Rural Hospital Patient Safety Systems Implementation in Two States

Authors: Longo, Daniel R.¹; Hewett, John E.²; Ge, Bin²; Schubert, Shari³

Source: The Journal of Rural Health, Volume 23, Number 3, Summer 2007 , pp. 189-197(9)

Buy & download fulltext article:

Price: $48.00 plus tax (Refund Policy)

Abstract:

Context and Purpose:With heightened attention to medical errors and patient safety, we surveyed Utah and Missouri hospitals to assess the “state of the art” in patient safety systems and identify changes over time. This study examines differences between urban and rural hospitals.Methods:Survey of all acute care hospitals in Utah and Missouri at 2 points in time (2002 and 2004). Factor analysis was used to develop 7 latent variables to summarize the data, comparing rural and urban hospitals at each point in time and on change between the 2 survey times.Findings:On 3 of the 7 latent variables, there was a statistically significant difference between rural and urban hospitals at the first survey, with rural hospitals indicating lower levels of implementation. The differences remained present on 2 of those latent variables at the second survey. In both cases, 1 of those variables was computerized physician order entry (CPOE) systems. Rural hospitals reported more improvement in systems implementation between the 2 survey times, with the difference statistically significant on 1 of the 7 latent variables; the greatest improvement was in implementation of “root cause analysis.”Conclusions:Adoption of patient safety systems overall is low. Although rates of adoption among rural versus urban hospitals appear lower, most differences are not statistically significant; the gap between rural and urban hospitals relative to quality measures is narrowing. Change in rural and urban hospitals is in the right direction, with the rate of change higher in rural hospitals for many systems.

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1748-0361.2007.00090.x

Affiliations: 1: Department of Family Medicine, Virginia Commonwealth University School of Medicine, Richmond, Va. 2: Biostatistics Group, University of Missouri—Columbia School of Medicine, Columbia, Mo. 3: Department of Family and Community Medicine, University of Missouri—Columbia School of Medicine, Columbia, Mo.

Publication date: 2007-06-01

Rural Hospital Patient Safety Systems Implementation in Two States

Buy & download fulltext article:

Tools

Key

Text size:

Useful pages