Defining and measuring patient safety

Peter J. Pronovost; David A. Thompson; Christine G. Holzmueller; Lisa H. Lubomski; Laura L. Morlock

doi:10.1016/j.ccc.2004.07.006

Defining and measuring patient safety

Peter J. Pronovost, David A. Thompson, Christine G. Holzmueller, Lisa H. Lubomski, Laura L. Morlock

School of Medicine

Research output: Contribution to journal › Review article › peer-review

82 Scopus citations

Abstract

Despite the growing demand for improved safety in health care, debate remains regarding the magnitude of the problem and the degree to which harm is preventable. To a great extent, this debate stems from variation in the definition and methods for measuring safety, its "shadow" error, and the degree of preventability. This article reviews the definition of safety and error, discusses approaches to measuring safety, and provides a framework for investigating incidents that unveils how the systems under which care is delivered may contribute to adverse incidents.

Original language	English (US)
Pages (from-to)	1-19
Number of pages	19
Journal	Critical care clinics
Volume	21
Issue number	1
DOIs	https://doi.org/10.1016/j.ccc.2004.07.006
State	Published - Jan 2005

ASJC Scopus subject areas

Critical Care and Intensive Care Medicine

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10.1016/j.ccc.2004.07.006

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author = "Pronovost, {Peter J.} and Thompson, {David A.} and Holzmueller, {Christine G.} and Lubomski, {Lisa H.} and Morlock, {Laura L.}",

note = "Funding Information: This work was supported in part by Grant No. #U18 HS11902 from the Agency for Healthcare Research and Quality. ",

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AU - Thompson, David A.

AU - Holzmueller, Christine G.

AU - Lubomski, Lisa H.

AU - Morlock, Laura L.

N1 - Funding Information: This work was supported in part by Grant No. #U18 HS11902 from the Agency for Healthcare Research and Quality.

PY - 2005/1

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N2 - Despite the growing demand for improved safety in health care, debate remains regarding the magnitude of the problem and the degree to which harm is preventable. To a great extent, this debate stems from variation in the definition and methods for measuring safety, its "shadow" error, and the degree of preventability. This article reviews the definition of safety and error, discusses approaches to measuring safety, and provides a framework for investigating incidents that unveils how the systems under which care is delivered may contribute to adverse incidents.

AB - Despite the growing demand for improved safety in health care, debate remains regarding the magnitude of the problem and the degree to which harm is preventable. To a great extent, this debate stems from variation in the definition and methods for measuring safety, its "shadow" error, and the degree of preventability. This article reviews the definition of safety and error, discusses approaches to measuring safety, and provides a framework for investigating incidents that unveils how the systems under which care is delivered may contribute to adverse incidents.

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Defining and measuring patient safety

Abstract

ASJC Scopus subject areas

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