Measuring the Success of a Patient Safety or Quality Improvement Project (Patient Safety VI)

Start Date: 07/05/2020

Course Type: Common Course

Course Link:

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About Course

How will you know if your patient safety and quality project is meeting its objectives? Peter Drucker once said “What gets measured, gets managed.” In this course, students will learn why measurement is critical to quality improvement work. Equally important, they will learn which data sources provide the most meaningful information and tools for how and where to locate them. Finally, students will learn how to interpret data from their patient safety and quality projects to guide and modify them during implementation to maximize their chances of making a difference for patients.

Course Syllabus

In this module, learners will develop an understanding of what is performance measurement in healthcare, what constitutes a “good” performance measure, and basic frameworks that have been used for categorizing measures. Learners will become familiar with some of the well-known entities involved in performance measurement in healthcare and key challenges in the field.

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Course Introduction

Measuring the Success of a Patient Safety or Quality Improvement Project (Patient Safety VI) In this course you will: * Understand what a patient safety and quality improvement project is and how to approach them * Understand the evidence-based model and its limitations * Engage the evidence-based model in a real clinical practice * Use the evidence-based model in practice as a guide for your team * Recognize the human variable in patient safety and quality improvement projects * Your team is responsible to you as a leader in patient safety and quality improvement projects. In this course you will learn how to build your team’s knowledge and understanding on patient safety and quality improvement projects. This course is part of the 5-course series: • Understanding Patient Safety and Quality Improvement: Aims and Overview of Responses • Understanding Patient Safety and Quality Improvement: Timing and Probability • Understanding Patient Safety and Quality Improvement: Logistics and Timely Response Please note, in order to complete the survey for this course you will need to have completed Installing Patient Safety and Quality Improvement as well as all of the other courses in this specialization.You will be able to select whether you want to receive an Institutional Review Board (IRB) or Not-for-

