Guides/Reports

American Hospital Association guides and reports for members and the health care field.

It is widely recognized that there is more work needed to eliminate preventable harm in the U.S. health care system. While a strong and just safety culture has been recognized as a key element for improvement, a critical deficit that has not yet been fully addressed is the lack of protective…
Purpose: To explore surgeons' perceptions of the factors that influence their intraoperative decision making, and implications for professional self-regulation and patient safety.
Objective: To understand factors leading to all-cause 30-day readmissions in a community hospital population. Research Design: Structured case series of 537 readmissions using chart reviews, interviews with treating physicians, patients and family caregivers, and overall case assessment by a nurse-…
Standardization of blood utilization practices could provide opportunity for improved outcomes, reduced costs. Premier found a significant variation in blood-product use across the 464 hospitals analyzed. If all hospitals analyzed were able to achieve blood product utilization similar to that of…
Readmission rates to U.S. hospitals are high, often because of poor care transitions. Serious adverse drug events caused by an incomplete understanding of changes in complex drug regimens can be an important factor contributing to readmission rates. This paper describes the roles and…
Accelerating Care Integration
Background: Assessment of patient safety culture has recently expanded in inpatient settings, but the majority of medical encounters occurs in office settings, and less is known about the determinants of perceived quality and safety in ambulatory care. The Medical Office Survey of Patient Safety…
The survey was sent by email to over 630,000 physicians (approximately 84 percent of all physicians in active patient care). It contains responses from 13,575 physicians. Key questions addressed include:
How to solve the problem? Many practices have found the answer in the creation of high-functioning primary care teams with nonphysician team members taking on clinical tasks that physicians have insufficient time to perform and that focus several people on each patient's problems. Some have…