Progress slow in improving hospitals' patient safe...( While there has been some improvement i...),Health

The 1998 Institute of Medicine (IOM) National Roundtable on Health Care Quality and subsequent reports ushered in a period of extensive research about the quality of the U.S. health care system, according to background information in the article. The IOM report, To Err Is Human, provided in-depth analyses of a wide range of patient safety problems and underscored the need for improvement. Subsequently, the IOM has called for "fundamental change to close the quality gap and save lives," and proposed a national initiative to "provide a strategic direction for redesigning the health care system of the 21st century." These documents indicate that successful implementation of change in the nation's overall health care system requires change in specific patient safety systems at the hospital level.

Daniel R. Longo, Obl.S.B., Sc.D., and colleagues from the University of MissouriColumbia, conducted a study to assess the status of patient safety systems and examine changes from 2002 to 2004. The study included a survey of all acute care hospitals in Missouri and Utah at 2 points in time, in 2002 and 2004, using a 91-item comprehensive questionnaire (n = 126 for survey 1 and n = 128 for survey 2). The researchers analyzed the responses of the 107 hospitals that responded to both surveys to assess the changes over time.

Seven variables were constructed to represent the most important patient safety constructs studied: computerized physician order entry systems, computerized test results, and assessments of adverse events; specific patient safety policies; use of data in patient safety programs; drug storage, administration, and safety procedures; manner of handling adverse event/error reporting; prevention policies; and roo
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Contact: Christian Basi
573-882-4430
JAMA and Archives Journals
13-Dec-2005