Association Between Leapfrog Safe Practices Score and Hospital Mortality in Major Surgery
Background: The Leapfrog Group reports on hospitals' adoption of the National Quality Forum Patient Safety Practices. However, it is unknown whether hospital compliance with these safe practices is associated with improved outcomes in patients undergoing major surgery. Methods: We analyzed the...
Gespeichert in:
| Veröffentlicht in: | Medical care 2011-12, Vol.49 (12), p.1082-1088 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1088 |
|---|---|
| container_issue | 12 |
| container_start_page | 1082 |
| container_title | Medical care |
| container_volume | 49 |
| creator | Qian, Feng Lustik, Stewart J. Diachun, Carol A. Wissler, Richard N. Zollo, Raymond A. Glance, Laurent G. |
| description | Background: The Leapfrog Group reports on hospitals' adoption of the National Quality Forum Patient Safety Practices. However, it is unknown whether hospital compliance with these safe practices is associated with improved outcomes in patients undergoing major surgery. Methods: We analyzed the association between hospital mortality and Leapfrog Safe Practices among patients undergoing coronary artery bypass graft surgery (n = 18,565), abdominal aortic aneurysm repair (n = 2777), and hip replacement (n = 25,067) in hospitals participating in the 2007 Leapfrog Hospital Survey using logistic regression. Results: After adjusting for patient and hospital factors, we found that the total safety score (adjusted odds ratio: 1.000, 95% confidence interval: 0.999-1.001) was not associated with hospital mortality. Computerized physician order entry and ICU physician staffing were also not associated with hospital mortality. Conclusions: We did not find evidence that patients undergoing major surgery at hospitals which scored higher on the Leapfrog Safe Practices Survey had lower mortality rates. The Leapfrog safe practices score as a standalone quality measure may have limited power to distinguish between high-quality and low-quality hospitals. |
| doi_str_mv | 10.1097/MLR.0b013e318238f26b |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_904222219</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>23053854</jstor_id><sourcerecordid>23053854</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4007-1b40bdd491fc17b38f22b7e26c8a810e368c66b75b1557f825c4fd46623b47593</originalsourceid><addsrcrecordid>eNpdkE9v1DAQxS1ERZfCNwBkceGUdvwvdo6lAoq0qyIWDpwi25m0WbLx1k602m-Poy2t1LmMZvR7TzOPkHcMzhlU-mK1_HkODphAwQwXpuWle0EWTAldsEqal2QBwFWhQVen5HVKGwCmheKvyCnnYLgRekH-XKYUfGfHLgz0M457xIEu0e7aGG7p2rZIf0Trx85jomsfIlI7NPQ6pF032p6uQsytGw-0G-jKbkKk6yneYjy8ISet7RO-fehn5PfXL7-urovlzbfvV5fLwkuAfKqT4JpGVqz1TLv5D-408tIbaxigKI0vS6eVY0rp1nDlZdvIsuTCSa0qcUY-HX13MdxPmMZ62yWPfW8HDFOqK5A8F5vJj8_ITZjikI_LkAJjKqkzJI-QjyGliG29i93WxkPNoJ6Dr3Pw9fPgs-zDg_fkttg8iv4n_eS7D_2IMf3tpz3G-g5tP97VkEuVCgoOjDGep2JezbL3R9kmjSE-2QpQwigp_gEyYZdT</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>905088947</pqid></control><display><type>article</type><title>Association Between Leapfrog Safe Practices Score and Hospital Mortality in Major Surgery</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><source>JSTOR Archive Collection A-Z Listing</source><creator>Qian, Feng ; Lustik, Stewart J. ; Diachun, Carol A. ; Wissler, Richard N. ; Zollo, Raymond A. ; Glance, Laurent G.</creator><creatorcontrib>Qian, Feng ; Lustik, Stewart J. ; Diachun, Carol A. ; Wissler, Richard N. ; Zollo, Raymond A. ; Glance, Laurent G.