Longitudinal evaluation of an electronic audit and feedback system for patient safety in a large tertiary hospital setting.
Health Informatics J
; 30(2): 14604582241262707, 2024.
Article
en En
| MEDLINE
| ID: mdl-38871668
ABSTRACT
Objective:
This study sought to assess the impact of a novel electronic audit and feedback (e-A&F) system on patient outcomes.Methods:
The e-A&F intervention was implemented in a tertiary hospital and involved near real-time feedback via web-based dashboards. We used a segmented regression analysis of interrupted time series. We modelled the pre-post change in outcomes for the (1) announcement of this priority list, and (2) implementation of the e-A&F intervention to have affected patient outcomes.Results:
Across the study period there were 222,792 episodes of inpatient care, of which 13,904 episodes were found to contain one or more HACs, a risk of 6.24%. From the point of the first intervention until the end of the study the overall risk of a HAC reduced from 8.57% to 4.12% - a 51.93% reduction. Of this reduction the proportion attributed to each of these interventions was found to be 29.99% for the announcement of the priority list and 21.93% for the implementation of the e-A&F intervention.Discussion:
Our findings lend evidence to a mechanism that the announcement of a measurement framework, at a national level, can lead to local strategies, such as e-A&F, that lead to significant continued improvements over time.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Retroalimentación
/
Seguridad del Paciente
/
Centros de Atención Terciaria
Límite:
Humans
Idioma:
En
Revista:
Health Informatics J
Año:
2024
Tipo del documento:
Article
País de afiliación:
Australia
Pais de publicación:
Reino Unido