@article{ref1,
title="Relationship between leapfrog safe practices survey and outcomes in trauma",
journal="Archives of surgery (1960)",
year="2011",
author="Glance, Laurent G. and Dick, Andrew W. and Osler, Turner M. and Meredith, J. Wayne and Stone, Patricia W. and Li, Yue and Mukamel, Dana B.",
volume="146",
number="10",
pages="1170-1177",
abstract="OBJECTIVE: To examine the association between hospital self-reported compliance with the National Quality Forum patient safety practices and trauma outcomes in a nationally representative sample of level I and level II trauma centers. DESIGN: Retrospective cohort study using the Nationwide Inpatient Sample. SETTING: Level I and level II trauma centers. PATIENTS: Trauma patients. MAIN OUTCOME MEASURES: Multivariate logistic regression models were estimated to examine the association between clinical outcomes (in-hospital mortality and hospital-associated infections) and the National Quality Forum patient safety practices. We controlled for patient demographic characteristics, injury severity, mechanism of injury, comorbidities, and hospital characteristics. RESULTS: The total score on the Leapfrog Safe Practices Survey was not associated with either mortality (adjusted odds ratio [aOR], 0.92; 95% confidence interval [CI], 0.79-1.06) or hospital-associated infections (1.03; 0.82-1.29). Full implementation of computerized physician order entry was not associated with reduced mortality (aOR, 1.03; 95% CI, 0.75-1.42) or with a lower risk of hospital-associated infections (0.94; 0.57-1.56). Full implementation of intensive care unit physician staffing was also not predictive of mortality (aOR, 1.13; 95% CI, 0.90-1.28) or of hospital-associated infections (1.04; 0.76-1.42). CONCLUSION: In this nationally representative sample of level I and level II trauma centers, we were unable to detect evidence that hospitals reporting better compliance with the National Quality Forum patient safety practices had lower mortality or a lower incidence of hospital-associated infections.<p /><p>Language: en</p>",
language="en",
issn="0004-0010",
doi="10.1001/archsurg.2011.247",
url="http://dx.doi.org/10.1001/archsurg.2011.247"
}