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Related Experiment Videos

Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety.

Thomas R Krause1, Kristen J Bell1, Peter Pronovost2

  • 1From the Krause Bell Group, Ojai.

Journal of Patient Safety
|April 5, 2017
PubMed
Summary

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A nonpunitive national system for measuring patient harm in healthcare is proposed to improve safety. This federally mandated system would drive performance through accurate measurement, enhancing patient care outcomes.

Area of Science:

  • Healthcare Safety
  • Patient Outcomes
  • Medical Error Analysis

Background:

  • Healthcare safety metrics differ significantly from other industries.
  • Despite progress since the 1999 Institute of Medicine report, a national system for monitoring patient harm remains absent.
  • Existing patient harm measurements are insufficient for driving systemic safety improvements.

Purpose of the Study:

  • To review the annual rate of fatal adverse events in US healthcare settings.
  • To assess the current state of patient harm measurement.
  • To propose a national standard for quantifying harm and improving healthcare safety performance.

Main Methods:

  • Review of previous research on fatal adverse events in healthcare.
  • Assessment of current methodologies for measuring patient harm.

Related Experiment Videos

  • Proposal of a national, federally mandated, nonpunitive measurement system.

    • Main Results:

    • The annual rate of fatal adverse events in US healthcare settings requires further comprehensive review.
    • Current measurements of patient harm are fragmented and lack a national standard.
    • A standardized, nonpunitive system can effectively quantify harm and drive performance.

    Conclusions:

    • A federally mandated, nonpunitive national system is essential for accurately measuring and improving patient safety.
    • Accurate measurement, drawing from other sectors' experiences, can serve as a primary driver for enhanced healthcare performance.
    • Implementing such a system necessitates considerations for accountability and potential tort reform.