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Statewide Longitudinal Progression of the Whole-Patient Measure of Safety in South Carolina.

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Date
2018-09
Authors
Turley, Christine B
Brittingham, Jordan
Moonan, Aunyika
Davis, Dianne
Chakraborty, Hrishikesh
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Abstract
Meaningful improvement in patient safety encompasses a vast number of quality metrics, but a single measure to represent the overall level of safety is challenging to produce. Recently, Perla et al. established the Whole-Person Measure of Safety (WPMoS) to reflect the concept of global risk assessment at the patient level. We evaluated the WPMoS across an entire state to understand the impact of urban/rural setting, academic status, and hospital size on patient safety outcomes. The population included all South Carolina (SC) inpatient discharges from January 1, 2008, through to December 31, 2013, and was evaluated using established definitions of highly undesirable events (HUEs). Over the study period, the proportion of hospital discharges with at least one HUE significantly decreased from 9.7% to 8.8%, including significant reductions in nine of the 14 HUEs. Academic, large, and urban hospitals had a significantly lower proportion of hospital discharges with at least one HUE in 2008, but only urban hospitals remained significantly lower by 2013. Results indicate that there has been a decrease in harm events captured through administrative coded data over this 6-year period. A composite measure, such as the WPMoS, is necessary for hospitals to evaluate their progress toward reducing preventable harm.
Type
Journal article
Subject
Humans
Patient Discharge
Longitudinal Studies
Safety Management
Adolescent
Adult
Aged
Aged, 80 and over
Middle Aged
Hospitals, Urban
Medical Errors
South Carolina
Female
Male
Young Adult
Patient Safety
Permalink
https://hdl.handle.net/10161/21987
Published Version (Please cite this version)
10.1097/jhq.0000000000000092
Publication Info
Turley, Christine B; Brittingham, Jordan; Moonan, Aunyika; Davis, Dianne; & Chakraborty, Hrishikesh (2018). Statewide Longitudinal Progression of the Whole-Patient Measure of Safety in South Carolina. Journal for healthcare quality : official publication of the National Association for Healthcare Quality, 40(5). pp. 256-264. 10.1097/jhq.0000000000000092. Retrieved from https://hdl.handle.net/10161/21987.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Chakraborty

Hrishikesh Chakraborty

Associate Professor of Biostatistics & Bioinformatics
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