The Relationship Between System Characteristics, Safety Practices and Patient Outcomes in JCHAO Accredited Hospitals




Morris-Griffith, Phyllis Branta

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This exploratory, descriptive study examined the relationship of patient safety practices as measured by compliance with The Joint Commission’s national patient safety goals (NPSGs), hospital characteristics, and patient safety outcomes as defined by the Agency for Healthcare Research and Quality (AHRQ) patient safety indicators (PSIs) in accredited, acute care hospitals in the United States. It examined the relationship between the implementation of patient safety practices such NPSGs and outcomes as defined by the AHRQ’s PSIs. It further examined the relationship between hospital characteristics such as teaching status, geographic location, and bed size with NPSGs. It used Donabedian’s triad model (Donabedian, 1960) to examine the relationship between NPSGs and quality outcomes, and the influence of hospital characteristics on these variables. The findings provided objective information to guide hospital leaders regarding influences on patient safety outcomes and help them make decisions accordingly.



Health sciences, Nursing, Nursing and outcomes, Nursing Outcomes, Patient Outcomes, Patient safety, Safety practices and outcomes