Using a society database to evaluate a patient safety collaborative: the Cardiovascular Surgical Translational Study

Author:

Hsu Yea-Jen1,Kosinski Andrzej S2,Wallace Amelia S2,Saha-Chaudhuri Paramita3,Chang Bickey H4,Speck Kathleen4,Rosen Michael A45,Gurses Ayse P145,Xie Anping45,Huang Shu4,Cameron Duke E6,Thompson David A1457,Marsteller Jill A145

Affiliation:

1. Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA

2. Duke Clinical Research Institute, Duke University School of Medicine, 2400 Pratt Street, Durham, NC 27705, USA

3. Department of Epidemiology Biostatistics & Occupational Health, McGill University, 1020 Pine Avenue, West Montreal, Quebec, Canada

4. Armstrong Institute for Patient Safety & Quality, Johns Hopkins Medicine, 750 E. Pratt Street, Baltimore, MD 21202, USA

5. Department of Anesthesiology & Critical Care Medicine, Johns Hopkins School of Medicine, 1800 Orleans Street, Baltimore, MD 21287, USA

6. Division of Cardiac Surgery, Johns Hopkins School of Medicine, 1800 Orleans Street, Baltimore, MD 21287, USA

7. Division of Acute & Chronic Care, Johns Hopkins School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, USA

Abstract

Aim: To assess the utility of using external databases for quality improvement (QI) evaluations in the context of an innovative QI collaborative aimed to reduce three infections and improve patient safety across the cardiac surgery service line. Methods: We compared changes in each outcome between 15 intervention hospitals (infection reduction protocols plus safety culture intervention) and 52 propensity score-matched hospitals (feedback only). Results: Improvement trends in several outcomes among the intervention hospitals were not statistically different from those in comparison hospitals. Conclusion: Using external databases such as those of professional societies may permit comparative effectiveness assessment by providing concurrent comparison groups, additional outcome measures and longer follow-up. This can better inform evaluation of continuous QI in healthcare organizations.

Publisher

Future Medicine Ltd

Subject

Health Policy

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3