Document Detail


Organizing patient safety research to identify risks and hazards.
MedLine Citation:
PMID:  14645888     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patient safety has become an international priority with major research programmes being carried out in the USA, UK, and elsewhere. The challenge is how to organize research efforts that will produce the greatest yield in making health care safer for patients. Patient safety research initiatives can be considered in three different stages: (1) identification of the risks and hazards; (2) design, implementation, and evaluation of patient safety practices; and (3) maintaining vigilance to ensure that a safe environment continues and patient safety cultures remain in place. Clearly, different research methods and approaches are needed at each of the different stages of the continuum. A number of research approaches can be used at stage 1 to identify risks and hazards including the use of medical records and administrative record review, event reporting, direct observation, process mapping, focus groups, probabilistic risk assessment, and safety culture assessment. No single method can be universally applied to identify risks and hazards in patient safety. Rather, multiple approaches using combinations of these methods should be used to increase identification of risks and hazards of health care associated injury or harm to patients.
Authors:
J B Battles; R J Lilford
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Quality & safety in health care     Volume:  12 Suppl 2     ISSN:  1475-3898     ISO Abbreviation:  Qual Saf Health Care     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-03     Completed Date:  2004-02-13     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  101136980     Medline TA:  Qual Saf Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  ii2-7     Citation Subset:  H    
Affiliation:
United States Department of Health and Human Services, Agency for Healthcare Quality and Research, Center for Quality Improvement and Patient Safety, Rockville, MD 20850, USA. jbattles@ahrq.gov
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MeSH Terms
Descriptor/Qualifier:
Health Services Research
Humans
Medical Errors / prevention & control*
Program Evaluation
Risk Assessment / organization & administration*
Safety Management / organization & administration*
United States
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