</creatorcontrib><description>Background: The Leapfrog Group reports on hospitals' adoption of the National Quality Forum Patient Safety Practices. However, it is unknown whether hospital compliance with these safe practices is associated with improved outcomes in patients undergoing major surgery. Methods: We analyzed the association between hospital mortality and Leapfrog Safe Practices among patients undergoing coronary artery bypass graft surgery (n = 18,565), abdominal aortic aneurysm repair (n = 2777), and hip replacement (n = 25,067) in hospitals participating in the 2007 Leapfrog Hospital Survey using logistic regression. Results: After adjusting for patient and hospital factors, we found that the total safety score (adjusted odds ratio: 1.000, 95% confidence interval: 0.999-1.001) was not associated with hospital mortality. Computerized physician order entry and ICU physician staffing were also not associated with hospital mortality. Conclusions: We did not find evidence that patients undergoing major surgery at hospitals which scored higher on the Leapfrog Safe Practices Survey had lower mortality rates. The Leapfrog safe practices score as a standalone quality measure may have limited power to distinguish between high-quality and low-quality hospitals.</description><identifier>ISSN: 0025-7079</identifier><identifier>EISSN: 1537-1948</identifier><identifier>DOI: 10.1097/MLR.0b013e318238f26b</identifier><identifier>PMID: 22082837</identifier><identifier>CODEN: MELAAD</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal - mortality ; Arthroplasty, Replacement, Hip - mortality ; Coronary Artery Bypass - mortality ; Female ; Health outcomes ; Health Services Research ; Hospital Administration - statistics & numerical data ; Hospital Mortality ; Hospitals ; Humans ; Intensive care units ; Male ; Medical practice ; Middle Aged ; Mortality ; Nonprofit hospitals ; Patient safety ; Patient Safety - statistics & numerical data ; Performance metrics ; Physicians ; Quality of care ; Quality of Health Care ; Staffing ; Surgery ; Surgical practice ; Surgical Procedures, Operative - mortality ; Teaching hospitals</subject><ispartof>Medical care, 2011-12, Vol.49 (12), p.1082-1088</ispartof><rights>Copyright © 2011 Lippincott Williams & Wilkins</rights><rights>2011 Lippincott Williams & Wilkins, Inc.</rights><rights>Copyright Lippincott Williams & Wilkins Dec 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4007-1b40bdd491fc17b38f22b7e26c8a810e368c66b75b1557f825c4fd46623b47593</citedby><cites>FETCH-LOGICAL-c4007-1b40bdd491fc17b38f22b7e26c8a810e368c66b75b1557f825c4fd46623b47593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/23053854$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/23053854$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22082837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Qian, Feng</creatorcontrib><creatorcontrib>Lustik, Stewart J.</creatorcontrib><creatorcontrib>Diachun, Carol A.</creatorcontrib><creatorcontrib>Wissler, Richard N.</creatorcontrib><creatorcontrib>Zollo, Raymond A.</creatorcontrib><creatorcontrib>Glance, Laurent G.</creatorcontrib><title>Association Between Leapfrog Safe Practices Score and Hospital Mortality in Major Surgery</title><title>Medical care</title><addtitle>Med Care</addtitle><description>Background: The Leapfrog Group reports on hospitals' adoption of the National Quality Forum Patient Safety Practices. However, it is unknown whether hospital compliance with these safe practices is associated with improved outcomes in patients undergoing major surgery. Methods: We analyzed the association between hospital mortality and Leapfrog Safe Practices among patients undergoing coronary artery bypass graft surgery (n = 18,565), abdominal aortic aneurysm repair (n = 2777), and hip replacement (n = 25,067) in hospitals participating in the 2007 Leapfrog Hospital Survey using logistic regression. Results: After adjusting for patient and hospital factors, we found that the total safety score (adjusted odds ratio: 1.000, 95% confidence interval: 0.999-1.001) was not associated with hospital mortality. Computerized physician order entry and ICU physician staffing were also not associated with hospital mortality. Conclusions: We did not find evidence that patients undergoing major surgery at hospitals which scored higher on the Leapfrog Safe Practices Survey had lower mortality rates. The Leapfrog safe practices score as a standalone quality measure may have limited power to distinguish between high-quality and low-quality hospitals.