Health Affairs

Health Affairs, 22, no. 2 (2003): 154-166 doi: 10.1377/hlthaff.22.2.154 © 2003 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Research Challenge

A National Profile Of Patient Safety In U.S. Hospitals

Patrick S. Romano, Jeffrey J. Geppert, Sheryl Davies, Marlene R. Miller, Anne Elixhauser and Kathryn M. McDonald

Measures based on routinely collected data would be useful to examine the epidemiology of patient safety. Extending previous work, we established the face and consensual validity of twenty Patient Safety Indicators (PSIs). We generated a national profile of patient safety by applying these PSIs to the HCUP Nationwide Inpatient Sample. The incidence of most nonobstetric PSIs increased with age and was higher among African Americans than among whites. The adjusted incidence of most PSIs was highest at urban teaching hospitals. The PSIs may be used in AHRQ’s National Quality Report, while providers may use them to screen for preventable complications, target opportunities for improvement, and benchmark performance.

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