BACKGROUND:Medication errors are a common source of adverse healthcare incidents particularly in the emergency department(ED) that has a number of factors that make it prone to medication errors.This project aims to r...BACKGROUND:Medication errors are a common source of adverse healthcare incidents particularly in the emergency department(ED) that has a number of factors that make it prone to medication errors.This project aims to reduce medication errors and improve the health and economic outcomes of clinical care in Hong Kong ED.METHODS:In 2009,a task group was formed to identify problems that potentially endanger medication safety and developed strategies to eliminate these problems.RESULTS:Responsible officers were assigned to look after seven error-prone areas.Strategies were proposed,discussed,endorsed and promulgated to eliminate the problems identified.A reduction of medication incidents(Ml) from 16 to 6 was achieved before and after the improvement work.CONCLUSION:This project successfully established a concrete organizational structure to safeguard error-prone areas of medication safety in a sustainable manner.展开更多
With the introduction of quality assurance in health care delivery,there has been a proliferation of research studies that compare patient outcomes for similar conditions among many health care delivery facilities.Sin...With the introduction of quality assurance in health care delivery,there has been a proliferation of research studies that compare patient outcomes for similar conditions among many health care delivery facilities.Since the 1990s,increasing interest has been placed in the incorporation of clinical adverse events as quality indicators in hospital quality assurance programs.Adverse post-operative events,and very especially surgical site infection(SSI) rates after specif ic procedures,gained popularity as hospital quality indicators in the 1980s.For a SSI rate to be considered a valid indicator of the quality of care,it is essential that a proper adjustment for patient case mix be performed,so that meaningful comparisons of SSI rates can be made among surgeons,institutions,or over time.So far,a signif icant impediment to developing meaningful hospital-acquired infection rates that can be used for intra-and inter-hospital comparisons has been the lack of an adequate means of adjusting for case mix.This paper discusses what we have learned in the last years regarding risk adjustment of SSI rates for provider performance assessment,and identif ies areas in which signif icant improvement is still needed.展开更多
文摘BACKGROUND:Medication errors are a common source of adverse healthcare incidents particularly in the emergency department(ED) that has a number of factors that make it prone to medication errors.This project aims to reduce medication errors and improve the health and economic outcomes of clinical care in Hong Kong ED.METHODS:In 2009,a task group was formed to identify problems that potentially endanger medication safety and developed strategies to eliminate these problems.RESULTS:Responsible officers were assigned to look after seven error-prone areas.Strategies were proposed,discussed,endorsed and promulgated to eliminate the problems identified.A reduction of medication incidents(Ml) from 16 to 6 was achieved before and after the improvement work.CONCLUSION:This project successfully established a concrete organizational structure to safeguard error-prone areas of medication safety in a sustainable manner.
文摘With the introduction of quality assurance in health care delivery,there has been a proliferation of research studies that compare patient outcomes for similar conditions among many health care delivery facilities.Since the 1990s,increasing interest has been placed in the incorporation of clinical adverse events as quality indicators in hospital quality assurance programs.Adverse post-operative events,and very especially surgical site infection(SSI) rates after specif ic procedures,gained popularity as hospital quality indicators in the 1980s.For a SSI rate to be considered a valid indicator of the quality of care,it is essential that a proper adjustment for patient case mix be performed,so that meaningful comparisons of SSI rates can be made among surgeons,institutions,or over time.So far,a signif icant impediment to developing meaningful hospital-acquired infection rates that can be used for intra-and inter-hospital comparisons has been the lack of an adequate means of adjusting for case mix.This paper discusses what we have learned in the last years regarding risk adjustment of SSI rates for provider performance assessment,and identif ies areas in which signif icant improvement is still needed.
