2012
“Based on data from 1,128 U.S. hospitals, the Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report provides initial results that hospitals can use to compare their patient safety culture to other U.S. hospitals. In addition, the 2012 report presents results showing change over time for 650 hospitals that submitted data more than once.”
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Hospital Incident Reporting Systems Do Not Capture Most Patient Harm
Department of Health and Human Services, Office of Inspector General, January 2012
This new study found that hospital employees are only reporting fourteen percent of all medical errors and usually don’t change their practices to prevent future harm to patients. The study was based on an independent review of patient records.
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Why Not the Best? Results from the National Scorecard on U.S. Health System Performance, 2011
The Commonwealth Fund Commission on a High Performance Health System, October 2011
Updating a series of comprehensive assessments of U.S. population health and health care quality, access, efficiency, and equity, this research offers information related to quality and patient safety and their relationship to health reform. The report highlights inefficiency and inequitable care as key concerns, which are important aspects and focus areas for building a culture of patient safety.
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Research in Ambulatory Patient Safety 2000–2010: A 10-Year Review
American Medical Association, 2011
This report details ten years of research on ambulatory safety. In summary, the report concludes that “Though some very high-quality work on ambulatory safety took place between 2000 and 2010, research and initiatives in ambulatory safety were remarkably limited, both in quantity and in the ability to generalize from the studies that were reported.”
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Ambulatory Surgery Facilities: A Comprehensive Review of Medication Error Reports in Pennsylvania
Pennsylvania Patient Safety Authority, September 2011
The Pennsylvania Patient Safety Authority offers insight into adverse medication events in the ambulatory surgery setting through the analysis of reported events. The article reviews the most common types of medication events, patient populations involved, medications involved, and event descriptions to determine specific and common issues affecting this setting. In addition, risk reduction strategies to improve patient safety are discussed.
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Variations in Amenable Mortality—Trends in 16 High-Income Nations
Health Policy, September 12, 2011
The rate of “mortality amenable to health care”—that is, deaths that are considered preventable with timely and effective health care—declined for people under age 75 across 16 high-income nations between 1997–1998 and 2006–2007. While all countries showed improvement, the United States improved the least.
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Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report
Agency for Healthcare Research and Quality, August 2011
“Based on data from 226 nursing homes in the United States, the Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report provides initial results that nursing homes can use to compare their patient safety culture to other U.S. nursing homes.”
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‘Global Trigger Tool’ Shows That Adverse Events In Hospitals May Be Ten Times Greater Than Previously Measured
Health Affairs, April 2011
This study compared three methods to detect adverse events in hospitalized patients and found that adverse event detection methods commonly used in the United States fared poorly compared to other methods and that reliance on voluntary reporting and the Patient Safety Indicators could produce misleading conclusions about the current safety of care in the US health care system and misdirect efforts to improve patient safety.
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Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries
Department of Health and Human Services, Office of Inspector General, November 2010
The Office of Inspector General estimates the national incidence of adverse events for hospitalized Medicare beneficiaries, assesses the preventability of such events, and estimates associated costs to Medicare.
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