Patient safety programme

Healthcare organizations and the professionals affiliated with them should make continually improved patient safety a declared and serious aim, by establishing patient safety programmes with defined executive responsibility. 

This briefing, a component of the comprehensive patient safety programme, is being given throughout the health system... 

Another component of the comprehensive patient safety programme has been initiated in four ICU units adopters (current and pending) include the President of the Johns Hopkins University, President of the Johns Hopkins Health System, Chief Operating Officer of the JHH and the Vice President for Hmnan Resources at the JHH This site has provided the organization with a means of disseminating project information and sharing ideas This centre reports to the CEO and university president and provides support for quality and safety improvement initiatives... 

Pettker et al. (2009) Patient safety programme with eight components Two years Tertiary-level academic medical centre Safety Attitudes Questiormaire Teamwork culture improved from 39% to 55% and safety culture improved from 33% to 55%... 

Launch of a National Quality and Patient Safety Programme in Belgian Hospitals... 

The adverse event form is a cornerstone of patient safety monitoring, and as such it contains very important data. There are several data issues for the statistical programmer to be concerned about here. 

A number of programmes managed by US Patient Safety Organisations. 

Agency for Healthcare Research and QuaMty. Patient safety organisation programme. Common formats. [OnMne]. Available from HYPERLINK http //www.pso.ahrq.gov/common http //... 

The Health Foundation. Safer Patients Initiative. Lessons from the first major improvement programme addressing patient safety in the UK. London The Health Foundation 2011. 

Barber, N., Franklin, B.D., Comford, T. et al. (2006) Safer, Faster, Better Evaluating Electronic Prescribing. Report to the Patient Safety Research Programme, Department of Health, London. 

Our first example of long-term, sustained change is the work of Peter Prono-vost, Albert Wu and their colleagues in critical care medicine at Johns Hopkins Hospital. This work is remarkable on several counts. First, the leaders aU have a serious and longstanding commitment to patient safety. Second, the work has been sustained over a decade now, with continuous evolution and refinement. Third, they have combined a desire for improvement with an equal passion for science and measurement and fourth, they have documented both the journey and the outcomes (Box 19.1). Many other leaders have a similarly longstanding commitment but the evaluation and publication of the Johns Hopkins team have made their work particularly influential. We caimot do justice to the entire programme, but we will review some of the salient features. 

As the success of this and related programmes became apparent, a much wider intervention was launched led by the Michigan Health and Hospital Keystone Association for Patient Safety and Quality. 108 Michigan ICUs took part in an 18-month intervention programme aimed particularly at decreasing catheter related bloodstream infections, a common, costly and potentially lethal complication of ICU care. In the United States, 80 000 patients each year were affected, with up to 28 000 deaths in intensive care units from this cause. 

Berm, J., Burnett, S., Parand, A. et al. (2009b) Studying large-scale programmes to improve patient safety in whole care systems challenges for research. Social Science <3 Medicine, 69, 1767-1776. 

Burnett, S., Berm, J., Pinto, A. et al. (2010) Organisational readiness exploring the preconditions for success in organisation-wide patient safety improvement programmes. Quality and Safety in Health Care (in press). 

CTT has been the dominant approach in psychometric theory for the past 100 years. Although IRT has been aroimd since the late 1960s (Lord and Novick 1968), until computer programmes were accessible to researchers it was not widely adopted. Its use is now reported in various literatures including healthcare (Chan et al. 2004), education (Kane 1987) and clinical psychology (Cooke and Michie 1997), to name a few. It is important, then, to pursue using such an approach in the field of assessment of patient safety culture as this technology becomes an expected standard in psychometric evaluation. 

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