Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals. | AHRQ Patient Safety Network

Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals. | AHRQ Patient Safety Network

• Study
 
• Published October 2017

Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals.

Shahian DM, Liu X, Rossi LP, Mort EA, Normand ST. Health Serv Res. 2017 Oct 9; [Epub ahead of print].

Measuring safety culture is viewed as a best practice and is endorsed by the Leapfrog Groupand the Agency for Healthcare Research and Quality (AHRQ). However, studies have not consistently demonstrated a direct relationship between safety culture and improved patient outcomes. In this observational cohort study, researchers analyzed data from 19,357 discharges for acute myocardial infarction (AMI) across 171 hospitals and associated data from AHRQ Hospital Survey on Patient Safety Culture surveys between 2008 and 2013. They found no association between 30-day AMI mortality and safety culture scores. A recent PSNet interview with Mary Dixon-Woods discussed the evolving concept of safety culture.

PubMed citationAvailable at

Related Resources

MEETING/CONFERENCE › WASHINGTON MEETING/CONFERENCE

Learning From Never Events: Aligning an Organization Around Safety.

Virginia Mason Institute. January 31-February 2, 2018. Virginia Mason Institute, Seattle, WA.

JOURNAL ARTICLE › STUDY

Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice.

Pitts SI, Maruthur NM, Luu N, et al. Jt Comm Qual Patient Saf. 2017;43:591–597.

JOURNAL ARTICLE › STUDY

A qualitative study of speaking out about patient safety concerns in intensive care units.

Tarrant C, Leslie M, Bion J, Dixon-Woods M. Soc Sci Med. 2017;193:8-15.

JOURNAL ARTICLE › STUDY

Nature of blame in patient safety incident reports: mixed methods analysis of a national database.

Cooper J, Edwards A, Williams H, et al. Ann Fam Med. 2017;15:455-461.

JOURNAL ARTICLE › STUDY

Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.

Sexton JB, Adair KC, Leonard MW, et al. BMJ Qual Saf. 2017 Oct 9; [Epub ahead of print].

View More