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Aneurysm, Abdominal - mortality</subject><subject>Arthroplasty, Replacement, Hip - mortality</subject><subject>Coronary Artery Bypass - mortality</subject><subject>Female</subject><subject>Health outcomes</subject><subject>Health Services Research</subject><subject>Hospital Administration - statistics & numerical data</subject><subject>Hospital Mortality</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intensive care units</subject><subject>Male</subject><subject>Medical practice</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Nonprofit hospitals</subject><subject>Patient safety</subject><subject>Patient Safety - statistics & numerical data</subject><subject>Performance metrics</subject><subject>Physicians</subject><subject>Quality of care</subject><subject>Quality of Health Care</subject><subject>Staffing</subject><subject>Surgery</subject><subject>Surgical practice</subject><subject>Surgical Procedures, Operative - mortality</subject><subject>Teaching hospitals</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE9v1DAQxS1ERZfCNwBkceGUdvwvdo6lAoq0qyIWDpwi25m0WbLx1k602m-Poy2t1LmMZvR7TzOPkHcMzhlU-mK1_HkODphAwQwXpuWle0EWTAldsEqal2QBwFWhQVen5HVKGwCmheKvyCnnYLgRekH-XKYUfGfHLgz0M457xIEu0e7aGG7p2rZIf0Trx85jomsfIlI7NPQ6pF032p6uQsytGw-0G-jKbkKk6yneYjy8ISet7RO-fehn5PfXL7-urovlzbfvV5fLwkuAfKqT4JpGVqz1TLv5D-408tIbaxigKI0vS6eVY0rp1nDlZdvIsuTCSa0qcUY-HX13MdxPmMZ62yWPfW8HDFOqK5A8F5vJj8_ITZjikI_LkAJjKqkzJI-QjyGliG29i93WxkPNoJ6Dr3Pw9fPgs-zDg_fkttg8iv4n_eS7D_2IMf3tpz3G-g5tP97VkEuVCgoOjDGep2JezbL3R9kmjSE-2QpQwigp_gEyYZdT</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Qian, Feng</creator><creator>Lustik, Stewart J.</creator><creator>Diachun, Carol A.</creator><creator>Wissler, Richard N.</creator><creator>Zollo, Raymond A.</creator><creator>Glance, Laurent G.</creator><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20111201</creationdate><title>Association Between Leapfrog Safe Practices Score and Hospital Mortality in Major Surgery</title><author>Qian, Feng ; Lustik, Stewart J. ; Diachun, Carol A. ; Wissler, Richard N. ; Zollo, Raymond A. ; Glance, Laurent G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4007-1b40bdd491fc17b38f22b7e26c8a810e368c66b75b1557f825c4fd46623b47593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Aneurysm, Abdominal - mortality</topic><topic>Arthroplasty, Replacement, Hip - mortality</topic><topic>Coronary Artery Bypass - mortality</topic><topic>Female</topic><topic>Health outcomes</topic><topic>Health Services Research</topic><topic>Hospital Administration - statistics & numerical data</topic><topic>Hospital Mortality</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intensive care units</topic><topic>Male</topic><topic>Medical practice</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Nonprofit hospitals</topic><topic>Patient safety</topic><topic>Patient Safety - statistics & numerical data</topic><topic>Performance metrics</topic><topic>Physicians</topic><topic>Quality of care</topic><topic>Quality of Health Care</topic><topic>Staffing</topic><topic>Surgery</topic><topic>Surgical practice</topic><topic>Surgical Procedures, Operative - mortality</topic><topic>Teaching hospitals</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Qian, Feng</creatorcontrib><creatorcontrib>Lustik, Stewart J.</creatorcontrib><creatorcontrib>Diachun, Carol A.