In 2015, the Institute of Medicine Vital Signs report called for a new patient safety composite measure to lessen the reporting burden of patient harm. Before this report, two patient safety organizations had developed an electronic all-cause harm measurement system leveraging data from the electronic health record, which identified and grouped harms into five broad categories and consolidated them into one all-cause harm outcome measure.
The objective of this study was to examine the relationship between this all-cause harm patient safety measure and the following three performance measures important to overall hospital safety performance: safety culture, employee engagement, and patient experience.
We studied the relationship between all-cause harm and three performance measures on eight inpatient care units at one hospital for 7 months.
The findings demonstrated strong correlations between an all-cause harm measure and patient safety culture, employee engagement, and patient experience at the hospital unit level. Four safety culture domains showed significant negative correlations with all-cause harm at a P value of 0.05 or less. Six employee engagement domains were significantly negatively correlated with all-cause harm at a P value of 0.01 or less, and six of the ten patient experience measures were significantly correlated with all-cause harm at a P value of 0.05 or less.
The results show that there is a strong relationship between all-cause harm and these performance measures indicating that when there is a positive patient safety culture, a more engaged employee, and a more satisfying patient experience, there may be less all-cause harm.
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From the *Office of Clinical Effectiveness, Adventist Health System; †Chief Clinical Officer, Adventist Health System; ‡Advocacy and Public Policy, Adventist Health System, Altamonte Springs, Florida; §Applied Science, Pascal Metrics, Washington, District of Columbia; ∥University of Utah, Salt Lake City, Utah, and ¶Chief Medical Information Officer, Pascal Metrics, Washington, District of Columbia.
Correspondence: Christine Sammer, DrPH, RN, Director Corporate Patient Safety, Office of Clinical Effectiveness, Adventist Health System, 900 Hope Way, Altamonte Springs, FL 32714 (e-mail: firstname.lastname@example.org).
The authors disclose no conflict of interest.