Systematically Seeking Clinicians' Insights to Identify New Safety Measures for Intensive Care Units and General Surgery Services

Robert S. Rogers, Peter Pronovost, Thomas Isaac, Amy Schoenfeld, Lucian Leape, Lisa I. Iezzoni, David Blumenthal

Research output: Contribution to journalArticle

Abstract

Comprehensive measures to benchmark or track safety performance do not yet exist. The authors aimed to develop and validate a process to identify comprehensive, clinically meaningful sets of safety measures that would draw on the clinical experiences and perceptions of active practitioners. They pilot tested this process for safety measure development for 2 hospital departments (ie, intensive care units and general surgery services) by holding 7 brainstorming sessions with physicians and nurses in major academic and community teaching hospitals in Boston, Massachusetts, and Baltimore, Maryland. Participants identified lists of patient harms that they considered to be among the 20 most frequent and the 20 most severe in their respective units. The authors generated a master list of patient harms, which participants then ranked by both frequency and severity via E-mail voting. This process produced safety measures with inherent credibility with clinicians on the front lines of care.

Original languageEnglish (US)
Pages (from-to)359-364
Number of pages6
JournalAmerican Journal of Medical Quality
Volume25
Issue number5
DOIs
StatePublished - Sep 17 2010

Keywords

  • ICU services
  • clinician insight
  • general surgery services
  • safety measures

ASJC Scopus subject areas

  • Health Policy

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