</creatorcontrib><creatorcontrib>Wissler, Richard N.</creatorcontrib><creatorcontrib>Zollo, Raymond A.</creatorcontrib><creatorcontrib>Glance, Laurent G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Medical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Qian, Feng</au><au>Lustik, Stewart J.</au><au>Diachun, Carol A.</au><au>Wissler, Richard N.</au><au>Zollo, Raymond A.</au><au>Glance, Laurent G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association Between Leapfrog Safe Practices Score and Hospital Mortality in Major Surgery</atitle><jtitle>Medical care</jtitle><addtitle>Med Care</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>49</volume><issue>12</issue><spage>1082</spage><epage>1088</epage><pages>1082-1088</pages><issn>0025-7079</issn><eissn>1537-1948</eissn><coden>MELAAD</coden><abstract>Background: The Leapfrog Group reports on hospitals' adoption of the National Quality Forum Patient Safety Practices. However, it is unknown whether hospital compliance with these safe practices is associated with improved outcomes in patients undergoing major surgery. Methods: We analyzed the association between hospital mortality and Leapfrog Safe Practices among patients undergoing coronary artery bypass graft surgery (n = 18,565), abdominal aortic aneurysm repair (n = 2777), and hip replacement (n = 25,067) in hospitals participating in the 2007 Leapfrog Hospital Survey using logistic regression. Results: After adjusting for patient and hospital factors, we found that the total safety score (adjusted odds ratio: 1.000, 95% confidence interval: 0.999-1.001) was not associated with hospital mortality. Computerized physician order entry and ICU physician staffing were also not associated with hospital mortality. Conclusions: We did not find evidence that patients undergoing major surgery at hospitals which scored higher on the Leapfrog Safe Practices Survey had lower mortality rates. The Leapfrog safe practices score as a standalone quality measure may have limited power to distinguish between high-quality and low-quality hospitals.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>22082837</pmid><doi>10.1097/MLR.0b013e318238f26b</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7079 |
| ispartof | Medical care, 2011-12, Vol.49 (12), p.1082-1088 |
| issn | 0025-7079 1537-1948 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_904222219 |
| source | MEDLINE; Journals@Ovid Complete; JSTOR Archive Collection A-Z Listing |
| subjects | Aged Aged, 80 and over Aortic Aneurysm, Abdominal - mortality Arthroplasty, Replacement, Hip - mortality Coronary Artery Bypass - mortality Female Health outcomes Health Services Research Hospital Administration - statistics & numerical data Hospital Mortality Hospitals Humans Intensive care units Male Medical practice Middle Aged Mortality Nonprofit hospitals Patient safety Patient Safety - statistics & numerical data Performance metrics Physicians Quality of care Quality of Health Care Staffing Surgery Surgical practice Surgical Procedures, Operative - mortality Teaching hospitals |
| title | Association Between Leapfrog Safe Practices Score and Hospital Mortality in Major Surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T08%3A52%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20Between%20Leapfrog%20Safe%20Practices%20Score%20and%20Hospital%20Mortality%20in%20Major%20Surgery&rft.jtitle=Medical%20care&rft.au=Qian,%20Feng&rft.date=2011-12-01&rft.volume=49&rft.issue=12&rft.spage=1082&rft.epage=1088&rft.pages=1082-1088&rft.issn=0025-7079&rft.eissn=1537-1948&rft.coden=MELAAD&rft_id=info:doi/10.1097/MLR.0b013e318238f26b&rft_dat=%3Cjstor_proqu%3E23053854%3C/jstor_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=905088947&rft_id=info:pmid/22082837&rft_jstor_id=23053854&rfr_iscdi=true |