Course Tag

Data Analysis Performance Measurement Project Evaluation

Related Wiki Topic

Article Example
Patient safety Quality improvement and patient safety is a major concern in the pediatric world of health care. This next section will focus on quality improvement and patient safety initiatives in inpatient settings.
Patient safety organization Patients for Patient Safety is part of the World Alliance for Patient Safety launched in 2004 by the WHO. The project emphasizes the central role patients and consumers can play in efforts to improve the quality and safety of healthcare around the world. PFPS works with a global network of patients, consumers, caregivers, and consumer organizations to support patient involvement in patient safety programmes, both within countries and in the global programmes of the World Alliance for Patient Safety.
Patient Safety and Quality Improvement Act The definition of "Patient Safety Work Product" (PSWP) is quite broad. Patient safety work product includes any data, reports, records, memoranda, analyses (such as root cause analyses), or written or oral statements (or copies of any of this material), which could improve patient safety, health care quality, or health care outcomes, that are assembled or developed by a provider for reporting to a PSO and are reported to a PSO. It also includes information that is documented as within a patient safety evaluation system that will be sent to a PSO and information developed by a PSO for the conduct of patient safety activities.
Patient safety organization On November 5, 2008, ECRI Institute PSO was officially listed as a federal Patient Safety Organization under the Patient Safety and Quality Improvement Act of 2005. ECRI Institute Patient Safety Organization serves nationwide as a PSO directly for providers, hospitals, and health systems as well as provide support services to state and regional PSOs.
Patient safety organization Based in Berlin, the German Agency for Quality in Medicine is a not-profit organisation, which co-ordinates healthcare quality programmes. In the field of patient safety AQUMED was one of the first German organisations calling for effective patient safety programs. The agency was co-founder of the German Coalition for Patient Safety. AQUMED established a national network of Critical Incident Reporting Systems. The institution is partner of the international High 5 Project.
Patient Safety and Quality Improvement Act The Patient Safety and Quality Improvement Act of 2005 (PSQIA): , 42 U.S.C. ch. 6A subch. VII part C, established a system of patient safety organizations and a national patient safety database. To encourage reporting and broad discussion of adverse events, near misses, and dangerous conditions, it also established privilege and confidentiality protections for Patient Safety Work Product (as defined in the act). The PSQIA was introduced by Sen. Jim Jeffords [I-VT]. It passed in the Senate July 21, 2005 by unanimous consent, and passed the House of Representatives on July 27, 2005 with 428 Ayes, 3 Nays, and 2 Present/Not Voting.
Patient safety Patient safety is a discipline that emphasizes safety in health care through the prevention, reduction, reporting, and analysis of medical error that often leads to adverse effects. The frequency and magnitude of avoidable adverse events experienced by patients was not well known until the 1990s, when multiple countries reported staggering numbers of patients harmed and killed by medical errors. Recognizing that healthcare errors impact 1 in every 10 patients around the world, the World Health Organization calls patient safety an endemic concern. Indeed, patient safety has emerged as a distinct healthcare discipline supported by an immature yet developing scientific framework. There is a significant transdisciplinary body of theoretical and research literature that informs the science of patient safety. The resulting patient safety knowledge continually informs improvement efforts such as: applying lessons learned from business and industry, adopting innovative technologies, educating providers and consumers, enhancing error reporting systems, and developing new economic incentives.
Patient safety In public surveys, a significant majority of those surveyed believe that health care providers should be required to report all serious medical errors publicly. However, reviews of the medical literature show little effect of publicly reported performance data on patient safety or the quality of care. Public reporting on the quality of individual providers or hospitals does not seem to affect selection of hospitals and individual providers. Some studies have shown that reporting performance data stimulates quality improvement activity in hospitals.
National Patient Safety Foundation Educating health professionals about patient safety best practices is a key area of focus for NPSF. Since the annual NPSF Patient Safety Congress has brought together health leaders, patient safety professionals, and patient advocates. In recent years, the meeting has touched on some of the most pressing concerns in health care, such as the move toward patient satisfaction as a measure of quality, engaging patients and families in their care, and the use of simulation to teach and promote safe practices.
Patient safety organization The Commission engages in collaborative work in patient safety and healthcare quality that benefits from national coordination. This includes the development of the Australian Charter of Healthcare Rights and the National Safety and Quality Health Service Standards, improving areas such as patient identification, medication safety, clinical handover and open disclosure, and reducing healthcare associated infection. The Commission has also developed the National Safety and Quality Framework to improve the safety and quality of the Australian health system.
Patient safety organization On July 29, 2005, the United States Congress established guidelines for Patient Safety Organizations under the Patient Safety Quality Act of 2005. The focus of the legislation is to provide incentives for clinicians to participate in voluntary initiatives to improve the outcomes of patient care, provide information about the underlying causes of errors in the delivery of health care, and to disseminate this information in order to speed the pace of improvement.
Patient safety organization Based in London, England, the Health Foundation is an independent charity that aims to improve the quality of health care for the people of the United Kingdom. The Safer Patients Initiative, one of the Foundation’s quality and performance improvement programmes, targets reducing medication-related adverse events and errors, reducing infections associated with intensive care units or surgery and improving organisational culture, leadership and expertise in measuring improvement. The goal of the initiative is a 50 percent reduction in adverse events per 1,000 patient days for each site. In 2004, The Health Foundation selected four hospitals from across the UK to work on a £4.3 million patient safety improvement programme. These four hospitals continue to show measurable improvements in their patient safety performance, and 16 more hospitals are being selected in 2006 to join the second phase.
Patient safety By 1984 the American Society of Anesthesiologists (ASA) had established the Anesthesia Patient Safety Foundation (APSF). The APSF marked the first use of the term "patient safety" in the name of professional reviewing organization. Although anesthesiologists comprise only about 5% of physicians in the United States, anesthesiology became the leading medical specialty addressing issues of patient safety. Likewise in Australia, the Australian Patient Safety Foundation was founded in 1989 for anesthesia error monitoring. Both organizations were soon expanded as the magnitude of the medical error crisis became known.
Patient safety Several authors of the 1999 Institute of Medicine report revisited the status of their recommendations and the state of patient safety, five years after "To Err is Human". Discovering that patient safety had become a frequent topic for journalists, health care experts, and the public, it was harder to see overall improvements on a national level. What was noteworthy was the impact on attitudes and organizations. Few health care professionals now doubted that preventable medical injuries were a serious problem. The central concept of the report—that bad systems and not bad people lead to most errors—became established in patient safety efforts. A broad array of organizations now advance the cause of patient safety. For instance, in 2010 the principal European anaesthesiology organisations launched The Helsinki Declaration for Patient Safety in Anaesthesiology, which incorporates many of the principles described above.
Scottish Patient Safety Programme The Scottish Patient Safety Programme (SPSP) is national initiative to improve the reliability of healthcare and reduce the different types of harm that can be associated. The programme is co-ordinated by Healthcare Improvement Scotland and is the first example of a country introducing a national patient safety programme across the whole healthcare system.
Patient safety The goal of a healthcare professional is to aid a patient in achieving their optimal health outcome, which entails that the patient's safety is not at risk. Practice of effective communication plays a large role in promoting and protecting patient safety.
Patient Safety and Quality Improvement Act However, patient safety work product does not include a patient’s medical record, billing and discharge information, or any other original patient or provider information; nor does it include information that is collected, maintained, or developed separately, or exists separately, from a patient safety evaluation system.
Pennsylvania Patient Safety Authority The Authority is charged to take steps to reduce and eliminate such events through identification of problems evident in the collected data and recommendation of solutions that promote patient safety. As such, the Authority’s tagline is analyzing, educating and collaborating for patient safety. Efforts to improve patient safety in Pennsylvania include patient safety liaisons providing education on a facility-by-facility basis, in-depth education programs, collaborative improvement projects with Pennsylvania healthcare facilities, and the "Pennsylvania Patient Safety Advisory". The "Advisory", a quarterly publication, chronicles events reported to the Authority, “especially those associated with a high combination of frequency, severity, and possibility of solution; novel problems and solutions; and problems in which urgent communication of information could have a significant impact on patient outcomes.”
Patient safety The Agency for Healthcare Research and Quality (AHRQ) is the Federal authority for patient safety and quality of care and has been a leader in pediatric quality and safety. AHRQ has developed Pediatric Quality Indicators (PedQIs) with the goal to highlight areas of quality concern and to target areas for further analysis. Eighteen pediatric quality indicators are included in the AHRQ quality measure modules; based on expert input, risk adjustment, and other considerations. Thirteen inpatient indicators are recommended for use at the hospital level, and five are designated area indicators. Inpatient indicators are treatments or conditions with the greatest potential of an adverse event for hospitalized children.
Patient safety organization The National Patient Safety Foundation is a not-for-profit organization founded in 1996 by the American Medical Association, CNA HealthPro, and 3M, with significant support from the Schering-Plough Corporation. Based on the model of the Anesthesia Patient Safety Foundation, the NPSF provides leadership training, research support, and education. Since 1998, an Annual Patient Safety Congress has been held to promote patient safety and medical error research in the United States. The Foundation publishes the "Journal of Patient Safety", containing original papers and reviews, and provides a searchable database on its website of active research projects.