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Measuring the Success of a Patient Safety or Quality Improvement Project (Patient Safety VI)

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Johns Hopkins University

Measuring the Success of a Patient Safety or Quality Improvement Project (Patient Safety VI)

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Cours 6 sur 7 dans Specialization Patient Safety

How will you know if your patient safety and quality project is meeting its objectives? Peter Drucker once said “What gets measured, gets managed.” In this course, students will learn why measurement is critical to quality improvement work. Equally important, they will learn which data sources provide the most meaningful information and tools for how and where to locate them. Finally, students will learn how to interpret data from their patient safety and quality projects to guide and modify them during implementation to maximize their chances of making a difference for patients.

À partir de la leçon

Public Reporting of Performance Measures

In this module, learners will gain knowledge of the primary audiences for publicly reported performance measure sand some of the key measures that are currently reported. Learners will be exposed to some of the key websites that publicly report performance data and hear from a health system leader about some of the benefits and challenges of having a hospital’s quality and safety performance publicly available.

History, Objectives, & Key Examples6:38

Evidence of Impact & Maximizing the Benefits10:14

Hospital Readmissions4:11

Hospital Mortality3:38

Hospital Compare6:11

Interview with Renee Demski5:49

Exploring the Leapfrog Group4:27

Exploring My NHS3:33

Rencontrer les enseignants

Matt Austin
Assistant Professor
Anesthesiology and Critical Care Medicine

Another example of a website that publicly shares

quality and safety data is a website from the United Kingdom called My NHS.

If you, using a search engine type that in My space NHS,

that should hopefully bring you to the My NHS URL.

This website actually does share information for both specialists and for hospitals.

And for what I'm going to show you today,

it's actually going to focus more on the hospital side,

just to stay relatively comparable to hospital comparing the Leapfrog Group as well.

But did want to make you aware that they do share

information around consultants or specialists.

The hospital information is organized by,

why a patient has come to the hospital or why they might come to the hospital.

Things like the type of surgery,

whether they have a condition like a heart attack etc.

For purposes of this exercise,

I'm actually going to choose knee replacement surgery.

And am specifically going to search hospitals near Bristol England

and I'm going to update the results based on that search.

On the left hand side,

they do share the names of each of the hospitals near Bristol,

Bristol Royal Infirmary, Spire Bristol Hospital.

And the information that they share about knee replacement surgery includes,

the number of primary surgeries,

total knee replacements that were done in a 12 month period.

So, this is the volume of experience that the hospital has,

with full knee replacements.

Here are partial knee replacements and

the number that the hospital has done in a 12 month period.

And the number of patello-femoral knee replacements.

The number of knee replacement revisions in 12 months.

So, one of the common outcomes of knee replacement surgery is that it requires actually,

a resurgery to revise or improve the implant.

So, that is one common measure of performance.

And the other one is a 90 day mortality rate for the hospital.

For Spire Bristol Hospital,

they did do 338 primary total knee replacements in a 12 month period,

169 partial replacements and 52 Patello-femoral knee replacements.

They also had 12 knee replacement revisions within that 12 month period.

Monken scroll down to see how other hospitals have done.

So if you look at Southmead Hospital,

they had 437 total knee replacements

and they actually had 120 knee replacement revisions.

So, it looks like their rate of revisions was much

higher at Southmead than it was at Spire or Bristol.

For both of these hospitals their risk adjusted

90 mortality rates are within the expected limits.

When Kim click on to view source information if one

wants to see greater detail about that performance,

and that's pulling up right now.

So, for this particular hospital,

Southmead Hospital, we actually have information from a registry.

The National Joint Registry that

actually gives you more detail about this hospital's performance,

around knee replacement specifically, at that hospital.

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