Variation in the adoption of patient safety practices among New Zealand District Health Boards

Antony Raymont, Patrick James Graham, Phil Hider, Mary Finlayson, J Fraser, Jacqueline Cumming

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Objective: To investigate the adoption and impact of quality improvement measures in New Zealand hospitals.

    Method: Structured interviews with quality and safety managers of District Health Boards (DHBs). Correlation of use of measures with adjusted 30-day mortality data.

    Results: Eighteen of New Zealand's 21 DHBs participated in the survey. Structural or policy measures to improve patient safety, such as credentialing and event reporting procedures, had been introduced into all DHBs, whereas changes to general clinical processes such as medicine reconciliation, falls prevention interventions and disease-specific management guidelines were less consistently used. There was no meaningful correlation between risk-adjusted mortality rates for three common medical conditions and related quality measures.

    Conclusion:
    Widespread variation exists among New Zealand DHBs in their adoption of quality and safety practices, especially in relation to clinical processes of care. What is known about the topic? There are a significant number of adverse events which may affect hospital inpatients. Many of these are preventable. In response, quality and safety processes and measures are being adopted across the sector. What does this paper add? The paper provides a description of the frequency with which a range of processes and measures have been adopted and demonstrates that adoption of these by New Zealand hospitals is patchy and monitoring is uneven. It suggests that the measures implemented do not appear to have impacted common mortality outcomes, though the findings may reflect the limits of feasible measurement of a probabilistic system. What are the implications for practitioners? Managers should monitor the implementation of quality and safety measures and evaluate them in terms of their direct effects.
    Original languageEnglish
    Pages (from-to)163-168
    Number of pages6
    JournalAustralian Health Review
    Volume36
    Issue number2
    DOIs
    Publication statusPublished - 2012

    Fingerprint

    Patient Safety
    New Zealand
    Safety
    Process Assessment (Health Care)
    Health
    Mortality
    Credentialing
    Disease Management
    Quality Improvement
    Inpatients
    Medicine
    Guidelines
    Interviews

    Cite this

    Raymont, A., Graham, P. J., Hider, P., Finlayson, M., Fraser, J., & Cumming, J. (2012). Variation in the adoption of patient safety practices among New Zealand District Health Boards. Australian Health Review, 36(2), 163-168. https://doi.org/10.1071/AH10972
    Raymont, Antony ; Graham, Patrick James ; Hider, Phil ; Finlayson, Mary ; Fraser, J ; Cumming, Jacqueline. / Variation in the adoption of patient safety practices among New Zealand District Health Boards. In: Australian Health Review. 2012 ; Vol. 36, No. 2. pp. 163-168.
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    abstract = "Objective: To investigate the adoption and impact of quality improvement measures in New Zealand hospitals. Method: Structured interviews with quality and safety managers of District Health Boards (DHBs). Correlation of use of measures with adjusted 30-day mortality data. Results: Eighteen of New Zealand's 21 DHBs participated in the survey. Structural or policy measures to improve patient safety, such as credentialing and event reporting procedures, had been introduced into all DHBs, whereas changes to general clinical processes such as medicine reconciliation, falls prevention interventions and disease-specific management guidelines were less consistently used. There was no meaningful correlation between risk-adjusted mortality rates for three common medical conditions and related quality measures. Conclusion: Widespread variation exists among New Zealand DHBs in their adoption of quality and safety practices, especially in relation to clinical processes of care. What is known about the topic? There are a significant number of adverse events which may affect hospital inpatients. Many of these are preventable. In response, quality and safety processes and measures are being adopted across the sector. What does this paper add? The paper provides a description of the frequency with which a range of processes and measures have been adopted and demonstrates that adoption of these by New Zealand hospitals is patchy and monitoring is uneven. It suggests that the measures implemented do not appear to have impacted common mortality outcomes, though the findings may reflect the limits of feasible measurement of a probabilistic system. What are the implications for practitioners? Managers should monitor the implementation of quality and safety measures and evaluate them in terms of their direct effects.",
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    Raymont, A, Graham, PJ, Hider, P, Finlayson, M, Fraser, J & Cumming, J 2012, 'Variation in the adoption of patient safety practices among New Zealand District Health Boards', Australian Health Review, vol. 36, no. 2, pp. 163-168. https://doi.org/10.1071/AH10972

    Variation in the adoption of patient safety practices among New Zealand District Health Boards. / Raymont, Antony; Graham, Patrick James; Hider, Phil; Finlayson, Mary; Fraser, J; Cumming, Jacqueline.

    In: Australian Health Review, Vol. 36, No. 2, 2012, p. 163-168.

    Research output: Contribution to journalArticleResearchpeer-review

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