Measuring patient safety at a national, organization, and system level

TY - CHAP

T1 - Measuring patient safety at a national, organization, and system level

AU - Lamont, Thomas

AU - Leitch, Jason

PY - 2022/3/1

Y1 - 2022/3/1

N2 - Measurement of patient safety at the system and organizational level provides the data for a prospective improvement in patient safety. Measurement happens at the individual and team levels and, if we want to have a wider understanding of patient safety within a system, at the organizational or regional and national levels. The main aim of measurement is for us to learn rather than to judge. As healthcare is a complex enterprise, the measurement of safety will require many different approaches in order to obtain a true reflection of the overall safety of the system. Include here can be the measurement of never events, sentinel events, and clinical adverse events of lesser impact. Measurement should be part of daily work with rapid feedback to clinical teams, so that they can mitigate when necessary. It can be done manually or, given the increasing use of electronic records, digitally.

AB - Measurement of patient safety at the system and organizational level provides the data for a prospective improvement in patient safety. Measurement happens at the individual and team levels and, if we want to have a wider understanding of patient safety within a system, at the organizational or regional and national levels. The main aim of measurement is for us to learn rather than to judge. As healthcare is a complex enterprise, the measurement of safety will require many different approaches in order to obtain a true reflection of the overall safety of the system. Include here can be the measurement of never events, sentinel events, and clinical adverse events of lesser impact. Measurement should be part of daily work with rapid feedback to clinical teams, so that they can mitigate when necessary. It can be done manually or, given the increasing use of electronic records, digitally.

KW - never events

KW - sentinel events

KW - case note review

KW - hospital standardized mortality ratio (HSMR)

KW - hospital-acquired infections

UR - https://doi.org/10.1093/med/9780192846877.001.0001

U2 - 10.1093/med/9780192846877.003.0012

DO - 10.1093/med/9780192846877.003.0012

M3 - Chapter

SN - 9780192846877

SP - 113

EP - 124

BT - Oxford professional practice

A2 - Lachman, Peter

A2 - Runnacles, Jane

A2 - Jayadev, Anita

A2 - Brennan, John

A2 - Fitzsimons, John

PB - Oxford University Press

CY - Oxford

ER -