Measurement of Quality and Assurance of Safety in the Critically Ill

Peter J. Pronovost, J. Bryan Sexton, Julius Cuong Pham, Christine A. Goeschel, Bradford D. Winters, Marlene R. Miller

Research output: Contribution to journalReview articlepeer-review


The global health care community has worked tirelessly for nearly a decade to make medical care safer for patients, but it still has limited ability to evaluate whether safety has improved. While there is a universal push to measure safety outcomes, the main barrier has been poor investment in the basic science of patient safety. This science would allow us to comprehend the causes of harm, design and pilot test interventions to reduce harm, and robustly evaluate their impact. This article describes several dilemmas in measuring patient safety, outlines a conceptual model and presents a framework for measuring patient safety, and offers future directions. Future research should seek to create a scientifically sound and feasible safety scorecard and improve performance.

Original languageEnglish (US)
Pages (from-to)169-179
Number of pages11
JournalClinics in Chest Medicine
Issue number1
StatePublished - Mar 1 2009


  • Measurement
  • Measuring patient safety
  • Outcomes
  • Patient safety
  • Quality of care

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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