Patient Safety Curriculum Module 8: Methods for Measuring ...

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Health Affairs article, Classen et al.: ‘Global Trigger Tool’ showsthat adverse events in hospitals may be ten times greater thanpreviously measured.Classen DC et al. Health Aff. 2011;30(4):581–589.18NPSF Professional Learning Series
Health Affairs article, Classen et al.: ‘Global Trigger Tool’ showsthat adverse events in hospitals may be ten times greater thanpreviously measured.• Global Trigger Tool identified 90% of adverse events• AHRQ <strong>Patient</strong> <strong>Safety</strong> Indicators: 9%• Voluntary reporting: 1%• Overall, adverse events occurred in 33.2% of hospitaladmissions• Some patients experienced more than one adverse event;the overall rate was 49 events per 100 admissionsClassen DC et al. Health Aff. 2011;30(4):581–589.19NPSF Professional Learning Series
Page 1 and 2: NPSF Professional Learning Series p
Page 3 and 4: UsingPerformance MeasurementEffecti
Page 5 and 6: National Medicare Readmission Rate
Page 7 and 8: National Average for Heart Failure
Page 9 and 10: Institute of Medicine Six Aims• S
Page 11 and 12: HarmUnintended physical injury resu
Page 13 and 14: Commission vs. Omission• Harm mea
Page 15 and 16: Eliminating All Cause HarmNine area
Page 17: Health Affairs article, Classen et
Page 21 and 22: Mortality Rate Measurement Issues
Page 23 and 24: Hospital-Acquired Conditions(HACs)H
Page 25 and 26: Readmissions• Nearly 20% of Medic
Page 27 and 28: Core Measures• Core Measures is o
Page 29 and 30: Culture• “Safety culture” ref
Page 31 and 32: Hospital Survey on Patient SafetyCu
Page 33 and 34: Major Domains• Harm• Mortality
Page 35 and 36: Triggers: Assessing Harm• Use of
Page 37 and 38: Global Trigger Tools - OutpatientSu
Page 39 and 40: ICU AdmissionYesNoPatients admitted
Page 41 and 42: Patient Experience SurveyHospital C
Page 43 and 44: HAI Prevention Plan 5-year Targets
Page 45 and 46: A Good Incident Report• Person af
Page 47 and 48: Patient Safety Indicators (PSIs)•
Page 49 and 50: Major Domains/Data SourceCollection
Page 51 and 52: Sample Strategic Quality MapStrateg

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