A Review of Patient Safety Measures Based on Routinely Collected Hospital Data

Abstract

The literature on patient safety measures derived from routinely collected hospital data was reviewed to inform indicator development. MEDLINE and Embase databases and Web sites were searched. Of 1738 citations, 124 studies describing the application, evaluation, or validation of hospital-based medical error or complication of care measures were reviewed. Studies were frequently conducted in the United States (n = 88) between 2005 and 2009 (n = 77) using Agency for Healthcare Research and Quality patient safety indicators (PSIs; n = 79). The most frequently cited indicators included "postoperative hemorrhage or hematoma" and "accidental puncture and laceration." Indicator refinement is supported by international coding algorithm translations but is hampered by data issues, including coding inconsistencies. The validity of PSIs and similar adverse event screens beyond internal measurement and the effects of organizational factors on patient harm remain uncertain. Development of PSIs in ambulatory care settings, including general practice and psychiatric care, needs consideration.

Patient Safety Perceptions of Primary Care Providers after Implementation of an Electronic Medical Record System

“…[1][2][3] Primary care physicians perceive time limitations and disorganized work systems as factors that influence safety, 4,5 with communication, medication management, and test results tracking believed to be common sources of avoidable error. 2,3,6,7 Work is underway to develop consensus about key processes and metrics to promote systematic safety monitoring and reduce risk in primary care. 8 While working to develop these metrics, culture assessments have been used as indirect safety measures.…”

Patient safety improvement interventions in children's surgery: A systematic review

“…Whilst the adult surgical safety literature has been extensively reviewed [2,9,11,12,[36][37][38] this review represents, to the best of our knowledge, the first synthesis of the literature pertaining to patient safety interventions in children's surgery.…”

“…Over the past two decades healthcare globally has awoken to the concept of patient safety both as a critical component of care quality that is to be strived for and as an outcome measure to be monitored and audited [1,2]. This awakening [3,4] and concurrent shift in policy agenda [5,6] have triggered a burgeoning science of clinical patient safety.…”

Educational Conducts on Patient Safety to Family Members of Hospitalized Children:multiprofessional Team Records

“…Além disso, metade dos eventos adversos poderia ter sido prevenida. 7 No contexto da hospitalização infantil, identificam-se vá-rias circunstâncias de cuidado, as quais podem ter como consequências riscos e fatores contribuintes para incidentes de segurança do paciente, como quedas, lesões de pele, infecções hospitalares, insucesso nos procedimentos invasivos, falhas no processo medicamentoso, comunicação limitada com a família da criança, entre outras. 8 Entretanto, os profissionais de saúde devem ser proativos, tanto na identificação de riscos, como na garantia da segurança do paciente pediátrico, estabelecendo uma parceria com acompanhantes/familiares para o cuidado seguro por meio de orientações e ações educativas.…”

“…Apesar de tal importância ser consenso entre os profissionais, essa rotina ainda deve ser aperfeiço-ada, visto que há diversas limitações nos sistemas de notificações de incidentes de segurança e registros das condutas dos profissionais. 7 Ressalta-se, portanto, a existência de poucos estudos sobre a documentação e registro de informações relativas às estratégias adotadas para garantir a segurança do paciente e seu significado para a qualidade do cuidado à criança hospitalizada.…”