Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System

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Rand Corporation, Sep 2, 2009 - Medical - 230 pages
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Presents the results of a two-year study that analyzes how patient safety practices are being adopted by U.S. health care providers, examines hospital experiences with a patient safety culture survey, and assesses patient safety outcomes trends. In case studies of four U.S. communities, researchers collected information on the dynamics of local patient safety activities and on adoption of safe practices by hospitals.
 

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Contents

CHAPTER 1 INTRODUCTION AND BACKGROUND
1
CHAPTER 2 UPTAKE OF PATIENT SAFETY PRACTICES IN FOUR U S COMMUNITIES
9
CHAPTER 3 USE OF THE HOSPITAL SURVEY ON PATIENT SAFETY CULTURE
37
CHAPTER 4 NATIONAL SURVEY ON ADOPTION OF NQF SAFE PRACTICES
53
CHAPTER 5 TRENDS FOR PATIENT SAFETY OUTCOMES
69
CHAPTER 6 SUGGESTED APPROACH FOR MONITORING EFFECTS OF THEPATIENT SAFETY INITIATIVE
93
APPENDIX A BOUNDARY SPANNERS INTERVIEWED IN THE COMMUNITY STUDY
103
APPENDIX B CASE STUDIES FROM THE COMMUNITY STUDY
105
APPENDIX C SUMMARY OF RESULTS FROM ROUNDTABLE DISCUSSIONS ON NQF SAFE PRACTICES
135
APPENDIX D NQF SAFE PRACTICES NOT INCLUDED IN SURVEY
141
APPENDIX E FINAL VERSION OF THE SURVEY
143
APPENDIX F RATIONALE FOR DESIGN OF THE SURVEY ITEMS
173
REFERENCES
197
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