Linking characteristics of high-performing hospitals with patient safety

将高绩效医院的特点与患者安全联系起来

• 批准号: 7360606
• 负责人: Jason M Etchegaray
• 金额: $ 4.4万
• 依托单位: UNIVERSITY OF TX MD ANDERSON CAN CTR
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2008-04-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7360606
• 关键词: Linking; characteristics; performing; hospitals; patient

Given AHRQ's focus on improving health outcomes and advancing methodologies in health services research, including cost-effectiveness analysis, the present application has three aims: Specific Aim # 1 (Primary Aim): Develop a content valid survey that can be used to measure highperformance work systems (HPWS) practices in a hospital setting. Specific Aim # 2: Relate HPWS practices to patient safety and quality in the healthcare industry, which will allow for the estimation of a) internal consistency, b) construct validity, and c) criterion validity. Hypothesis: The extent that HPWS practices are used in hospitals will be positively related to the patient safety and quality in hospitals. Specific Aim # 3: Determine the cost effectiveness of implementing different HPWS practices to determine which HPWS practices provide the most impact on patient safety and quality per dollar spent on HPWS practices. A mixed methods approach will be used for this study, including the development and administration of a survey that collects qualitative and quantitative information about HPWS in hospitals throughout the United States. The first part of the study will consist of survey development and refinement with assistance from the Pi's mentor (Dr. Eric Thomas) and two content experts (Dr. Cynthia St. John and Dr. Michal Tamuz). The second part of the study will consist of administering the survey about HPWS practices to a random sample of hospitals in 25 of the states in the U.S. and linking the survey responses with three criteria - Hospital Quality Alliance data, clinical excellence rates, and patient safety rates, where the latter two rates are computed using methodology developed by Health Grades Inc. that incorporates AHRQ's patient safety indicator framework. The third part of the study will examine the cost effectiveness of the HPWS practices for each of the criteria. The present study seeks to identify work practices used by organizations that are related to health outcomes. To accomplish this, the present study will look for similarities and differences in work practices used by highand low-performing hospitals.

鉴于AHRQ的重点是改善健康结果和推进卫生服务的方法 研究，包括成本效益分析，本申请有三个目的： 具体目标#1(主要目标)：制定可用于衡量高绩效的内容有效调查 工作系统(HPWS)在医院环境中的实践。 具体目标2：将HPWS实践与医疗保健行业的患者安全和质量联系起来，这将 允许估计a)内部一致性，b)结构效度，以及 C)标准效度。假设：HPWS实践在医院中的应用程度将是积极的 关系到医院患者的安全和质量。 具体目标#3：确定实施不同HPWS实践的成本效益，以确定 哪些HPWS实践对患者的安全和质量影响最大(按HPWS花费的美元计算 练习。 这项研究将采用混合方法，包括开发和管理 一项收集全美医院HPWS定性和定量信息的调查 各州。研究的第一部分将包括调查的发展和完善，并由 Pi的导师(Eric Thomas博士)和两位内容专家(Cynthia St.John博士和Michal Tamuz博士)。这个 研究的第二部分将包括对随机抽样的HPWS做法进行调查 对美国25个州的医院进行调查，并将调查结果与三个标准联系起来--医院 质量联盟数据、临床优秀率和患者安全率，其中后两个比率为 使用Health Grains Inc.开发的方法进行计算，该方法结合了AHRQ的患者安全 指标框架。研究的第三部分将探讨高威尔斯工作计划做法的成本效益。 对于每个标准。 本研究试图查明各组织采用的与健康结果有关的工作做法。 为了实现这一点，本研究将寻找HIGH和HAND使用的工作实践的异同 表现不佳的医院。