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Improving Safety Culture and Outcomes in Healthcare

改善医疗保健领域的安全文化和成果

基本信息

批准号：
7128112
负责人：
LAURENCE C BAKER
金额：
$ 70.06万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-09-30 至 2008-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7128112
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

项目摘要

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）：有效促进患者安全计划-因此患者安全改善-仍然受到缺乏证据的影响，这些证据与成功实施患者安全计划的因素有关，并且缺乏全面的患者安全计划对减少可避免伤害的有效性。该项目旨在通过制定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，改善患者安全、安全文化和医疗保健成果。在斯坦福大学正在进行的工作中证明的发现和方法技术的基础上，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，安全文化和患者结局之间的关系，及（3）透过训练行政人员了解所属机构前线工作的实际情况，改善安全文化。斯坦福大学卫生政策中心和初级保健和成果研究中心的合作（CHP/PCOR）、VA帕洛阿尔托医疗保健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、参与医院等（“病人安全联盟”）将通过在全国范围内的多样化医院样本中测量安全文化，评估个人和医院特征与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之间的关系，例如管理式护理活动和医院竞争;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与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。

项目成果

期刊论文数量（8）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Trends in charges and payments for nonhospitalized emergency department pediatric visits, 1996-2003.

1996 年至 2003 年非住院急诊科儿科就诊费用和付款的趋势。

DOI：
10.1111/j.1553-2712.2008.00075.x
发表时间：
2008
期刊：
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
影响因子：
0
作者：
Hsia,ReneeY;MacIsaac,Donna;Palm,Erin;Baker,LaurenceC
通讯作者：
Baker,LaurenceC

Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.

比较海军航空和医院的安全氛围：对改善患者安全的影响。