Improving Safety Culture and Outcomes in Healthcare

改善医疗保健领域的安全文化和成果

• 批准号: 6801405
• 负责人: LAURENCE C BAKER
• 金额: $ 76.05万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6801405
• 关键词: clinical research; health care cost /financing; health care professional practice; health care quality; health care service organization; health services research tag; hospital analysis; human data; human subject; managed care; outcomes research; patient care management; patient safety /medical error

DESCRIPTION (Provided by applicant): Effective promotion of patient safety programs-and therefore patient safety improvement-remains hampered by the paucity of evidence on the factors associated with successful implementation of patient safety initiatives and on the effectiveness of comprehensive patient safety programs for reducing avoidable injuries. This project aims to improve patient safety, safety culture, and outcomes in healthcare by developing national evidence on the relationship between market and organizational characteristics, organizational safety culture, and patient safety. Expanding upon findings and methodological techniques proven through ongoing work at Stanford, we specifically aim (1) to validate further the Patient Safety Cultures in Healthcare Organizations survey instrument, (2) to understand the relationship between hospital characteristics and practices, safety culture, and patient outcomes, and (3) to improve safety culture by preparing executives to explore the realities of front-line work in their institutions. A collaboration of Stanford's Center for Health Policy & Center for Primary Care and Outcomes Research (CHP/PCOR), the Patient Safety Center of Inquiry at VA Palo Alto Health Care System, the Joint Commission for Accreditation of Health Care Organizations, the Naval Postgraduate School, participating hospitals, and others (the "Patient Safety Consortium") will achieve these aims by measuring safety culture in a diverse, nationwide sample of hospitals; assessing the relationship between individual and hospital characteristics and safety culture; determining the relationship between safety culture and aspects of healthcare financing and organization, such as managed care activity and hospital competition; comparing safety culture in hospitals to high-reliability organizations in non-medical, high-hazard industries; determining the relationship between safety culture, other potential determinants of patient safety, and patient costs and outcomes; tracking changes in safety culture and these relationships over time; and implementing and evaluating a practical intervention designed to improve safety culture.

描述（由申请人提供）：由于缺乏关于成功实施患者安全举措相关因素以及综合患者安全计划对于减少可避免伤害的有效性的证据，有效促进患者安全计划并因此改善患者安全仍然受到阻碍。该项目旨在通过开发关于市场和组织特征、组织安全文化和患者安全之间关系的国家证据来改善患者安全、安全文化和医疗保健结果。 扩展斯坦福大学正在进行的工作所证明的研究结果和方法技术，我们的具体目标是（1）进一步验证医疗机构中的患者安全文化调查工具，（2）了解医院特征和实践、安全文化和患者结果之间的关系，以及（3）通过让管理人员准备好探索其机构中一线工作的现实来改善安全文化。斯坦福大学卫生政策中心和初级保健和结果研究中心 (CHP/PCOR)、VA 帕洛阿尔托医疗系统患者安全调查中心、医疗保健组织认证联合委员会、海军研究生院、参与医院和其他机构（“患者安全联盟”）的合作将通过衡量全国范围内多元化医院样本的安全文化来实现这些目标；评估个人与医院特征和安全文化之间的关系；确定安全文化与医疗融资和组织方面（例如管理式医疗活动和医院竞争）之间的关系；将医院的安全文化与非医疗、高危险行业的高可靠性组织进行比较；确定安全文化、患者安全的其他潜在决定因素以及患者成本和结果之间的关系；跟踪安全文化和这些关系随时间的变化；实施和评估旨在改善安全文化的实际干预措施。