Measurement of Safety and Quality

Can Hospitals Police Themselves to Avoid Too-Risky Surgeries?

Can Hospitals Police Themselves to Avoid Too-Risky Surgeries?

Posted by  | Measurement of Safety and Quality, Preventing Patient Harm

Imagine you were seeking major surgery, and the hospital's consent form contained this surprise statement, which you were asked to initial: "I understand that this surgeon and hospital have not performed this procedure in the last 12 months. As such, I accept the greater risk of complications and even death." It's hard to believe that(...)

Read More

Why Health Care Performance Measures Need Their Own Grades

Why Health Care Performance Measures Need Their Own Grades

Posted by  | Measurement of Safety and Quality

Some measures of health care quality and patient safety should be taken with a grain of salt. A few need a spoonful. In April, a team of Johns Hopkins researchers published an article examining how well a state of Maryland pay-for-performance program measure for dangerous blood clots identified cases that were potentially preventable. In reviewing(...)

Read More

To Make Hospital Quality a Priority, Take a Page from Finance

To Make Hospital Quality a Priority, Take a Page from Finance

Posted by  | Measurement of Safety and Quality, Organizational and Cultural Change

When you are a patient at a hospital, you want to know that the executives who run that facility put the safety and quality of care above all other concerns. Encouragingly, more of them are saying that safety is indeed their number-one priority—a fitting answer given that preventable patient harm may claim more than 400,000(...)

Read More

Health Care Shouldn’t Judge Itself by Flawed Tests

Health Care Shouldn’t Judge Itself by Flawed Tests

Posted by  | Measurement of Safety and Quality, Preventing Patient Harm

As standardized exam scores increasingly define success for students, teachers and schools, parents worry about the dangers of “teaching to the test”—and of their children being judged by tests with low or unknown validity. We want our children to perform well on tests, of course, yet only if they measure something that students, patients and(...)

Read More

A blueprint for high reliability

Posted by  | Measurement of Safety and Quality, Organizational and Cultural Change, Preventing Patient Harm

Across health care, organizations constantly struggle with the challenge of achieving patient safety and quality successes on a large scale—across a hospital or network of hospitals. Too often, they are doomed at the start, because staff don’t even know what the goals are. In other cases, staff have limited capacity to carry out improvement work(...)

Read More

Rethinking how we think about preventing harm

Posted by  | Designing Safer Systems, Measurement of Safety and Quality, Preventing Patient Harm

Last week the Armstrong Institute, along with our partners at the World Health Organization, had the privilege of hosting more than 200 clinicians, patient advocates, health care leaders and policy makers for our inaugural Forum on Emerging Topics in Patient Safety in Baltimore. The event featured presentations by international experts in a dozen different industries,(...)

Read More

A powerful idea from the nuclear industry

Posted by  | Designing Safer Systems, Measurement of Safety and Quality, Preventing Patient Harm

Where health care has fallen short in significantly improving quality, our peers in other high-risk industries have thrived. Perhaps we can adapt and learn from their lessons. For example, health care can learn much from the nuclear power industry, which has markedly improved its safety track record over the last two decades since peer-review programs were(...)

Read More

Patient Safety Summit: Four Years of Advancing the Science

Posted by  | Measurement of Safety and Quality, Patient-Centered Care, Preventing Patient Harm

At Johns Hopkins Medicine, we recently held our fourth annual Patient Safety Summit, a daylong gathering in which faculty and staff from across our health system share their work to reduce patient harm and foster a culture of safety. The event has quickly become a tradition, with more than 425 participants flocking annually to our(...)

Read More