Over the past decade, significant emphasis has been placed on patient safety. New measures and systems have emerged to measure safety and quality, yet little is known about their effectiveness. This article assesses patient safety indicators (PSIs) over the past decade to examine whether national trends have improved.
This study uses data from the Nationwide Inpatient Sample (NIS) on eligible inpatient admissions between 1998 and 2007. The NIS data includes de-identified discharge data (up to 15 diagnoses and procedures) from 1,045 hospitals located in 38 states. PSI criteria were from the Agency for Healthcare Research and Quality. Annual percent changes for PSIs were estimated using joinpoint regression.
- Of the 15 PSIs considered in this study, seven PSIs had increasing annual percentage changes, including postoperative pulmonary embolism or deep vein thrombosis, postoperative physiological or metabolic derangement, postoperative sepsis, selected infections due to medical care, decubitus ulcer, accidental puncture or laceration, and postoperative respiratory failure.
- Seven PSIs had decreasing annual percentage changes, including birth trauma injury to neonate, failure to rescue, postoperative hip fracture, obstetric trauma-vaginal without instrument, obstetric trauma-vaginal with instrument, iatrogenic pneumothorax, and postoperative wound dehiscence.
- PSI rates fell from 454.01 per 1,000 patient admissions in 1998 to 353.15 in 2007.
This study provides important information in understanding national trends of PSIs and demonstrating possible priority areas for quality improvement.
- 1. Expanding the Safety-Net of Specialty Care for the Uninsured
- 2. Translation of Evidence-Based Clinical Standards into a New Prehospital Resuscitation Policy in Los Angeles
- 3. Physician Social Networks and Variation in Prostate Cancer Treatment in Three Cities
- 4. Value-Based Insurance Design
- 5. Is Patient Safety Improving?
- 6. The Association of Health Insurance and Disease Impairment with Reported Asthma Prevalence in U.S. Children
- 7. A Policy Impact Analysis of the Mandatory NCAA Sickle Cell Trait Screening Program
- 8. Nonfinancial Barriers and Access to Care for US Adults
- 9. Physician Practices and Readiness for Medical Home Reforms
- 10. Does a Video-Interpreting Network Improve Delivery of Care in the Emergency Department?
- 11. Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care
- 12. State-Level Variations in Racial Disparities in Life Expectancy
- 13. "Does this Doctor Speak My Language?"
While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
RWJF examines the types of competitive foods - foods and beverages schools offer outside of meal programs - available in our nation's school...
Progress and lessons learned from two programs that seek to advance the impact digital games can have on health.
Joint Commission Resources in Oak Brook Ill., oversaw development and testing of an online course and support materials to improve communica...
The rapid rise of antibiotic resistance can be tracked using ResistanceMap, an online tool that visually highlights regions of the country w...
Report examines, compares and contrasts Massachusetts and Utah health insurance exchanges.
Report examines issues states will face as they integrate Medicaid into the exchange.
This poll shows most Americans believe the quality of U.S. health care is average at best. More than half of American adults surveyed barely...
Want to improve health? Start with where we live, work, learn and play.
Health care reform may create incentives to spur the growth in HDHPs and CDHPs, a move that might help hold costs down?at least for a time.
The authors suggest repairing the health care system by realigning provider incentives, increasing the availability of information with whic...
While the ACA is aimed primarily at improving individual health by increasing access to health insurance, it also contains a number of provi...