A Framework for Health Care Organizations to Develop and Evaluate a Safety Scorecard

What are the most effective strategies for improving quality and safety of health care?

“…The effectiveness and efficiency of RCA have been questioned 78 and similarly the jury remains out for sentinel event analysis 79 and open disclosure of errors 80 . Measurement frameworks for assessing and trending organizational safety are only now emerging 81 . Little rigorous research has been undertaken towards identifying effective strategies for building cultures and systems of safer care, although many have attempted to define essential pre‐requisites such as teamwork, leadership, performance monitoring, standardization and simplification of procedures, task delegation, formal handover policies, and empowerment of individuals to voice safety concerns 82–84 …”

What are the most effective strategies for improving quality and safety of health care?

“…The effectiveness and efficiency of RCA have been questioned 78 and similarly the jury remains out for sentinel event analysis 79 and open disclosure of errors 80 . Measurement frameworks for assessing and trending organizational safety are only now emerging 81 . Little rigorous research has been undertaken towards identifying effective strategies for building cultures and systems of safer care, although many have attempted to define essential pre‐requisites such as teamwork, leadership, performance monitoring, standardization and simplification of procedures, task delegation, formal handover policies, and empowerment of individuals to voice safety concerns 82–84 …”

Teaching Quality Improvement Through a Book Club

“…8 Independent groups are scoring physicians on quality and patient safety indicators-and making the results known to the public. 9 Despite the curricular challenges, given the importance of QI for the practicing physician in the United States and ACGME requirements, 1 training programs must find ways to engage residents in quality and safety discussions and activities. We believe that a book discussion group held in a faculty member's home and led by residents brought about a change in culture.…”

Lessons in implementing infection prevention

“…There is evidence from this Health Foundation work that practitioners can feel demotivated because of this. There is also beautiful work that Pronovost and colleagues have been involved in with respect to the validity and credibility of targets for the clinical frontline staff, how targets and the measures selected have to evolve and change to be credible, and to maintain engagement (Pronovost et al, 2007). So we need to be able to balance targets and hopefully be a little bit more flexible.…”

“…Not only does this provide a method to evaluate studies, but it also provides a framework for considering how to establish effective implementation programmes. (Pronovost et al, 2007). So we need to be able to balance targets and hopefully be a little bit more flexible.…”

What are the most effective strategies for improving quality and safety of health care?

“…The effectiveness and efficiency of RCA have been questioned 78 and similarly the jury remains out for sentinel event analysis 79 and open disclosure of errors 80 . Measurement frameworks for assessing and trending organizational safety are only now emerging 81 . Little rigorous research has been undertaken towards identifying effective strategies for building cultures and systems of safer care, although many have attempted to define essential pre‐requisites such as teamwork, leadership, performance monitoring, standardization and simplification of procedures, task delegation, formal handover policies, and empowerment of individuals to voice safety concerns 82–84 …”

Teaching Quality Improvement Through a Book Club

“…8 Independent groups are scoring physicians on quality and patient safety indicators-and making the results known to the public. 9 Despite the curricular challenges, given the importance of QI for the practicing physician in the United States and ACGME requirements, 1 training programs must find ways to engage residents in quality and safety discussions and activities. We believe that a book discussion group held in a faculty member's home and led by residents brought about a change in culture.…”

Lessons in implementing infection prevention

“…There is evidence from this Health Foundation work that practitioners can feel demotivated because of this. There is also beautiful work that Pronovost and colleagues have been involved in with respect to the validity and credibility of targets for the clinical frontline staff, how targets and the measures selected have to evolve and change to be credible, and to maintain engagement (Pronovost et al, 2007). So we need to be able to balance targets and hopefully be a little bit more flexible.…”

“…Not only does this provide a method to evaluate studies, but it also provides a framework for considering how to establish effective implementation programmes. (Pronovost et al, 2007). So we need to be able to balance targets and hopefully be a little bit more flexible.…”

What are the most effective strategies for improving quality and safety of health care?

“…The effectiveness and efficiency of RCA have been questioned 78 and similarly the jury remains out for sentinel event analysis 79 and open disclosure of errors 80 . Measurement frameworks for assessing and trending organizational safety are only now emerging 81 . Little rigorous research has been undertaken towards identifying effective strategies for building cultures and systems of safer care, although many have attempted to define essential pre‐requisites such as teamwork, leadership, performance monitoring, standardization and simplification of procedures, task delegation, formal handover policies, and empowerment of individuals to voice safety concerns 82–84 …”

Teaching Quality Improvement Through a Book Club

“…8 Independent groups are scoring physicians on quality and patient safety indicators-and making the results known to the public. 9 Despite the curricular challenges, given the importance of QI for the practicing physician in the United States and ACGME requirements, 1 training programs must find ways to engage residents in quality and safety discussions and activities. We believe that a book discussion group held in a faculty member's home and led by residents brought about a change in culture.…”

Lessons in implementing infection prevention

“…There is evidence from this Health Foundation work that practitioners can feel demotivated because of this. There is also beautiful work that Pronovost and colleagues have been involved in with respect to the validity and credibility of targets for the clinical frontline staff, how targets and the measures selected have to evolve and change to be credible, and to maintain engagement (Pronovost et al, 2007). So we need to be able to balance targets and hopefully be a little bit more flexible.…”

“…Not only does this provide a method to evaluate studies, but it also provides a framework for considering how to establish effective implementation programmes. (Pronovost et al, 2007). So we need to be able to balance targets and hopefully be a little bit more flexible.…”