DEVELOPING BEST PRACTICES FOR PATIENT SAFETY

我们提出了一个公私合作研究，以改善医院有效的病人安全实践的实施。我们的患者安全联盟将由不同的北方加州医院、医疗保健组织认证联合委员会（JCAHO）、安全用药实践研究所（ISMP）、加州医疗保健协会（CHA）和退伍军人事务部患者安全调查中心（PSCI）之间的伙伴关系组成。我们的合作研究和试点实施项目的目标是改善国家证据基础，以衡量和预测潜在的患者安全问题，并制定具有成本效益的战略，以改善个别医院的患者安全实践。该项目将建立在所有参与组织正在进行的与护理质量和医疗差错有关的活动的基础上。我们的具体目标包括： 1. 对于绝大多数美国医院来说，建设广泛的 可能使用的潜在患者安全性指标（PSI） 在常规基础上提供经验证据， 安全问题。PSI包括不良事件的测量， 医疗事故和诉讼事件。 2. 最多描述重要患者安全实践的最新趋势 美国医院，并使用补充调查来描述患者 安全实践和“安全文化”的详细信息 医院的 3. 检查患者安全实践之间的经验关系， PSI和医院资源使用统计方法， 认识到现有措施和潜力的局限性 报告偏差。 4. 开展一项持续的倡议，帮助联盟医院分享， 评估并改善患者安全实践，包括 我们为个人量身定制的实证分析演示 医院的 5. 评估我们的倡议对联盟医院的影响， 比较患者安全实践和患者安全的趋势 性能，反映在PSI，以匹配的控制集， 不参与的医院 6. 编写文稿并提出关于有效的 改善医院病人安全的干预措施，并将 我们对参与者正在进行的战略的调查结果 组织，以促进其成员医院的病人安全。

We propose a public-private collaborative study to improve the implementation of effective patient safety practices in hospitals. Our Patient Safety Consortium will consist of a partnership between diverse Northern California hospitals, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Institute for Safe Medication Practices (ISMP), the California Healthcare Association (CHA), and the Patient Safety Center of Inquiry (PSCI) at the Department of Veterans' Affairs. The goals of our collaborative research and pilot implementation project are to improve the national evidence base for measuring and predicting potential patient safety problems, and to develop cost-effective strategies for improving patient safety practices at individual hospitals. The project will build on activities related to quality of care and medical errors underway in all of the participating organizations. Our specific aims include: 1. For the vast majority of U.S. hospitals, construct a broad range of potential patient safety indicators (PSIs) that can potentially be used on a routine basis to provide empirical evidence on possible patient safety problems. The PSIs include measures of adverse events, medical errors, and litigation events. 2. Describe recent trends in important patient safety practices at most U.S. hospitals, and use supplemental surveys to describe patient safety practices and "safety cultures" in detail at Consortium hospitals. 3. Examine the empirical relationship between patient safety practices, PSIs, and hospital resource use with statistical methods that recognize the limitations of available measures and potential reporting biases. 4. Conduct an ongoing initiative to help Consortium hospitals share, assess, and improve their patient safety practices, including presentations of our empirical analysis tailored to the individual hospitals. 5. Evaluate the impact of our initiative on Consortium hospitals, by comparing trends in patient safety practices and patient safety performance, as reflected in the PSIs, to a matched control set of nonparticipating hospitals. 6. Prepare manuscripts and present major findings on effective interventions for improving hospital patient safety, and incorporate our findings into the ongoing strategies of the participating organizations to promote patient safety in their member hospitals.