Abstract:
OBJECTIVES:Hospital leaders lack tools to determine the financial impact of poor patient outcomes and adverse events. To provide health-care leaders with decision support for investments to improve care, we created a tool, the Healthcare Quality Calculator (HQCal), which uses institution-specific financial data to calculate impact of poor patient outcomes or quality improvement on present and future margin. METHODS:Excel and Web-based versions of the HQCal were based on a cohort study framework and created with modular components including major drivers of cost and reimbursement. RESULTS:The Healthcare Quality Calculator (HQCal) compares payment, cost, and profit/loss for patients with and without poor outcomes or quality issues. Cost and payment information for groups with and without quality issues are used by the HQCal to calculate profit or loss. Importantly, institution-specific payment and cost data are used to calculate financial impact and attributable cost associated with poor patient outcomes, adverse events, or quality issues. Because future cost and reimbursement changes can be forecast, the HQCal incorporates a forward-looking component. The flexibility of the HQCal was demonstrated using surgical site infections after abdominal surgery and postoperative surgical airway complications. CONCLUSIONS:The Healthcare Quality Calculator determines financial impact of poor patient outcomes and the benefit of initiatives to improve quality. The calculator can identify quality issues that would provide the largest financial benefit if improved; however, it cannot identify specific interventions. The calculator provides a tool to improve transparency regarding both short- and long-term financial consequences of funding, or failing to fund, initiatives to close gaps in quality or improve patient outcomes.
journal_name
J Patient Safjournal_title
Journal of patient safetyauthors
Yarbrough WG,Sewell A,Tickle E,Rhinehardt E,Harkleroad R,Bennett M,Johnson D,Wen L,Pfeiffer M,Benegas M,Morath Jdoi
10.1097/PTS.0b013e318298e916subject
Has Abstractpub_date
2014-12-01 00:00:00pages
202-10issue
4eissn
1549-8417issn
1549-8425journal_volume
10pub_type
杂志文章abstract:OBJECTIVE:Speaking up about safety concerns by staff is important to prevent medical errors. Knowledge about healthcare workers' speaking up behaviors and perceived speaking up climate is useful for healthcare organizations (HCOs) to identify areas for improvement. The aim of this study was to develop a short questionn...
journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000415
更新日期:2017-08-28 00:00:00
abstract:INTRODUCTION:Falls represent a serious problem facing hospital-admitted patients, and the severity of fall-related complications rises steadily after the age of 65 years. OBJECTIVES:The aims of this study were (a) to calculate the rate of falls among elderly patients in the internal medicine departments in Ain Shams U...
journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000117
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000246
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to identify physical design elements that contribute to potential falls in patient rooms. METHODS:An exploratory, physical simulation-based approach was adopted for the study. Twenty-seven subjects, older than 70 years (11 male and 16 female subjects), conducted scripted tasks in a...
journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000339
更新日期:2017-02-03 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000641
更新日期:2020-03-24 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/pts.0b013e3181fe255d
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:Elderly patients with multimorbidity are especially vulnerable to adverse drug events (ADEs) and had high prevalence rates. Identifying ADEs is essential for enabling timely interventions that can mitigate the adverse events detected and for developing targeted strategies to prevent their occurrence as well as ...
journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000389
更新日期:2017-06-14 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0b013e31827cda38
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To evaluate medication boxed warning nonadherence in the inpatient setting. METHODS:This was a prospective cohort quality improvement project approved by our institution's Total Quality Council. General medicine and ICU patients 18 years and older were included if they were cared for by a prescriber-led mult...
journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000101
更新日期:2017-03-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000497
更新日期:2018-05-03 00:00:00
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journal_title:Journal of patient safety
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更新日期:2019-12-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000220
更新日期:2019-06-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000491
更新日期:2018-05-16 00:00:00
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journal_title:Journal of patient safety
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doi:10.1097/PTS.0000000000000533
更新日期:2018-09-05 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0b013e3181a974d9
更新日期:2009-06-01 00:00:00
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journal_title:Journal of patient safety
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更新日期:2019-03-15 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000578
更新日期:2021-01-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/pts.0b013e3181b5cb8a
更新日期:2009-09-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0000000000000107
更新日期:2017-03-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0b013e3182948a51
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更新日期:2017-03-17 00:00:00
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journal_title:Journal of patient safety
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journal_title:Journal of patient safety
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更新日期:2018-12-01 00:00:00
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journal_title:Journal of patient safety
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更新日期:2011-09-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
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更新日期:2020-03-13 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/pts.0b013e3181eee157
更新日期:2010-09-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
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更新日期:2017-12-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
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journal_title:Journal of patient safety
pub_type: 杂志文章
doi:10.1097/PTS.0b013e3182446c51
更新日期:2012-03-01 00:00:00
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journal_title:Journal of patient safety
pub_type: 杂志文章
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更新日期:2019-10-22 00:00:00