By Donna O. Farley, Susan M. Ridgely, Peter Mendel, Stephanie S. Teleki, Cheryl L. Damberg
Offers the result of a two-year research that analyzes how sufferer protection practices are being followed through U.S. future health care companies, examines clinic studies with a sufferer security tradition survey, and assesses sufferer safeguard results developments. In case reports of 4 U.S. groups, researchers accrued details at the dynamics of neighborhood sufferer protection actions and on adoption of safety by way of hospitals.
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Extra resources for Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System
9 a Each community’s geographic area was defined as its Metropolitan Statistical Area. 11 Other candidate sites considered were Boston, Northern New Jersey, Orange County, and Lansing. Boston was not selected because its preponderance of academic medical centers and other specialty services make it an outlier compared with other community health systems. Northern New Jersey was not a good candidate because much of the patient safety activity appeared to be the result of top-down regulatory action by the state.
2). We also have identified a number of relevant measurement issues that require attention. Much more work remains to be done to achieve effective measurement of effects on the various stakeholders identified in the evaluation framework. 8 CHAPTER 2. UPTAKE OF PATIENT SAFETY PRACTICES IN FOUR U. S. COMMUNITIES SPECIFIC AIMS 1. S. communities that are typical of local health care markets in various regions of the United States. The unit of analysis is the community. The focus was to document patient safety initiatives and trends over time across three specific sectors within each community: hospitals, ambulatory settings, and long-term care facilities.
SELECTION OF SITES FOR THE COMMUNITY STUDY Since 1996, the Community Tracking Study (CTS), led by the Center for Studying Health System Change (HSC), has conducted biannual site visits to 12 nationally representative metropolitan areas, to study how the interactions of providers, insurers, and other stakeholders help to shape the accessibility, cost, and quality of health care in local communities (HSC, 2009). In 2002–2003, they conducted a special data collection on patient safety, in which HSC investigators contrasted the patient safety experience of five CTS communities that were also Leapfrog regional rollout communities with the remainder of the CTS communities.